CODING: Words stricken are deletions; words underlined are additions.
House Bill 0365




    Florida House of Representatives - 1997                 HB 365

        By Representatives Posey, Jones, King, Littlefield,
    Jacobs, Kelly, Brooks, Peaden, Minton and Bronson





  1                      A bill to be entitled

  2         An act relating to managed care; amending s.

  3         627.6472, F.S.; requiring exclusive provider

  4         organizations to provide direct patient access

  5         to a dermatologist under contract with the

  6         organization and to develop criteria for

  7         compliance; amending s. 641.31, F.S.; requiring

  8         health maintenance organizations to provide

  9         direct patient access to a dermatologist under

10         contract with the organization and to develop

11         criteria for compliance; providing an effective

12         date.

13

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

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16         Section 1.  Subsection (16) is added to section

17  627.6472, Florida Statutes, 1996 Supplement, to read:

18         627.6472  Exclusive provider organizations.--

19         (16)  Notwithstanding any provision of this section to

20  the contrary, an exclusive provider organization which offers

21  dermatological services shall provide direct patient access,

22  for office visits and minor procedures and testing, to a

23  dermatologist who is under contract with the exclusive

24  provider organization.  The exclusive provider organization

25  shall, by July 1, 1997, develop criteria for compliance with

26  the provisions of this subsection which do not impede or

27  inhibit access to dermatological services for policyholders of

28  the exclusive provider organization.

29         Section 2.  Subsection (29) is added to section 641.31,

30  Florida Statutes, 1996 Supplement, to read:

31         641.31  Health maintenance contracts.--

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






    Florida House of Representatives - 1997                 HB 365

    532-186-97






  1         (29)  Notwithstanding any provision of this section to

  2  the contrary, a health maintenance organization which offers

  3  dermatological services shall provide direct patient access,

  4  for office visits and minor procedures and testing, to a

  5  dermatologist who is under contract with the health

  6  maintenance organization.  The health maintenance organization

  7  shall, by July 1, 1997, develop criteria for compliance with

  8  the provisions of this subsection which do not impede or

  9  inhibit access to dermatological services for policyholders of

10  the health maintenance organization.

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

12  law.

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14            *****************************************

15                          HOUSE SUMMARY

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      Requires exclusive provider organizations and health
17    maintenance organizations to provide direct patient
      access to dermatologists under contract with such
18    organizations and to develop criteria for compliance.

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