HOUSE BILL No. 5847


     May 12, 1998, Introduced by Reps. Brater, Martinez, DeHart, Thomas, Schroer, Anthony, Gire, McNutt, Ciaramitaro, Gubow, Bodem, Hale, DeVuyst, Schauer, Profit, Johnson, Vaughn, London, Parks, Agee, Prusi, Godchaux, Voorhees, Scott, Green, LaForge, Raczkowski and Perricone and referred to the Committee on Health Policy.


        A bill to amend 1956 PA 218, entitled

   "The insurance code of 1956,"

   (MCL 500.100 to 500.8302) by adding section 3406l.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 3406l.  AN INSURER THAT DELIVERS, ISSUES FOR DELIVERY,

 2    OR RENEWS IN THIS STATE ON OR AFTER JANUARY 1, 1999 AN

 3    EXPENSE-INCURRED HOSPITAL, MEDICAL, OR SURGICAL POLICY OR CERTIF-

 4    ICATE SHALL PROVIDE FOR BOTH OF THE FOLLOWING:

 5         (A) THAT COST-SHARING REQUIREMENTS AND BENEFIT OR SERVICE

 6    LIMITATIONS FOR OUTPATIENT MENTAL HEALTH AND OUTPATIENT SUBSTANCE

 7    ABUSE SERVICES DO NOT PLACE A GREATER FINANCIAL BURDEN ON THE

 8    INSURED AND ARE NOT MORE RESTRICTIVE THAN THOSE REQUIREMENTS AND

 9    LIMITATIONS FOR OUTPATIENT MEDICAL SERVICES.

10         (B) THAT COST-SHARING REQUIREMENTS AND BENEFIT OR SERVICE

11    LIMITATIONS FOR INPATIENT HOSPITAL MENTAL HEALTH AND INPATIENT


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 1    HOSPITAL AND RESIDENTIAL SUBSTANCE ABUSE SERVICES DO NOT PLACE A

 2    GREATER FINANCIAL BURDEN ON THE INSURED AND ARE NOT MORE RESTRIC-

 3    TIVE THAN THOSE REQUIREMENTS AND LIMITATIONS FOR INPATIENT HOSPI-

 4    TAL MEDICAL SERVICES.
















































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