SENATE BILL NO. 1104


   May 5, 1998, Introduced by Senator DE BEAUSSAERT and referred to 
        the Committee on Health Policy and Senior Citizens.



        A bill to amend 1980 PA 350, entitled

   "The nonprofit health care corporation reform act,"

   (MCL 550.1101 to 550.1704) by adding section 415a.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 415A.  (1) A HEALTH CARE CORPORATION SHALL PROVIDE IN

 2    EACH GROUP AND NONGROUP CERTIFICATE BENEFITS FOR SCALP HAIR PROS-

 3    THESIS FOR AN INDIVIDUAL WHO HAS SCALP HAIR LOSS AS A RESULT OF

 4    ALOPECIA AREATA IF THE INDIVIDUAL'S ATTENDING PHYSICIAN CERTIFIES

 5    IN WRITING THE MEDICAL NECESSITY OF THAT PROPOSED COURSE OF REHA-

 6    BILITATIVE TREATMENT.

 7         (2) THE COVERAGE REQUIRED BY THIS SECTION IS NOT SUBJECT TO

 8    DOLLAR LIMITS, DEDUCTIBLES, AND COINSURANCE PROVISIONS THAT ARE

 9    LESS FAVORABLE THAN THOSE FOR OTHER PROSTHESIS COVERAGE.

10    HOWEVER, A HEALTH CARE CORPORATION MAY PROVIDE THAT THE HEALTH




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 1    CARE CORPORATION WILL ONLY PAY 80% OF THE CUSTOMARY AND USUAL

 2    COSTS OF THE SCALP HAIR PROSTHESIS EXCLUSIVE OF ANY DEDUCTIBLE.

 3         (3) AS USED IN THIS SECTION, "SCALP HAIR PROSTHESIS"

 4    INCLUDES ANY ARTIFICIAL SUBSTITUTES FOR SCALP HAIR.

 5         Enacting section 1.  This amendatory act takes effect

 6    December 31, 1998.












































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