CODING: Words stricken are deletions; words underlined are additions.
SENATE AMENDMENT
Bill No. CS for SB 2118
Amendment No.
CHAMBER ACTION
Senate House
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11 Senator Dawson-White moved the following amendment:
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13 Senate Amendment (with title amendment)
14 On page 1, between lines 23 and 24,
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16 insert:
17 Section 2. Subsection (18) is added to section
18 627.6472, Florida Statutes, 1998 Supplement, to read:
19 627.6472 Exclusive provider organizations.--
20 (18) The organization shall not require prior
21 authorization for female subscribers for
22 obstetrical-gynecological care, as defined below, with
23 obstetrician-gynecologists contracting with the organization.
24 As used in this subsection, "obstetrical-gynecological care"
25 means up to two annual visits, including one well-woman visit
26 and one additional visit to address acute gynecological
27 problems, as well as all medically necessary followup care to
28 treat the specific obstetrical-gynecological condition
29 detected by the obstetrician-gynecologist during these visits.
30 Nothing in this subsection shall prevent a plan from requiring
31 that an obstetrician-gynecologist treating a covered patient
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3:59 PM 04/26/99 s2118c1c-30r0a
SENATE AMENDMENT
Bill No. CS for SB 2118
Amendment No.
1 coordinate the medical care through the patient's primary care
2 physician, if applicable.
3 Section 3. Subsection (6) of section 641.51, Florida
4 Statutes, is amended to read:
5 641.51 Quality assurance program; second medical
6 opinion requirement.--
7 (6) Each organization shall develop and maintain
8 written policies and procedures for the provision of standing
9 referrals to subscribers with chronic and disabling conditions
10 which require ongoing specialty care. The organization shall
11 not require prior authorization for female subscribers for
12 obstetrical-gynecological care, as defined below, with
13 obstetrician-gynecologists contracting with the organization.
14 As used in this subsection, "obstetrical-gynecological care"
15 means up to two annual visits, including one well-woman visit
16 and one additional visit to address acute gynecological
17 problems, as well as all medically necessary followup care to
18 treat the specific obstetrical-gynecological condition
19 detected by the obstetrician-gynecologist during these visits.
20 Nothing in this subsection shall prevent a plan from requiring
21 that an obstetrician-gynecologist treating a covered patient
22 coordinate the medical care through the patient's primary care
23 physician, if applicable.
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25 (Redesignate subsequent sections.)
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29 And the title is amended as follows:
30 On page 1, line 7, after the semicolon
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3:59 PM 04/26/99 s2118c1c-30r0a
SENATE AMENDMENT
Bill No. CS for SB 2118
Amendment No.
1 insert:
2 amending ss. 627.6472 and 641.51, F.S.;
3 requiring exclusive provider organizations and
4 health maintenance organizations to provide
5 direct patient access to certain obstetrical or
6 gynecological services;
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