HB-5278, As Passed House, April 21, 2004                                    

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                              SUBSTITUTE FOR                                    

                                                                                

                           HOUSE BILL NO. 5278                                  

                       (As amended April 21, 2004)                              

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1956 PA 218, entitled                                             

                                                                                

    "The insurance code of 1956,"                                               

                                                                                

    (MCL 500.100 to 500.8302) by adding section 3406r.                          

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 3406r.  (1) Notwithstanding any other provision of law,                

                                                                                

2   a health maintenance organization and a health insurer may refuse           

                                                                                

3   to offer or provide a health care benefit on [             ]                

                                                                                

4   ethical, moral, or religious grounds as reflected in its articles           

                                                                                

5   of incorporation, bylaws, or an adopted mission statement.                  

                                                                                

6       (2) A health maintenance organization and a health insurer                  

                                                                                

7   shall not refuse to offer or provide a health care benefit under            

                                                                                

8   subsection (1) if the benefit is specifically covered under the             

                                                                                

9   contract, policy, or certificate.                                           

                                                                                

10      (3) A health maintenance organization and a health insurer's                

                                                                                

11  refusal to offer or provide a health care benefit under                     

                                                                                


                                                                                

1   subsection (1) shall not be a basis for 1 or more of the                    

                                                                                

2   following:                                                                  

                                                                                

3       (a) Civil, criminal, or administrative liability.                           

                                                                                

4       (b) Eligibility discrimination against the health maintenance               

                                                                                

5   organization or health insurer in providing a contract, policy,             

                                                                                

6   or certificate unless offering or providing the health care                 

                                                                                

7   benefit is expressly required.