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The Florida Senate

2024 Florida Statutes

Title XXXVII INSURANCE
Chapter 641 HEALTH CARE SERVICE PROGRAMS Entire Chapter
PART I
HEALTH MAINTENANCE ORGANIZATIONS
(ss. 641.17-641.3923)
PART I

HEALTH MAINTENANCE ORGANIZATIONS

641.17
Short title.
641.18
Declaration of legislative intent, findings, and purposes.
641.183
Statutory accounting procedures; transition provisions.
641.185
Health maintenance organization subscriber protections.
641.19
Definitions.
641.201
Applicability of other laws.
641.2011
Insurance holding companies.
641.2015
Incorporation required.
641.2017
Insurance business not authorized.
641.2018
Limited coverage for home health care authorized.
641.20185
High-deductible contracts for medical savings accounts.
641.2019
Provider service network certificate of authority.
641.21
Application for certificate.
641.215
Conditions precedent to issuance or maintenance of certificate of authority; effect of bankruptcy proceedings.
641.217
Minority recruitment and retention plans required.
641.22
Issuance of certificate of authority.
641.221
Continued eligibility for certificate of authority.
641.225
Surplus requirements.
641.2261
Application of solvency requirements to provider-sponsored organizations and Medicaid provider service networks.
641.227
Rehabilitation Administrative Expense Fund.
641.228
Florida Health Maintenance Organization Consumer Assistance Plan.
641.23
Revocation or cancellation of certificate of authority; suspension of enrollment of new subscribers; terms of suspension.
641.234
Administrative, provider, and management contracts.
641.2342
Contract providers.
641.25
Administrative penalty in lieu of suspension or revocation.
641.255
Acquisition, merger, or consolidation.
641.26
Annual and quarterly reports.
641.261
Other reporting requirements.
641.27
Examination by the department.
641.28
Civil remedy.
641.281
Injunction.
641.282
Payment of judgment by health maintenance organization.
641.284
Liquidation, rehabilitation, reorganization, and conservation; exclusive methods of remedy.
641.285
Insolvency protection.
641.286
Levy upon deposit limited.
641.29
Fees.
641.30
Construction and relationship to other laws.
641.3005
Application of ch. 85-177.
641.3007
HIV infection and AIDS for contract purposes.
641.305
Language used in contracts and advertisements; translations.
641.309
Standards for marketing to persons eligible for Medicare.
641.31
Health maintenance contracts.
641.3101
Additional contract contents.
641.31015
Health maintenance organization or exclusive provider organization; disclosure of terms and conditions of plan.
641.3102
Restrictions upon expulsion or refusal to issue or renew contract.
641.3103
Charter, bylaw provisions.
641.3104
Execution of contracts.
641.3105
Validity of noncomplying contracts.
641.3106
Construction of contracts.
641.3107
Delivery of contract; definitions.
641.31071
Preexisting conditions.
641.31072
Special enrollment periods.
641.31073
Prohibiting discrimination against individual participants and beneficiaries based on health status.
641.31074
Guaranteed renewability of coverage.
641.31075
Advanced practice registered nurse services.
641.31076
Shared savings incentive program.
641.31077
Coverage for organ transplants.
641.3108
Notice of cancellation of contract.
641.31085
Disclosures to subscribers; coverage of behavioral health care services.
641.31094
Nondiscrimination of coverage for certain surgical procedures involving bones or joints.
641.31095
Coverage for mammograms.
641.31096
Requirements with respect to breast cancer and routine followup care.
641.31097
Decreasing inappropriate utilization of emergency care.
641.31098
Coverage for individuals with developmental disabilities.
641.31099
Restrictions on use of state and federal funds for state exchanges.
641.3111
Extension of benefits.
641.312
Scope.
641.313
Health maintenance contracts; cancer treatment parity; orally administered cancer treatment medications.
641.314
Pharmacy benefit manager contracts.
641.315
Provider contracts.
641.3154
Organization liability; provider billing prohibited.
641.3155
Prompt payment of claims.
641.3156
Treatment authorization; payment of claims.
641.316
Fiscal intermediary services.
641.32
Acceptable payments.
641.33
Certain words prohibited in name of organization.
641.35
Assets, liabilities, and investments.
641.36
Adoption of rules; penalty for violation.
641.365
Dividends.
641.37
Prohibited activities; penalties.
641.38
Operational health maintenance organizations; issuance of certificate.
641.385
Order to discontinue certain advertising.
641.386
Agent licensing and appointment required; exceptions.
641.39001
Soliciting or accepting new or renewal health maintenance contracts by insolvent or impaired health maintenance organization prohibited; penalty.
641.3901
Unfair methods of competition and unfair or deceptive acts or practices prohibited.
641.3903
Unfair methods of competition and unfair or deceptive acts or practices defined.
641.3905
General powers and duties of the department and office.
641.3907
Defined unfair practices; hearings, witnesses, appearances, production of books, and service of process.
641.3909
Cease and desist and penalty orders.
641.3911
Appeals from the department or office.
641.3913
Penalty for violation of cease and desist orders.
641.3915
Health maintenance organization anti-fraud plans and investigative units.
641.3917
Civil liability.
641.3921
Conversion on termination of eligibility.
641.3922
Conversion contracts; conditions.
641.3923
Discrimination against providers prohibited.