ACCESS TO OB-GYN SERVICES - H.B. 4779 (S-1): FLOOR ANALYSIS

House Bill 4779 (Substitute S-1 as reported)

Sponsor: Representative Rose Bogardus

House Committee: Health Policy

Senate Committee: Health Policy and Senior Citizens

CONTENT

The bill would amend the Public Health Code to require health maintenance organizations (HMOs) to permit female enrollees to have access to an obstetrician-gynecologist (ob-gyn) for annual well-woman examinations and routine obstetrical and gynecologic services, if an enrollee were required to designate a participating primary care provider.

An HMO could not require prior authorization or referral for access to an ob-gyn who was affiliated with the HMO or who was participating with the insurer. An HMO could, however, require prior authorization or referral for access to a nonaffiliated ob-gyn. In addition, an HMO would have to include a description of the coverage in a communication sent to the individual or group purchaser of coverage.

Proposed MCL 333.21053d - Legislative Analyst: L. Arasim

FISCAL IMPACT

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

Date Completed: 11-12-98 - Fiscal Analyst: J. WalkerFLOOR\HB4779 - 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.