INSURERS: OB-GYN ACCESS - S.B. 151 (S-1): FLOOR ANALYSIS

Senate Bill 151 (Substitute S-1 as reported)

Sponsor: Senator Leon Stille

Committee: Health Policy and Senior Citizens

CONTENT

The bill would amend the Insurance Code to provide that an insurer who delivered, issued for delivery, or renewed in Michigan an expense-incurred hospital, medical, or surgical policy or certificate that required an insured to designate a participating primary care provider and provided for annual well-woman examinations and routine obstetrical and gynecologic services, would have to permit a female insured to have access to an obstetrician-gynecologist (OB-GYN) for those examinations and services. An insurer could not require prior authorization or referral for access under the bill to an OB-GYN who participated with the insurer, but could require prior authorization or referral for access to a nonparticipating OB-GYN.

The bill would take effect on October 1, 1998.

Proposed MCL 500.3406j - Legislative Analyst: P. Affholter

FISCAL IMPACT

The bill would have no fiscal impact on State or local government.

Date Completed: 4-30-98 - Fiscal Analyst: J. Walkerfloor\sb151 - Analysis available @ http://www.michiganlegislature.org

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.