INDEPENDENT REVIEW: HEALTH CARRIER H.B. 6032: COMMITTEE SUMMARY
House Bill 6032 (as passed by the House)
Sponsor: Representative Roger Kahn
House Committee: Health Policy
Senate Committee: Health Policy
Date Completed: 9-13-06
CONTENT
The bill would amend the Patient's Right to Independent Review Act to include in the definition of "health carrier" an entity that contracts to provide or reimburse the costs of health care services for State or local unit employees.
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.
The bill specifies that the term would not include a State department or agency administering the Medicaid program. The term would include an entity that contracts or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services covered under a plan established or maintained by a State or local unit of government for its employees.
MCL 550.1903 Legislative Analyst: Julie Cassidy
FISCAL IMPACT
The bill would have no fiscal impact on State or local government.
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