Bill Text: MI SB0395 | 2013-2014 | 97th Legislature | Introduced


Bill Title: Public employees and officers; compensation and benefits; public employer contribution to medical benefit plan; modify limitation on coverage amount. Amends secs. 2, 3, 4, 5 & 8 of 2011 PA 152 (MCL 15.562 et seq.)

Spectrum: Partisan Bill (Republican 3-0)

Status: (Introduced - Dead) 2013-05-28 - Referred To Committee On Reforms, Restructuring And Reinventing [SB0395 Detail]

Download: Michigan-2013-SB0395-Introduced.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SENATE BILL No. 395

 

 

May 28, 2013, Introduced by Senators CASWELL, JANSEN and NOFS and referred to the Committee on Reforms, Restructuring and Reinventing.

 

 

 

     A bill to amend 2011 PA 152, entitled

 

"Publicly funded health insurance contribution act,"

 

by amending sections 2, 3, 4, 5, and 8 (MCL 15.562, 15.563, 15.564,

 

15.565, and 15.568).

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 2. As used in this act:

 

     (a) "Designated state official" means:

 

     (i) For an election affecting employees and officers in the

 

judicial branch of state government, the state court administrator.

 

     (ii) For an election affecting senate employees and officers,

 

the secretary of the senate.

 

     (iii) For an election affecting house of representatives

 

employees and officers, the clerk of the house.

 

     (iv) For an election affecting legislative council employees,

 

the legislative council.


 

     (v) For an election affecting employees in the state

 

classified service, the civil service commission.

 

     (vi) For an election affecting executive branch employees who

 

are not in the state classified service, the state employer.

 

     (b) "Flexible spending account" means a medical expense

 

flexible spending account in conjunction with a cafeteria plan as

 

permitted under the federal internal revenue code of 1986.

 

     (c) "Health savings account" means an account as permitted

 

under section 223 of the internal revenue code of 1986, 26 USC 223.

 

     (d) "Local unit of government" means a city, village,

 

township, or county, a municipal electric utility system as defined

 

in section 4 of the Michigan energy employment act of 1976, 1976 PA

 

448, MCL 460.804, an authority created under chapter VIA of the

 

aeronautics code of the state of Michigan, 1945 PA 327, MCL 259.108

 

to 259.125c, or an authority created under 1939 PA 147, MCL 119.51

 

to 119.62.

 

     (e) "Medical benefit plan" means a plan established and

 

maintained by a carrier, a voluntary employees' beneficiary

 

association described in section 501(c)(9) of the internal revenue

 

code of 1986, 26 USC 501, or by 1 or more public employers, that

 

provides for the payment of medical benefits, including, but not

 

limited to, hospital and physician services, prescription drugs,

 

and related benefits, for public employees or elected public

 

officials. Medical benefit plan does not include benefits provided

 

to individuals retired from a public employer or a public

 

employer's contributions to a fund used for the sole purpose of

 

funding health care benefits that are available to public employees


 

or elected public officials only upon retirement or separation from

 

service.

 

     (f) "Public employer" means this state; a local unit of

 

government or other political subdivision of this state; any

 

intergovernmental, metropolitan, or local department, agency, or

 

authority, or other local political subdivision; a school district,

 

a public school academy, or an intermediate school district, as

 

those terms are defined in sections 4 to 6 of the revised school

 

code, 1976 PA 451, MCL 380.4 to 380.6; a community college or

 

junior college described in section 7 of article VIII of the state

 

constitution of 1963; or an institution of higher education

 

described in section 4 of article VIII of the state constitution of

 

1963.

 

     Sec. 3. (1) Except as otherwise provided in this act, a public

 

employer that offers or contributes to a medical benefit plan for

 

its employees or elected public officials shall pay no more of the

 

annual costs or illustrative rate and any payments for

 

reimbursement of co-pays, deductibles, or payments into health

 

savings accounts, flexible spending accounts, or similar accounts

 

used for health care costs, than a total amount equal to $5,500.00

 

times the number of employees with single-person coverage,

 

$11,000.00 times the number of employees with individual-and-spouse

 

coverage, plus $15,000.00 times the number of employees with family

 

coverage, which includes individual-plus-1-nonspouse-dependent

 

coverage, for a medical benefit plan coverage year beginning on or

 

after January 1, 2012. A public employer may allocate its payments

 

for medical benefit plan costs among its employees and elected


 

public officials as it sees fit. By October 1 of each year after

 

2011, the state treasurer shall adjust the maximum payment

 

permitted under this section subsection for each coverage category

 

for medical benefit plan coverage years beginning the succeeding

 

calendar year, based on the change in the medical care component of

 

the United States consumer price index for the most recent 12-month

 

period for which data are available from the United States

 

department of labor, bureau of labor statistics.

 

     (2) For a medical benefit plan coverage year beginning on or

 

after the effective date of the amendatory act that added this

 

subsection, the multiplier under subsection (1) shall be $13,455.00

 

for employees with individual-and-spouse coverage.

 

     (3) For purposes of calculating the limitation on a public

 

employer's total annual expenditures under subsection (1),

 

"employee" does not include a public employee who declines the

 

medical benefit plan offered or contributed to by the public

 

employer.

 

     (4) A public employer's total annual costs of its medical

 

benefit plan under this section do not include any of the

 

following:

 

     (a) A payment of the public employer to an employee in lieu of

 

medical benefit plan coverage.

 

     (b) Any amount that the public employer pays directly or

 

indirectly for the assessment levied pursuant to the health

 

insurance claims assessment act, 2011 PA 142, MCL 550.1731 to

 

550.1741.

 

     Sec. 4. (1) By a majority vote of its governing body each year


 

prior to the beginning of the medical benefit plan coverage year, a

 

public employer, excluding this state, may elect to comply with

 

this section for a medical benefit plan coverage year instead of

 

the requirements in section 3. The designated state official may

 

elect to comply with this section instead of section 3 as to

 

medical benefit plans for state employees and state officers.

 

     (2) For medical benefit plan coverage years beginning on or

 

after January 1, 2012, a public employer shall pay not more than

 

80% of the total annual costs of all of the medical benefit plans

 

it offers or contributes to for its employees and elected public

 

officials. For purposes of this subsection, total annual costs

 

includes the premium or illustrative rate of the medical benefit

 

plan and all employer payments for reimbursement of co-pays,

 

deductibles, and payments into health savings accounts, flexible

 

spending accounts, or similar accounts used for health care but

 

does not include beneficiary-paid copayments, coinsurance,

 

deductibles, other out-of-pocket expenses, other service-related

 

fees that are assessed to the coverage beneficiary, or beneficiary

 

payments into health savings accounts, flexible spending accounts,

 

or similar accounts used for health care. Each elected public

 

official who participates in a medical benefit plan offered by a

 

public employer shall be required to pay 20% or more of the total

 

annual costs of that plan. The public employer may allocate the

 

employees' share of total annual costs of the medical benefit plans

 

among the employees of the public employer as it sees fit.

 

     (3) For purposes of this section, the total annual costs of

 

all of the medical benefit plans the public employer offers or


 

contributes to for its employees and public officials and the

 

employer's share of those costs do not include any of the

 

following:

 

     (a) A payment by the public employer to an employee in lieu of

 

medical benefit plan coverage.

 

     (b) Any amount that the public employer pays directly or

 

indirectly for the assessment levied pursuant to the health

 

insurance claims assessment act, 2011 PA 142, MCL 550.1731 to

 

550.1741.

 

     Sec. 5. (1) If a collective bargaining agreement or other

 

contract that is inconsistent with sections 3 and 4 is in effect

 

for a group of 1 or more employees of a public employer on the

 

effective date of this act, September 27, 2011, the requirements of

 

section 3 or 4 do not apply to that group of employees an employee

 

covered by that contract until the contract expires. A public

 

employer's expenditures for medical benefit plans under a

 

collective bargaining agreement or other contract described in this

 

subsection shall be excluded from calculation of the public

 

employer's maximum payment under section 4. The requirements of

 

sections 3 and 4 apply to any extension or renewal of the contract.

 

     (2) A collective bargaining agreement or other contract that

 

is executed on or after September 15, 24, 2011 shall not include

 

terms that are inconsistent with the requirements of sections 3 and

 

4.

 

     Sec. 8. (1) By a 2/3 vote of its governing body each year

 

prior to the beginning of the medical benefit plan coverage year, a

 

local unit of government may exempt itself from the requirements of


 

this act for the next succeeding medical benefit plan coverage

 

year.

 

     (2) A 2/3 vote of the governing body of the local unit of

 

government prior to the beginning of each succeeding medical

 

benefit plan coverage year is required to extend an exemption under

 

this section. to a new year.

 

     (3) An exemption under this section is not effective for a

 

city with a mayor who is both the chief executive and chief

 

administrator, unless the mayor also approves the exemption.

 

     (4) An exemption under this section is not effective for a

 

county with a county executive who is both the chief executive and

 

chief administrator, unless the county executive also approves the

 

exemption.

 

     Enacting section 1. The changes in this amendatory act to

 

sections 3 and 4 clarify the original intent of the legislature

 

that payments to employees in lieu of medical benefit plan coverage

 

are not included in the costs of a public employer's medical

 

benefit plan, and those changes shall be applied retroactively.

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