INDEPENDENT REVIEW: HEALTH CARRIER H.B. 6032 (S-1): FLOOR ANALYSIS






House Bill 6032 (Substitute S-1 as reported)
Sponsor: Representative Roger Kahn
House Committee: Health Policy
Senate Committee: Health Policy

CONTENT
The bill would amend the Patient's Right to Independent Review Act to exclude from the definition of "health carrier" a State department or agency administering the Medicaid program.
The Act authorizes an individual to request the Commissioner of the Office of Financial and Insurance Services (OFIS) to review an adverse determination by the individual's health carrier, and prescribes the review process.
"Health carrier" means an entity subject to the insurance laws and regulations of this State, or subject to the jurisdiction of the OFIS Commissioner, that contracts or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services, including a sickness and accident insurance company, a health maintenance organization, a nonprofit health care corporation, or any other entity providing a plan of health insurance, health benefits, or health services. The term does not include a State department or agency.


MCL 550.1903 Legislative Analyst: Julie Cassidy

FISCAL IMPACT
The bill would have no fiscal impact on State or local government.


Date Completed: 9-14-06 Fiscal Analyst: Elizabeth Pratt Maria Tyszkiewicz

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. hb6032/0506