550.51 Short title. Sec. 1. This act shall be known and may be cited as the “prudent purchaser act”. History: 1984, Act 233, Eff. Dec. 20, 1984 Compiler’s Notes: For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial […]
550.52 Definitions. 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 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, 1980 PA 350, […]
550.53 Prudent purchaser agreement; number; location of health care provider; membership on provider panel; written standards; notice procedures; provider application period; providing standards on request; notice of acceptance or rejection; reasons for termination; professional review program; evaluation; 2 or more classes of health care providers providing same health care service; removal from provider panel; membership […]
550.53a Disclosure of financial relationships between organization and participating health care providers, health care facilities, or other entities. Sec. 3a. An organization that establishes a prudent purchaser agreement shall disclose in writing to all purchasers of its coverage and to all covered members of its plans upon request the financial relationships between the organization and […]
550.53b Prudent purchaser agreement services; providing requested information to insurer. Sec. 3b. An organization that is providing prudent purchaser agreement services to an insurer shall provide the insurer on a timely basis with information requested by the insurer that the organization has and that the insurer needs to comply with section 2212 of the insurance […]
550.54 Discrimination prohibited; complaint of violation; hearing; penalty. Sec. 4. An organization shall not refuse to enter into a prudent purchaser agreement with a health care provider on the basis of religion, race, color, national origin, age, sex, or marital status. Upon receipt of a complaint of a violation of this section, in a form […]
550.55 Notice of membership in provider panels; display. Sec. 5. A health care provider which is a member of a provider panel shall display a notice in a conspicuous place at the entrance of the health care provider’s facility indicating those provider panels to which the health care provider is a member. History: 1984, Act […]
550.56 Reporting certain information on standard forms required; availability of information to appropriate state agencies; confidentiality. Sec. 6. (1) An organization which enters into prudent purchaser agreements with health care providers under this act shall report with its annual statement, or on a date set by the commissioner, on standard forms prescribed by the commissioner […]
550.57 Agreements between health care providers and purchasers of health care services. Sec. 7. Nothing in this act shall preclude 1 or more health care providers from entering into agreements with purchasers of health care services for the provision of health care services. Such agreements between 1 or more health care providers and purchasers of […]
550.58 Organization subject to enabling act; financial records. Sec. 8. (1) An organization which provides or administers health care benefits or coverage under a prudent purchaser agreement shall remain subject to all of the provisions of its enabling act. (2) An organization shall maintain financial records for its prudent purchaser agreements and activities in a […]
550.59 Report on competition in retail pharmacy industry. Sec. 9. The department of management and budget shall contract with an independent third party for a report which shall determine the extent of competition in the retail pharmacy industry, whether such competition results in maximum economic efficiency and the lowest possible costs for consumers, and the […]
550.60 Repealed. 2005, Act 203, Imd. Eff. Nov. 10, 2005. Compiler’s Notes: The repealed section pertained to creation of a joint committee to investigate competition in the health care coverage market.
550.61 Repealed. 1988, Act 282, Imd. Eff. July 27, 1988. Compiler’s Notes: The repealed section pertained to applicability of act.
550.62 Provisions inapplicable to certain contracts and renewal thereof. Sec. 12. Nothing in this act shall apply to any contract which is in existence before the effective date of this act, or the renewal of such contract. History: 1984, Act 233, Eff. Dec. 20, 1984 Compiler’s Notes: For transfer of authority, powers, duties, functions, and […]
550.63 Conditional effective date. Sec. 13. This act shall not take effect unless all of the following bills of the 82nd Legislature are enacted into law: (a) Senate Bill No. 714. (b) House Bill No. 4799. (c) House Bill No. 4800. (d) House Bill No. 4801. (e) House Bill No. 5067. (f) House Bill No. […]
