HOUSE BILL No. 4005


     January 8, 1997, Introduced by Rep. Schauer and referred to the Committee on Insurance.


        A bill to amend 1978 PA 368, entitled

   "Public health code,"

   (MCL 333.1101 to 333.25211) by adding section 21054u.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 21054U.  (1) AN INDIVIDUAL OR GROUP CONTRACT PROVIDING

 2    COVERAGE FOR A FAMILY MEMBER OF THE SUBSCRIBER SHALL, AS TO THAT

 3    FAMILY MEMBER'S COVERAGE, ALSO PROVIDE THAT THE COVERAGE APPLICA-

 4    BLE FOR CHILDREN SHALL BE PAYABLE WITH RESPECT TO A NEWLY BORN

 5    CHILD OF THE SUBSCRIBER FROM THE MOMENT OF BIRTH.  THE COVERAGE

 6    FOR NEWLY BORN CHILDREN SHALL CONSIST OF COVERAGE OF INJURY OR

 7    SICKNESS INCLUDING THE NECESSARY CARE AND TREATMENT OF MEDICALLY

 8    DIAGNOSED CONGENITAL DEFECTS AND BIRTH ABNORMALITIES.  THE CON-

 9    TRACT MAY REQUIRE THAT NOTIFICATION OF BIRTH OF A NEWLY BORN

10    CHILD AND PAYMENT OF THE REQUIRED CHARGE SHALL BE FURNISHED TO

11    THE HEALTH MAINTENANCE ORGANIZATION WITHIN 31 DAYS AFTER THE DATE


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 1    OF BIRTH IN ORDER TO HAVE THE COVERAGE CONTINUE BEYOND THE 31-DAY

 2    PERIOD.

 3         (2) BY JULY 1, 1997, A HEALTH MAINTENANCE ORGANIZATION THAT

 4    PROVIDES OR OFFERS TO PROVIDE COVERAGE FOR A FAMILY MEMBER OF THE

 5    SUBSCRIBER IN AN INDIVIDUAL OR GROUP CONTRACT SHALL PROVIDE COV-

 6    ERAGE IN THAT CONTRACT UPON THE SUBSCRIBER'S ELECTION AS

 7    FOLLOWS:

 8         (A) FOR THE SUBSCRIBER'S ADOPTED CHILDREN BEGINNING FROM THE

 9    DATE OF PLACEMENT FOR THE PURPOSE OF ADOPTION AND CONTINUING

10    UNTIL THE CONTRACT IS CANCELED OR DISCONTINUED, DEPENDENT COVER-

11    AGE ENDS UNDER THE TERMS OF THE CONTRACT, OR THE PLACEMENT IS

12    DISRUPTED PRIOR TO LEGAL ADOPTION AND THE CHILD IS REMOVED FROM

13    PLACEMENT.

14         (B) FOR THE SUBSCRIBER'S ADOPTED CHILDREN BEGINNING FROM THE

15    DATE OF ADOPTION AND CONTINUING UNTIL THE CONTRACT IS CANCELED OR

16    DISCONTINUED OR DEPENDENT COVERAGE ENDS UNDER THE TERMS OF THE

17    CONTRACT.

18         (3) COVERAGE UNDER SUBSECTION (2) FOR THE ADOPTED CHILD OR

19    THE CHILD WHO IS PLACED TO BE ADOPTED SHALL BE THE SAME AS IF THE

20    CHILD WAS A NEWLY BORN BIOLOGICAL CHILD OF THE SUBSCRIBER.

21         (4) AS USED IN THIS SECTION, "ADOPTED CHILD", "ADOPTED

22    CHILDREN", AND "CHILD WHO IS PLACED TO BE ADOPTED" MEAN RESPEC-

23    TIVELY AN INDIVIDUAL WHO IS ADOPTED OR WHO IS PLACED TO BE

24    ADOPTED AND WHO IS LESS THAN 18 YEARS OF AGE.









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