HOUSE BILL No. 4779


     May 14, 1997, Introduced by Reps. Bogardus, McBryde, Wetters, Raczkowski, Goschka, Anthony, Johnson, Willard, Martinez, Dalman, Gire, Schroer, Dobb, Bodem, Baird, Sikkema, Leland, Jellema, Oxender, Quarles, Alley, Gustafson and Palamara and referred to the Committee on Health Policy.


        A bill to amend 1978 PA 368, entitled

   "Public health code,"

   (MCL 333.1101 to 333.25211) by adding section 21053d.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 21053D.  (1) A HEALTH MAINTENANCE ORGANIZATION THAT

 2    REQUIRES AN ENROLLEE TO DESIGNATE A PARTICIPATING PRIMARY CARE

 3    PROVIDER SHALL PERMIT 1 OR BOTH OF THE FOLLOWING WITHOUT ANY

 4    ADDITIONAL DEDUCTIBLES, COPAYMENTS, OR COINSURANCE PROVISIONS

 5    THAN THOSE THAT GENERALLY APPLY:

 6         (A) A FEMALE ENROLLEE TO DESIGNATE A PARTICIPATING

 7    OBSTETRICIAN-GYNECOLOGIST AS HER PRIMARY CARE PROVIDER.

 8         (B) A FEMALE ENROLLEE TO ACCESS A PARTICIPATING

 9    OBSTETRICIAN-GYNECOLOGIST WITHOUT PRIOR AUTHORIZATION OR

10    REFERRAL.




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 1         (2) IF SUBSECTION (1) APPLIES, NOTICE OF AN ENROLLEE'S RIGHT

 2    UNDER SUBSECTION (1) SHALL BE INCLUDED IN COMMUNICATIONS SENT TO

 3    THE INDIVIDUAL OR GROUP PURCHASER OF COVERAGE.

 4         (3) THIS SECTION TAKES EFFECT JUNE 1, 1997.
















































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