REQUIREMENT OF CERTAIN CERT.; PROHIBIT                                           H.B. 4135 (H-2):

                                                                                                    SUMMARY OF BILL

                                                                                      REPORTED FROM COMMITTEE

House Bill 4135 (Substitute H-2 as reported without amendment)

Sponsor:  Representative Edward J. Canfield, D.O.

House Committee:  Health Policy

Senate Committee:  Health Policy

CONTENT

The bill would amend Chapter 22 (The Insurance Contract) of the Insurance Code to prohibit an insurer or a health maintenance organization from requiring as the sole condition for the payment or reimbursement of a claim that a physician maintain a national or regional certification that was not otherwise required for licensure under the Public Health Code.

Specifically, an insurer that delivered, issued for delivery, or renewed in the State a health insurance policy or issued under Chapter 34 (Disability Insurance Policies) of the Insurance Code or a health maintenance organization that issued a health maintenance contract under Chapter 35 (Health Maintenance Organizations) of the Code could not require as the sole condition precedent to the payment or reimbursement of a claim under the policy or contract that an allopathic or osteopathic physician in the medical specialties of family practice, internal medicine, or pediatrics maintain a national or regional certification that was not otherwise specifically required for licensure under Article 15 (Occupations) of the Public Health Code.

MCL 500.2212d                                                         Legislative Analyst:  Tyler VanHuyse

FISCAL IMPACT

The bill would not have a significant fiscal impact. The bill could lead to an increase in the supply of physicians, but the impact of that increase on health care costs is indeterminate.

Date Completed:  12-17-18                                               Fiscal Analyst:  Steve Angelotti

This 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.