HOUSE BILL No. 5924

 

 

September 21, 2016, Introduced by Rep. Lucido and referred to the Committee on Appropriations.

 

     A bill to amend 2011 PA 152, entitled

 

"Publicly funded health insurance contribution act,"

 

by amending sections 2, 4, 5, and 7 (MCL 15.562, 15.564, 15.565,

 

and 15.567), section 2 as amended by 2013 PA 269, section 4 as

 

amended by 2013 PA 271, and section 5 as amended by 2013 PA 272;

 

and to repeal acts and parts of acts.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 2. As used in this act:

 

     (a) "Designated state official" means:

 

     (i) For an election affecting employees and officers in the

 

judicial branch of state government, the state court administrator.

 

     (ii) For an election affecting senate employees and officers,

 

the secretary of the senate.

 

     (iii) For an election affecting house of representatives

 


employees and officers, the clerk of the house.

 

     (iv) For an election affecting legislative council employees,

 

the legislative council.

 

     (v) For an election affecting employees in the state

 

classified service, the civil service commission.

 

     (vi) For an election affecting executive branch employees who

 

are not in the state classified service, the state employer.

 

     (a) (b) "Flexible spending account" means a medical expense

 

flexible spending account in conjunction with a cafeteria plan as

 

permitted under the federal internal revenue code of 1986.

 

     (b) (c) "Health savings account" means an account as permitted

 

under section 223 of the internal revenue code of 1986, 26 USC 223.

 

     (c) (d) "Local unit of government" means a city, village,

 

township, or county, a municipal electric utility system as defined

 

in section 4 of the Michigan energy employment act of 1976, 1976 PA

 

448, MCL 460.804, an authority created under chapter VIA of the

 

aeronautics code of the state of Michigan, 1945 PA 327, MCL 259.108

 

to 259.125c, or an authority created under 1939 PA 147, MCL 119.51

 

to 119.62.

 

     (d) (e) "Medical benefit plan" means a plan established and

 

maintained by a carrier, a voluntary employees' beneficiary

 

association described in section 501(c)(9) of the internal revenue

 

code of 1986, 26 USC 501, or by 1 or more public employers, that

 

provides for the payment of medical benefits, including, but not

 

limited to, hospital and physician services, prescription drugs,

 

and related benefits, for public employees or elected public

 

officials. Medical benefit plan does not include benefits provided


to individuals retired from a public employer or a public

 

employer's contributions to a fund used for the sole purpose of

 

funding health care benefits that are available to a public

 

employee or an elected public official only upon retirement or

 

separation from service.

 

     (e) (f) "Medical benefit plan costs" does not include a

 

payment by the public employer to an employee or elected public

 

official in lieu of medical benefit plan coverage and, for a

 

medical benefit plan coverage year beginning after the later of

 

January 1, 2014, or the effective date of the amendatory act that

 

added this subdivision, includes, but is not limited to, all of the

 

following:

 

     (i) Any amount that the public employer pays directly or

 

indirectly for the assessment levied pursuant to the health

 

insurance claims assessment act, 2011 PA 142, MCL 550.1731 to

 

550.1741.

 

     (ii) Insurance agent or company commissions.

 

     (iii) Any additional amount the public employer is required to

 

pay as a fee or tax under the patient protection and affordable

 

care act, Public Law 111-148, as amended by the federal health care

 

and education reconciliation act of 2010, Public Law 111-152.

 

     (f) (g) "Medical benefit plan coverage year" means the 12-

 

month period after the effective date of the contractual or self-

 

insured medical coverage plan that a public employer provides to

 

its employees or public officials.

 

     (g) (h) "Public employer" means this state; a local unit of

 

government or other political subdivision of this state; any


intergovernmental, metropolitan, or local department, agency, or

 

authority, or other local political subdivision; a school district,

 

a public school academy, or an intermediate school district, as

 

those terms are defined in sections 4 to 6 of the revised school

 

code, 1976 PA 451, MCL 380.4 to 380.6; a community college or

 

junior college described in section 7 of article VIII of the state

 

constitution of 1963; or an institution of higher education

 

described in section 4 of article VIII of the state constitution of

 

1963.

 

     Sec. 4. (1) By a majority vote of its governing body each

 

year, prior to the beginning of the medical benefit plan coverage

 

year, a public employer, excluding this state, may elect to comply

 

with this section for a medical benefit plan coverage year instead

 

of the requirements in section 3. The designated state official may

 

elect to comply with this section instead of section 3 as to

 

medical benefit plans for state employees and state officers.

 

     (2) For Except as otherwise provided in this act, for medical

 

benefit plan coverage years beginning on or after January 1, 2012,

 

March 1, 2017, a public employer shall pay not more than 80% of the

 

total annual costs of all of the medical benefit plans it offers or

 

contributes to for its employees and elected public officials. For

 

purposes of this subsection, total annual costs includes the

 

premium or illustrative rate of the medical benefit plan and all

 

employer payments for reimbursement of co-pays, deductibles, and

 

payments into health savings accounts, flexible spending accounts,

 

or similar accounts used for health care but does not include

 

beneficiary-paid copayments, coinsurance, deductibles, other out-


of-pocket expenses, other service-related fees that are assessed to

 

the coverage beneficiary, or beneficiary payments into health

 

savings accounts, flexible spending accounts, or similar accounts

 

used for health care. For purposes of this section, each elected

 

public official who participates in a medical benefit plan offered

 

by a public employer shall be required to pay 20% or more of the

 

total annual costs of that plan. The public employer may allocate

 

the employees' share of total annual costs of the medical benefit

 

plans among the employees of the public employer as it sees fit.

 

     Sec. 5. (1) If a collective bargaining agreement or other

 

contract that is inconsistent with sections 3 and section 4 is in

 

effect for 1 or more employees of a public employer on September

 

27, 2011, the requirements of section 3 or 4 do March 1, 2017,

 

section 4 does not apply to an employee covered by that contract

 

until the contract expires. A public employer's expenditures for

 

medical benefit plans under a collective bargaining agreement or

 

other contract described in this subsection shall be is excluded

 

from calculation of the public employer's maximum payment under

 

section 4. The requirements of sections 3 and 4 apply Section 4

 

applies to any extension or renewal of the contract.

 

     (2) A collective bargaining agreement or other contract that

 

is executed on or after September 27, 2011 March 1, 2017 shall not

 

include terms that are inconsistent with the requirements of

 

sections 3 and 4.section 4.

 

     Sec. 7. (1) The requirements of this act apply This act

 

applies to medical benefit plans of all public employees and

 

elected public officials to the greatest extent consistent with


constitutionally allocated powers, whether or not a public employee

 

is a member of a collective bargaining unit.

 

     (2) If a court finds the requirements of section 3 to be

 

invalid, the expenditure limit in section 4 shall apply to a public

 

employer that does not exempt itself under section 8, except that

 

the requirement for a majority vote of the governing body of the

 

public employer in section 4 shall not apply. If a court finds

 

section 4 to be invalid, the expenditure limit in section 3 shall

 

apply to each public employer that does not exempt itself under

 

section 8.

 

     Enacting section 1. Section 3 of the publicly funded health

 

insurance contribution act, 2011 PA 152, MCL 15.563, is repealed.

 

     Enacting section 2. This amendatory act takes effect March 1,

 

2017.