September 13, 2006, Introduced by Senator HAMMERSTROM and referred to the Committee on Health Policy.
A bill to provide that certain entities contracting with state
and local units of government are subject to the patient's right to
independent review act.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 1. As used in this act, "local unit of government" means
any political subdivision of this state, including, but not limited
to, school districts, cities, villages, townships, charter
townships, counties, charter counties, authorities created by the
state, and authorities created by other local units of government.
Sec. 2. (1) An entity that contracts with a state or local
unit of government to provide, deliver, arrange for, pay for, or
reimburse any of the costs of health care services provided under a
self-funded plan established or maintained by that state or local
unit of government for its employees shall do all of the following:
(a) Establish procedures and make available to persons covered
by the plan internal reviews as though the entity were an insurer
subject to section 2213 of the insurance code of 1956, 1956 PA 218,
MCL 500.2213.
(b) Establish procedures and make available to persons covered
by the plan external reviews in the same manner and subject to all
the obligations, conditions, and consequences and as though the
entity were a health carrier under the patient's right to
independent review act, 2000 PA 251, MCL 550.1901 to 550.1929.
(2) The commissioner or the office of financial and insurance
services shall provide external reviews under subsection (1)(b) to
a person covered by the plan as though that person were a covered
person under the patient's right to independent review act, 2000 PA
251, MCL 550.1901 to 550.1929.