HOUSE BILL No. 6002


     July 2, 1998, Introduced by Reps. LaForge, Brater, Bogardus and Anthony and referred to the Committee on Insurance.


        A bill to amend 1956 PA 218, entitled

   "The insurance code of 1956,"

   (MCL 500.100 to 500.8302) by adding section 3609.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 3609.  AN INSURER THAT DELIVERS, ISSUES FOR DELIVERY,

 2    OR RENEWS IN THIS STATE ON OR AFTER JANUARY 1, 1999 AN

 3    EXPENSE-INCURRED HOSPITAL, MEDICAL, OR SURGICAL POLICY OR CERTIF-

 4    ICATE SHALL PROVIDE FOR BOTH OF THE FOLLOWING:

 5         (A) THAT COST-SHARING REQUIREMENTS AND BENEFIT OR SERVICE

 6    LIMITATIONS FOR OUTPATIENT MENTAL HEALTH AND OUTPATIENT SUBSTANCE

 7    ABUSE SERVICES DO NOT PLACE A GREATER FINANCIAL BURDEN ON THE

 8    INSURED AND ARE NOT MORE RESTRICTIVE THAN THOSE REQUIREMENTS AND

 9    LIMITATIONS FOR OUTPATIENT MEDICAL SERVICES.





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 1         (B) THAT COST-SHARING REQUIREMENTS AND BENEFIT OR SERVICE

 2    LIMITATIONS FOR INPATIENT HOSPITAL MENTAL HEALTH AND INPATIENT

 3    HOSPITAL AND RESIDENTIAL SUBSTANCE ABUSE SERVICES DO NOT PLACE A

 4    GREATER FINANCIAL BURDEN ON THE INSURED AND ARE NOT MORE RESTRIC-

 5    TIVE THAN THOSE REQUIREMENTS AND LIMITATIONS FOR INPATIENT HOSPI-

 6    TAL MEDICAL SERVICES.












































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