HOUSE BILL No. 4781


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


        A bill to amend 1980 PA 350, entitled

   "The nonprofit health care corporation reform act,"

   (MCL 550.1101 to 550.1704) by adding section 401f.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 401F.  (1) A HEALTH CARE CORPORATION THAT REQUIRES A

 2    MEMBER TO DESIGNATE A PARTICIPATING PRIMARY CARE PROVIDER SHALL

 3    PERMIT 1 OR BOTH OF THE FOLLOWING WITHOUT ANY ADDITIONAL DEDUCTI-

 4    BLES, COPAYMENTS, OR COINSURANCE PROVISIONS THAN THOSE THAT GEN-

 5    ERALLY APPLY:

 6         (A) A FEMALE MEMBER TO DESIGNATE A PARTICIPATING

 7    OBSTETRICIAN-GYNECOLOGIST AS HER PRIMARY CARE PROVIDER.

 8         (B) A FEMALE MEMBER 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 A MEMBER'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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