BCBSM CONTRACTS: OTHER JURISDICTION - S.B. 238: FLOOR ANALYSIS

sans-serif">Senate Bill 238 (as reported without amendment)

Sponsor: Senator Gilda Z. Jacobs

Committee: Health Policy

CONTENT

The bill would amend the Nonprofit Health Care Corporation Reform Act, which governs Blue Cross and Blue Shield of Michigan (BCBSM), to permit BCBSM to enter into contracts with health care facilities in Michigan or health facilities in any other jurisdiction. Currently, the Act permits BCBSM to enter into contracts with health care facilities, but does not specify the location of those facilities.

The Act provides that contracts with health care facilities are subject to Sections 504 to 518 of the Act. Under the bill, this provision would apply to contracts with health care facilities licensed in Michigan. (Sections 504 to 518 pertain to goals of reimbursement arrangements with health care providers; BCBSM consultation with provider classes; transmission of provider class plans to the Commissioner of the Office of Financial and Insurance Services; the Commissioner’s determination of whether BCBSM has achieved the goals; appeals; standards for provider class plans; and BCBSM reports for provider classes.)

MCL 550.1501 - Legislative Analyst: Claire Layman

FISCAL IMPACT

It appears that this bill would have no direct fiscal impact on State or local publicly funded health care plans.

Date Completed: 5-12-03 - Fiscal Analyst: John Walkerfloor\sb238 - Analysis available @ http://www.michiganlegislature.org

This analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent.