Act No. 495

Public Acts of 2006

Approved by the Governor

December 28, 2006

Filed with the Secretary of State

December 29, 2006

EFFECTIVE DATE: December 29, 2006

STATE OF MICHIGAN

93RD LEGISLATURE

REGULAR SESSION OF 2006

Introduced by Senator Hammerstrom

ENROLLED SENATE BILL No. 1426

AN ACT 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, community and junior colleges, state universities, 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 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 of 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.

Sec. 3. This act does not apply to a self-funded plan that provides coverage only for dental, vision care, or any other limited supplemental benefit.

This act is ordered to take immediate effect.

Secretary of the Senate

Clerk of the House of Representatives

Approved

Governor