Senate Bill 1600c1

    Florida Senate - 1999                           CS for SB 1600

    By the Committee on Banking and Insurance; and Senator
    Campbell




    311-1938-99

  1                      A bill to be entitled

  2         An act relating to osteoporosis; amending ss.

  3         627.6409, 627,6691, 641.31, F.S.; expanding the

  4         required insurance coverage for

  5         osteoporosis-related matters; providing an

  6         effective date.

  7

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

  9

10         Section 1.  Section 627.6409, Florida Statutes, is

11  amended to read:

12         627.6409  Coverage for osteoporosis screening,

13  diagnosis, treatment, and management.--Any health insurance

14  policy that covers a resident of this state and that is

15  issued, amended, delivered, or renewed in this state after

16  October 1, 1996, must provide coverage for the medically

17  necessary diagnosis and treatment of osteoporosis for

18  high-risk individuals, including, but not limited to,

19  estrogen-deficient individuals who are at clinical risk for

20  osteoporosis, individuals who have vertebral abnormalities,

21  individuals who are receiving long-term glucocorticoid

22  (steroid) therapy, individuals who have primary

23  hyperparathyroidism, and individuals who have a family history

24  of osteoporosis. Such coverage must include bone-mass-density

25  tests when deemed medically necessary for diagnosis or

26  treatment of osteoporosis for high-risk individuals. This

27  section does not apply to specified-accident,

28  specified-disease, hospital-indemnity, Medicare supplement, or

29  long-term-care health insurance policies or to the state

30  employee health insurance program.

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






    Florida Senate - 1999                           CS for SB 1600
    311-1938-99




  1         Section 2.  Section 627.6691, Florida Statutes, is

  2  amended to read:

  3         627.6691  Coverage for osteoporosis screening,

  4  diagnosis, treatment, and management.--Any group, blanket, or

  5  franchise health insurance policy that covers a resident of

  6  this state and that is issued, amended, delivered, or renewed

  7  in this state after October 1, 1996, must provide coverage for

  8  the medically necessary diagnosis and treatment of

  9  osteoporosis for high-risk individuals, including, but not

10  limited to, estrogen-deficient individuals who are at clinical

11  risk for osteoporosis, individuals who have vertebral

12  abnormalities, individuals who are receiving long-term

13  glucocorticoid (steroid) therapy, individuals who have primary

14  hyperparathyroidism, and individuals who have a family history

15  of osteoporosis. Such coverage must include bone-mass-density

16  tests when deemed medically necessary for diagnosis or

17  treatment of osteoporosis for high-risk individuals. This

18  section does not apply to specified-accident,

19  specified-disease, hospital-indemnity, Medicare supplement, or

20  long-term-care health insurance policies or to the state

21  employee health insurance program.

22         Section 3.  Subsection (27) of section 641.31, Florida

23  Statutes, 1998 Supplement, is amended to read:

24         641.31  Health maintenance contracts.--

25         (27)  Any health maintenance contract that covers a

26  resident of this state and that is issued, amended, delivered,

27  or renewed in this state after October 1, 1996, must provide

28  coverage for the medically necessary diagnosis and treatment

29  of osteoporosis for high-risk individuals, including, but not

30  limited to, estrogen-deficient individuals who are at clinical

31  risk for osteoporosis, individuals who have vertebral

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






    Florida Senate - 1999                           CS for SB 1600
    311-1938-99




  1  abnormalities, individuals who are receiving long-term

  2  glucocorticoid (steroid) therapy, individuals who have primary

  3  hyperparathyroidism, and individuals who have a family history

  4  of osteoporosis. Such coverage must include bone-mass-density

  5  tests when deemed medically necessary for diagnosis and

  6  treatment of osteoporosis for high-risk individuals. This

  7  subsection shall not apply to the state employee health

  8  insurance program.

  9         Section 4.  This act shall take effect July 1, 1999.

10

11          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
12                         Senate Bill 1600

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14  Applies the bill's requirements to group health insurance
    policies and HMO contracts, in addition to individual health
15  insurance policies.

16  Revises the wording of the mandate to require coverage for
    bone-mass density testing for diagnosis or treatment of
17  osteoporosis for high-risk individuals when deemed medically
    necessary.
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