To create at least two different state-sponsored catastrophic “stop loss” coverage health insurance plans that public employers could pay to join, including local governments, school districts, community colleges and state universities. These state plans would cover insurance claims of any employee that exceed $50,000. The actual public employer would be responsible for any insurance coverage for claims less than this amount. Public employers would be allowed to create purchasing pools or coalitions to procure employee insurance up to the $50,000 amount, or self-insurance pools to provide that coverage. The bill establishes standards and regulations for the latter.   Official Text and Analysis.

With the recommendation that the substitute (S-1) be adopted and that the bill then pass.

To separate the question of approving the substitute for this bill from the vote to concur with the other bills that were recommended by the Committee of the Whole.

To replace the previous version of the bill with one that that does not include the state-sponsored "stop loss" policy provisions, but does include the provisions that make it easier for schools and local governments to form insurance purchasing pools. An amendment offered by Senator Kahn and adopted which would effectively eliminate a provision require the Michigan Education Special Services Association, an insurance agency subsidiary of the MEA teachers union that provides health insurance to most school districts, to release individual school district claims history data. This information is said to be necessary to allow other insurance providers to bid on a district's health insurance purchases.

That the previous question be ordered on the passage of the bill, the substitute, and the amendments.

To remove the provision that would require the MESSA insurance agency (an arm of the MEA teachers union) to release individual school district claims history data. This information is said to be necessary to allow other insurance providers to produce competitive bids on a school district's health insurance purchases.

To replace the previous version of the bill with one that includes the provision that would require MESSA to release individual school district claims history data. This information is said to be necessary to allow other insurance providers to bid on a district's health insurance purchases.

The vote by which the substitute, as amended, offered by Senator Jansen was not adopted.

The vote by which the amendments offered by Senators Basham and Kahn to the substitute were adopted.

To remove the provision that would require the MESSA insurance agency (an arm of the MEA teachers union) to release individual school district claims history data. This information is said to be necessary to allow other insurance providers to produce competitive bids on a school district's health insurance purchases.

To replace the previous version of the bill with one that does not include the state-sponsored "stop loss" policy provisions of the original bill, but does include the provisions that make it easier for schools and local governments to form insurance purchasing pools, and also the provision that would require the Michigan Education Special Services Association (MESSA), an insurance agency subsidiary of the MEA teachers union that provides health insurance to most school districts, to release individual school district claims history data. This information is said to be necessary to allow other insurance providers to bid on a district's health insurance purchases.

To allow schools and local governments to form health insurance purchasing pools, and prescribe standards and regulations for these. The bill would require the MEA teacher union's insurance affiliate MESSA to release individual school district claims history data. This information is said to be necessary to allow other insurance providers to bid on a district's health insurance purchases.

The vote by which the bill was defeated.

To allow schools and local governments to form health insurance purchasing pools, and prescribe standards and regulations for these. The bill would require the MESSA insurance subsidiary of the state's largest teachers union (the MEA), to release individual school district claims history data. This information is said to be necessary to allow other insurance providers to bid on a district's health insurance purchases. The bill also requires pools to seek competitive bids and to re-bid insurance purchases every three years.

With the recommendation that the substitute (H-3) be adopted and that the bill then pass.

To replace the previous version of the bill with one that removes the Senate-passed provisions requiring MESSA to release individual school district claims history data, and requiring the pools to seek competitive bids.

To replace the previous version of the bill with one that would mirror the Senate-passed version by requiring MESSA to release individual school district claims history data, and requiring the pools to seek competitive bids.

To tie-bar the bill to Senate Bill 549, meaning this bill cannot become law unless that one does also. SB 549 would require all regular school districts within an Intermediate School District to adopt a common school calendar.

To allow schools and local governments to form health insurance purchasing pools, and prescribe standards and regulations for these. The House-passed bill would not require the MESSA insurance subsidiary of the state's largest teachers union (the MEA) to release individual school district claims history data, and would not require the pools to seek competitive bids.

To require MESSA, the MEA teacher union's insurance affiliate, to release individual school district claims history data. This information is said to be necessary to allow other insurance providers to bid on a district's health insurance purchases, but releasing it is bitterly opposed by MESSA and the MEA. The bill would also allow schools and local governments to form health insurance purchasing pools, and prescribe standards and regulations for these. Its passage occurred as part of a deal to avoid reducing state spending in the 2007-2008 Fiscal Year by imposing $1.5 billion in tax increases, including an increase in the state income tax from 3.9 percent to 4.35 percent (House Bill 5194) and imposing a 6 percent tax on many personal and business services (House Bill 5198).

The vote by which the conference report was adopted.

To concur with the House-passed version of the bill.

That rule 3.311 be suspended to permit reconsideration of the vote by which the conference report was not adopted. This was a procedural motion to allow another "try" at passing the bill after it failed to garner sufficient votes in a previous passage attempt.

That rule 3.311 be suspended to permit reconsideration of the vote by which the conference report was not adopted. This was a procedural motion to allow another "try" at passing the bill after it failed to garner sufficient votes in a previous passage attempt.

To require MESSA, the MEA teacher union's insurance affiliate, to release individual school district claims history data. This information is said to be necessary to allow other insurance providers to bid on a district's health insurance purchases, but releasing it is bitterly opposed by MESSA and the MEA. The bill would also allow schools and local governments to form health insurance purchasing pools, and prescribe standards and regulations for these. Its passage occurred as part of a deal to avoid reducing state spending in the 2007-2008 Fiscal Year by imposing $1.5 billion in tax increases, including an increase in the state income tax from 3.9 percent to 4.35 percent (House Bill 5194) and imposing a 6 percent tax on many personal and business services (House Bill 5198).

To give the bill immediate effect. Immediate effect was granted in a later "voice vote".