S.B. 152: ENROLLED SUMMARY - BCBSM: OB-GYN ACCESS

Senate Bill 152 (as enrolled) - PUBLIC ACT 412 of 1998

Sponsor: Senator Leon Stille

Senate Committee: Health Policy and Senior Citizens

House Committee: Health Policy


Date Completed: 1-8-99


CONTENT


The bill amended the Nonprofit Health Care Corporation Reform Act, which governs Blue Cross and Blue Shield of Michigan, to provide that a health care corporation certificate that requires a member to designate a participating primary care provider and provides for annual well-woman examinations and routine obstetrical and gynecologic services, must permit a female member to have access to an obstetrician-gynecologist (OB-GYN) for those examinations and services. A health care corporation may not require prior authorization or referral for access under the bill to an OB-GYN who participates with the health care corporation, but may require prior authorization or referral for access to a nonparticipating OB-GYN.


A health care corporation must include a description of the benefit provided under the bill in a communication sent to the individual or group purchaser of coverage.


MCL 550.1401f - Legislative Analyst: N. Nagata


FISCAL IMPACT


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


- Fiscal Analyst: J. Walker

8\S152es

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.