Michigan Compiled Laws Act 233 Of 1984 Prudent Purchaser Act (550.51 - 550.63)

AN ACT to authorize certain organizations to enter into prudent purchaser agreements with health care providers; to control health care costs, assure appropriate utilization of health care services, and maintain quality of health care; to provide for the regulation of certain organizations, health care providers, health care facilities, and prudent purchaser arrangements; to establish a joint legislative committee to investigate the degree of competition in the health care coverage market in this state; and to provide for the powers and duties of certain state officers and agencies.

History: 1984, Act 233, Eff. Dec. 20, 1984

Section 550.51 Short Title.
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:...
Section 550.52 Definitions.
As used in this act: (a) "Commissioner" means the commissioner of insurance. (b) "Dental care corporation" means a dental care corporation incorporated under 1963...
Section 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 In More Than 1 Provider Panel; Provider Panel Including Health Care Providers And Facilities Outside State; Required Information; Emergency Episode Of Illness Or Injury; Limiting Number Of Prudent Purchaser Agreements; Benefits For Services Within Scope Of Practice Of Optometry, Chiropractic, Or Physical Therapy.
(1) An organization may enter into a prudent purchaser agreement with 1 or more health care providers of a specific service to control health...
Section 550.53a Disclosure Of Financial Relationships Between Organization And Participating Health Care Providers, Health Care Facilities, Or Other Entities.
An organization that establishes a prudent purchaser agreement shall disclose in writing to all purchasers of its coverage and to all covered members of...
Section 550.53b Prudent Purchaser Agreement Services; Providing Requested Information To Insurer.
An organization that is providing prudent purchaser agreement services to an insurer shall provide the insurer on a timely basis with information requested by...
Section 550.54 Discrimination Prohibited; Complaint Of Violation; Hearing; Penalty.
An organization shall not refuse to enter into a prudent purchaser agreement with a health care provider on the basis of religion, race, color,...
Section 550.55 Notice Of Membership In Provider Panels; Display.
A health care provider which is a member of a provider panel shall display a notice in a conspicuous place at the entrance of...
Section 550.56 Reporting Certain Information On Standard Forms Required; Availability Of Information To Appropriate State Agencies; Confidentiality.
(1) An organization which enters into prudent purchaser agreements with health care providers under this act shall report with its annual statement, or on...
Section 550.57 Agreements Between Health Care Providers And Purchasers Of Health Care Services.
Nothing in this act shall preclude 1 or more health care providers from entering into agreements with purchasers of health care services for the...
Section 550.58 Organization Subject To Enabling Act; Financial Records.
(1) An organization which provides or administers health care benefits or coverage under a prudent purchaser agreement shall remain subject to all of the...
Section 550.59 Report On Competition In Retail Pharmacy Industry.
The department of management and budget shall contract with an independent third party for a report which shall determine the extent of competition in...
Section 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.
Section 550.61 Repealed. 1988, Act 282, Imd. Eff. July 27, 1988.
Compiler's Notes: The repealed section pertained to applicability of act.
Section 550.62 Provisions Inapplicable To Certain Contracts And Renewal Thereof.
Nothing in this act shall apply to any contract which is in existence before the effective date of this act, or the renewal of...
Section 550.63 Conditional Effective Date.
This act shall not take effect unless all of the following bills of the 82nd Legislature are enacted into law: (a) Senate Bill No....

Last modified: October 10, 2016