CODING: Words stricken are deletions; words underlined are additions.
House Bill 0453




    Florida House of Representatives - 1997                 HB 453

        By Representative Mackey






  1                      A bill to be entitled

  2         An act relating to mastectomies; amending s.

  3         627.6417, F.S.; specifying certain deductible

  4         and benefits criteria; providing additional

  5         criteria for purposes of a definition;

  6         providing an effective date.

  7

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

  9

10         Section 1.  Section 627.6417, Florida Statutes, is

11  amended to read:

12         627.6417  Optional coverage for surgical procedures and

13  devices incident to mastectomy.--

14         (1)  An accident or health insurance policy issued,

15  amended, delivered, or renewed in this state that provides

16  coverage for mastectomies must make available to the

17  policyholder, as part of the application, coverage for the

18  initial prosthetic device and reconstructive surgery incident

19  to the mastectomy.  The insurer may charge an appropriate

20  additional premium for the coverage required by this

21  subsection.  The coverage for prosthetic devices and

22  reconstructive surgery is subject to the deductible and

23  coinsurance deductible conditions applied to the mastectomy,

24  and all other terms and conditions applicable to other

25  benefits.  If a mastectomy is performed and there is no

26  evidence of malignancy, the same benefits and limitations

27  apply without a statute of limitations coverage may be limited

28  to the provision of the initial prosthetic device and

29  reconstructive surgery within 2 years after the date of the

30  mastectomy.

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






    Florida House of Representatives - 1997                 HB 453

    59-314-97






  1         (2)  As used in this section, the term "mastectomy"

  2  means the removal of all or part of the breast for medically

  3  necessary reasons as determined by a licensed physician and

  4  includes "prophylactic mastectomy" and any procedure

  5  necessitated by any complication caused by an implant,

  6  including, but not limited to, rupture, deflation, capsular

  7  contracture, hardening, shifting, or any other complication

  8  deemed by the physician to have been caused by an implant, and

  9  also includes any necessary reconstructive procedure as

10  determined by a licensed physician, including, but not limited

11  to, a breast implant, tissue expansion, latissimus dorsi flap,

12  tram flap, nipple reconstruction using local tissue or

13  tattooing, mastoplexy of the opposite breast, reduction of the

14  opposite breast, or augmentation of the opposite breast.

15         (3)  This section does not apply to disability income,

16  specified disease, or hospital indemnity policies.

17         Section 2.  This act shall take effect October 1, 1997.

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20                          HOUSE SUMMARY

21
      Revises provisions providing for reconstructive surgery
22    following a mastectomy. See bill for details.

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