HOUSE BILL No. 5101


     September 30, 1997, Introduced by Reps. Palamara, Law, Olshove, Hammerstrom, Llewellyn, Middaugh, Green, Voorhees, Freeman, Varga, Dobronski, Nye, Galloway, Profit and Wojno 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 21053d.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 21053D.  ANY COPAYMENT OR COINSURANCE PROVISION THAT

 2    STATES WHAT PERCENTAGE OF A CLAIM THE HEALTH MAINTENANCE ORGANI-

 3    ZATION WILL PAY AND WHAT PERCENTAGE THE ENROLLEE WILL PAY SHALL

 4    BE BASED ON THE ACTUAL AMOUNT PAYABLE UNDER THE CONTRACT FOR A

 5    COVERED SERVICE AND NOT ON THE PROVIDER'S STANDARD CHARGE FOR A

 6    SERVICE.  THIS SECTION APPLIES TO HEALTH MAINTENANCE ORGANIZATION

 7    CONTRACTS DELIVERED, ISSUED FOR DELIVERY, OR RENEWED IN THIS

 8    STATE ON OR AFTER JANUARY 1, 1999.

 9         Enacting section 1.  This amendatory act does not take

10    effect unless all of the following bills of the 89th Legislature

11    are enacted into law:


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 1         (a) Senate Bill No. _____ or House Bill No. _____ (request

 2    no. 03740'97 *).

 3         (b) Senate Bill No. _____ or House Bill No. _____ (request

 4    no. 03741'97 *).
















































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