Senate Bill 2146c1

    Florida Senate - 1998                           CS for SB 2146

    By the Committee on Banking and Insurance and Senator Silver





    311-2039-98

  1                      A bill to be entitled

  2         An act relating to health care; amending s.

  3         627.6472, F.S., and creating s. 641.3923, F.S.;

  4         prohibiting exclusive provider organizations

  5         and health maintenance organizations from

  6         discriminating against participation by

  7         licensed and certified advanced registered

  8         nurse practitioners solely on the basis of such

  9         license or certification; providing an

10         effective date.

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12  Be It Enacted by the Legislature of the State of Florida:

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14         Section 1.  Subsection (17) is added to section

15  627.6472, Florida Statutes, to read:

16         627.6472  Exclusive provider organizations.--

17         (17)  An exclusive provider organization shall not

18  discriminate with respect to participation as to any advanced

19  registered nurse practitioner licensed and certified pursuant

20  to s. 464.012, who is acting within the scope of such license

21  and certification, solely on the basis of such license or

22  certification. This subsection shall not be construed to

23  prohibit a plan from including providers only to the extent

24  necessary to meet the needs of the plan's enrollees or from

25  establishing any measure designed to maintain quality and

26  control costs consistent with the responsibilities of the

27  plan.

28         Section 2.  Section 641.3923, Florida Statutes, is

29  created to read:

30         641.3923  Discrimination against providers

31  prohibited.--A health maintenance organization shall not

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CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 1998                           CS for SB 2146
    311-2039-98




  1  discriminate with respect to participation as to any advanced

  2  registered nurse practitioner licensed and certified pursuant

  3  to s. 464.012, who is acting within the scope of such license

  4  and certification, solely on the basis of such license or

  5  certification. This section shall not be construed to prohibit

  6  a plan from including providers only to the extent necessary

  7  to meet the needs of the plan's enrollees or from establishing

  8  any measure designed to maintain quality and control costs

  9  consistent with the responsibilities of the plan.

10         Section 3.  This act shall take effect upon becoming a

11  law.

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13          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
14                         Senate Bill 2146

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16  Limits the scope of the bill to prohibiting health maintenance
    organizations and insurers issuing policies through exclusive
17  provider organizations from discriminating with respect to
    participation as to any advanced registered nurse practitioner
18  licensed and certified pursuant to state law, who is acting
    within the scope of such license or certification, solely on
19  the basis of such licensure or certification.

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