February 20, 2014, Introduced by Senators ANANICH, WARREN, CASWELL, MARLEAU, BOOHER, ROBERTSON, SCHUITMAKER, CASPERSON, BIEDA, ROCCA, ANDERSON, COLBECK, JANSEN, HOPGOOD, JONES, WHITMER, HANSEN, NOFS, PAPPAGEORGE, EMMONS, HILDENBRAND, KOWALL, MOOLENAAR and JOHNSON and referred to the Committee on Health Policy.
A bill to amend 1984 PA 233, entitled
"Prudent purchaser act,"
by amending section 2 (MCL 550.52).
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 2. As used in this act:
(a) "Commissioner" means the commissioner of insurance.
(b) "Dental care corporation" means a dental care corporation
incorporated
under Act No. 125 of the Public Acts of 1963, being
sections
550.351 to 550.373 of the Michigan Compiled Laws.1963 PA
125, MCL 550.351 to 550.373.
(c) "Health care corporation" means a health care corporation
incorporated under the nonprofit health care corporation reform
act,
Act No. 350 of the Public Acts of 1980, being sections
550.1101
to 550.1704 of the Michigan Compiled Laws.1980 PA 350, MCL
550.1101 to 550.1704.
(d) "Health care provider" means a health facility or a person
licensed,
certified, or registered under parts 61 to 65 part 62 or
parts
161 to 182 of the public health code, Act
No. 368 of the
Public
Acts of 1978, being sections 333.6101 to 333.6523 and
333.16101
to 333.18237 of the Michigan Compiled Laws. However,
health
1978 PA 368, MCL 333.6230 to
333.6251 and 333.16101 to
333.18237, and chapter 2A of the mental health code, 1974 PA 258,
MCL 330.1260 to 330.1287. Health care provider does not include a
pharmacist or pharmacy engaged in the retail sale of drugs, until
January 1, 1987.
(e) "Health facility" means:
(i) A facility or agency licensed or authorized under parts 201
to 217 of the public health code, 1978 PA 368, MCL 333.20101 to
333.21799e,
or a licensed part thereof, except a
facility or agency
licensed
under part 203 of the public health code.of that facility
or agency. Health facility does not include an ambulance operation,
aircraft transport operation, nontransport prehospital life support
operation, or medical first response service.
(ii) A mental hospital, psychiatric hospital, psychiatric unit,
or
mental retardation a facility for
the developmentally disabled
operated
by the department of mental community
health or certified
or
licensed under Act No. 258 of the Public Acts of 1974, being
sections
330.1001 to 330.2106 of the Michigan Compiled Laws.the
mental health code, 1974 PA 258, MCL 330.1001 to 330.2106.
(iii) A facility providing outpatient physical therapy services,
including speech pathology services.
(iv) A kidney disease treatment center, including a
freestanding hemodialysis unit.
(v) An organized ambulatory health care facility.
(vi) A tertiary health care service facility.
(vii) A substance abuse treatment program licensed under
parts
61
to 65 part 62 of the public health code, Act No. 368 of the
Public
Acts of 1978, being sections 333.6101 to 333.6523 of the
Michigan
Compiled Laws.1978 PA 368,
MCL 333.6230 to 333.6251, or
chapter 2A of the mental health code, 1974 PA 258, MCL 330.1260 to
330.1287.
(viii) An outpatient psychiatric clinic.
(ix) A home health agency.
(f)
"Health maintenance organization" means a health
maintenance
organization licensed under article 17 of the public
health
code, Act No. 368 of the Public Acts of 1978, being sections
333.20101
to 333.22181 of the Michigan Compiled Laws.that term as
defined in section 3501 of the insurance code of 1956, 1956 PA 218,
MCL 500.3501.
(g) "Hospital service corporation" means a hospital service
corporation
incorporated under Act No. 109 of the Public Acts of
1939,
being sections 550.501 to 550.517 of the Michigan Compiled
Laws.former 1939 PA 109.
(h) "Insurer" means an insurer as defined in section 106 of
the
insurance code of 1956, Act No. 218 of the Public Acts of 1956,
being
section 500.106 of the Michigan Compiled Laws.1956 PA 218,
MCL 500.106.
(i) "Medical care corporation" means a medical care
corporation
incorporated under Act No. 108 of the Public Acts of
1939,
being sections 550.301 to 550.316 of the Michigan Compiled
Laws.former 1939 PA 108.
(j) "Organization" means an insurer, a dental care
corporation, hospital service corporation, medical care
corporation, health care corporation, or third party administrator.
(k) "Provider panel" means a panel of health care providers
providing health care services pursuant to a prudent purchaser
agreement.
(l) "Prudent purchaser agreement" means an agreement between an
organization and a health care provider pursuant to section 3.
(m) "Third party administrator" means an administrator
operating under a certificate of authority issued by the
commissioner pursuant to the third party administrator act.