HOUSE BILL No. 4607


     April 18, 2001, Introduced by Reps. Raczkowski, Pappageorge, Ehardt, Van Woerkom, Koetje and Vander Veen and referred
to the Committee on Insurance and Financial Services.


        A bill to amend 1956 PA 218, entitled

   "The insurance code of 1956,"

   (MCL 500.100 to 500.8302) by adding section 2213c.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

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           SEC. 2213C.  (1) BY JANUARY 1, 2002, THE COMMISSIONER SHALL

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      DEVELOP A UNIFORM PRESCRIPTION DRUG INFORMATION CARD OR UNIFORM

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      PRESCRIPTION DRUG INFORMATION TECHNOLOGY TO BE USED BY EACH

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      HEALTH PLAN THAT PROVIDES COVERAGE FOR PRESCRIPTION DRUGS OR

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      DEVICES OR ADMINISTERS A PLAN THAT PROVIDES COVERAGE FOR PRE-

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      SCRIPTION DRUGS OR DEVICES.

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           (2) THE UNIFORM PRESCRIPTION DRUG INFORMATION CARD OR UNI-

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      FORM PRESCRIPTION DRUG INFORMATION TECHNOLOGY DEVELOPED BY THE

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      COMMISSIONER UNDER SUBSECTION (1) SHALL BE IN A FORMAT THAT IS

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      BASED ON THE FORMAT APPROVED BY THE NATIONAL COUNCIL FOR

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      PRESCRIPTION DRUG PROGRAMS, SHALL INCLUDE ALL OF THE REQUIRED AND


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      CONDITIONAL OR SITUATIONAL FIELDS, AND SHALL CONFORM TO THE

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      PHARMACY IDENTIFICATION CARD OR TECHNOLOGY IMPLEMENTATION GUIDE

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      PRODUCED BY THE NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS

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      OR SHALL CONFORM TO A NATIONAL FORMAT APPROVED BY THE COMMIS-

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      SIONER THAT INCLUDES ALL OF THE FOLLOWING:

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           (A) ALLERGIES.

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           (B) CO-PAY.

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           (C) DATE OF BIRTH.

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           (D) EFFECTIVE DATE.

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           (E) DEPENDENTS.

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           (3) THE UNIFORM PRESCRIPTION DRUG INFORMATION CARD OR UNI-

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      FORM PRESCRIPTION DRUG INFORMATION TECHNOLOGY DEVELOPED BY THE

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      COMMISSIONER UNDER SUBSECTION (1) SHALL BE ISSUED BY A HEALTH

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      PLAN UPON ENROLLMENT AND REISSUED UPON ANY CHANGE IN COVERAGE

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      THAT IMPACTS DATA CONTAINED ON THE CARD OR TECHNOLOGY.

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           (4) AS USED IN THIS SECTION, "HEALTH PLAN" MEANS ALL OF THE

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      FOLLOWING:

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           (A) AN INSURER PROVIDING BENEFITS UNDER AN EXPENSE-INCURRED

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      HOSPITAL, MEDICAL, OR SURGICAL POLICY OR CERTIFICATE, BUT DOES

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      NOT INCLUDE ANY OF THE FOLLOWING:

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           (i) ANY POLICY OR CERTIFICATE THAT PROVIDES COVERAGE ONLY

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      FOR ANY OF THE FOLLOWING:

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           (A) VISION.

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           (B) DENTAL.

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           (C) SPECIFIC DISEASES.

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           (D) ACCIDENTS.





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           (ii) HOSPITAL INDEMNITY POLICY OR CERTIFICATE.

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           (iii) DISABILITY INCOME POLICY OR CERTIFICATE.

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           (iv) COVERAGE ISSUED AS A SUPPLEMENT TO LIABILITY

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      INSURANCE.

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           (v) MEDICAL PAYMENTS UNDER AUTOMOBILE, HOMEOWNERS, OR

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      WORKER'S COMPENSATION INSURANCE.

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           (B) A MEWA REGULATED UNDER CHAPTER 70 THAT PROVIDES HOSPI-

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      TAL, MEDICAL, OR SURGICAL BENEFITS.

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           (C) A HEALTH MAINTENANCE ORGANIZATION LICENSED OR ISSUED A

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      CERTIFICATE OF AUTHORITY IN THIS STATE.

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           (D) A HEALTH CARE CORPORATION OPERATING UNDER THE NONPROFIT

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      HEALTH CARE CORPORATION REFORM ACT, 1980 PA 350, MCL 550.1101 TO

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      550.1704.

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           (E) A THIRD PARTY ADMINISTRATOR LICENSED UNDER THE THIRD

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      PARTY ADMINISTRATOR ACT, 1984 PA 218, MCL 550.901 TO 550.962.

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           Enacting section 1.  This amendatory act takes effect

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      January 1, 2002.























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