SENATE BILL No. 102

February 6, 2001, Introduced by Senator HAMMERSTROM 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 416c.

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

1 SEC. 416C. A HEALTH CARE CORPORATION THAT ISSUES OR RENEWS

2 IN THIS STATE ON OR AFTER JANUARY 1, 2002 A GROUP OR NONGROUP

3 CERTIFICATE SHALL PROVIDE FOR BOTH OF THE FOLLOWING:

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

5 LIMITATIONS FOR OUTPATIENT MENTAL HEALTH AND OUTPATIENT SUBSTANCE

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

7 MEMBER AND ARE NOT MORE RESTRICTIVE THAN THOSE REQUIREMENTS AND

8 LIMITATIONS FOR OUTPATIENT MEDICAL SERVICES.

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

10 LIMITATIONS FOR INPATIENT HOSPITAL MENTAL HEALTH AND INPATIENT

11 HOSPITAL AND RESIDENTIAL SUBSTANCE ABUSE SERVICES DO NOT PLACE A

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1 GREATER FINANCIAL BURDEN ON THE MEMBER AND ARE NOT MORE

2 RESTRICTIVE THAN THOSE REQUIREMENTS AND LIMITATIONS FOR INPATIENT

3 HOSPITAL MEDICAL SERVICES.

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