HOUSE BILL No. 4437

 

March 20, 2003, Introduced by Reps. Ehardt, Taub, Brandenburg, Vander Veen and Shaffer and referred to the Committee on Health Policy.

        

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1980 PA 350, entitled                                             

                                                                                

    "The nonprofit health care corporation reform act,"                         

                                                                                

    (MCL 550.1101 to 550.1704) by adding section 418a.                          

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 418a.  (1) A health care corporation certificate                       

                                                                                

2   delivered, issued for delivery, or renewed in this state that               

                                                                                

3   provides benefits for medical transportation services shall                 

                                                                                

4   provide for direct reimbursement to any provider of covered                 

                                                                                

5   medical transportation services if that provider has not received           

                                                                                

6   payment for those services from any other source.                           

                                                                                

7       (2) Subsection (1) does not apply to a transaction between a                

                                                                                

8   health care corporation and a medical transportation service                

                                                                                

9   provider if the parties have entered into a contract providing              

                                                                                

10  for direct payment.                                                         

                                                                                

11      (3) Subsection (1) is satisfied if a member files a claim for               

                                                                                


                                                                                

1   the medical transportation service with the health care                     

                                                                                

2   corporation, the health care corporation pays the medical                   

                                                                                

3   transportation service provider directly, and the medical                   

                                                                                

4   transportation service provider does not demand payment from the            

                                                                                

5   member until receiving payment from the health care corporation,            

                                                                                

6   after which the medical transportation service provider may                 

                                                                                

7   demand payment from the member for any unpaid portion of the                

                                                                                

8   provider fee.                                                               

                                                                                

9       Enacting section 1.  This amendatory act takes effect                       

                                                                                

10  January 1, 2004.