Introduced by Sen. Bill Hardiman (R) on January 26, 2005, to repeal a prohibition on HMO copayments contract be “nominal,” but cap anenrollee's out-of-pocket costs to $5,000 per year for an individual, $10,000 for a family, and twice these amounts if the services are provided by a nonaffiliated provider.
Referred to the Senate Health Policy Committee on January 26, 2005.
Reported in the Senate on November 1, 2005, with the recommendation that the substitute (S-2) be adopted and that the bill then pass.
Substitute offered in the Senate on November 2, 2005, to replace the previous version of the bill with one that does not include the specific dollar-amount copayment caps. The substitute passed by voice vote in the Senate on November 2, 2005.
Passed 38 to 0 in the Senate on November 3, 2005, to allow a health maintenance organization (HMO) contract to include coinsurance and to offer healthy lifestyle programs. It would remove the restriction requiring copayments to be "nominal" and would also require the commissioner of the Office of Financial Services (OFIS) to determine annually the bill's impact on the number of employers providing HMO services to their employees and the number of employees receiving those services. Who Voted "Yes" and Who Voted "No"
Received in the House on November 3, 2005.
Referred to the House Health Policy Committee on November 3, 2005.
Reported in the House on November 29, 2005, without amendment and with the recommendation that the bill pass.
Passed 86 to 17 in the House on December 7, 2005, to allow a health maintenance organization (HMO) contract to include coinsurance and to offer healthy lifestyle programs. It would remove the restriction requiring copayments to be "nominal" and would also require the commissioner of the Office of Financial Services (OFIS) to determine annually the bill's impact on the number of employers providing HMO services to their employees and the number of employees receiving those services. Who Voted "Yes" and Who Voted "No"
Signed by Gov. Jennifer Granholm on December 20, 2005.
1) 2005 Senate Bill 88 (Impose HMO co-pay caps ) by admin on January 1, 2001 Introduced in the Senate on January 26, 2005, to allow a health maintenance organization (HMO) contract to include coinsurance and to offer healthy lifestyle programs. It would remove the restriction requiring copayments to be "nominal" and would also require the commissioner of the Office of Financial Services (OFIS) to determine annually the bill's impact on the number of employers providing HMO services to their employees and the number of employees receiving those services
The vote was 38 in favor, 0 opposed and 0 not voting