House Bill 0377

    Florida House of Representatives - 1999                 HB 377

        By Representatives Bense, Goode, Maygarden, Futch, Ritter,
    Logan, Jones, Warner, Flanagan, Rayson, Healey, Fuller, Kelly,
    Peaden, Andrews, Waters, Brummer and Ritchie




  1                      A bill to be entitled

  2         An act relating to bone marrow transplant

  3         procedures; amending s. 627.4236, F.S.;

  4         requiring that coverage for

  5         bone-marrow-transplant procedures include costs

  6         of the donor patient; providing an effective

  7         date.

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

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11         Section 1.  Subsection (2) of section 627.4236, Florida

12  Statutes, is amended to read:

13         627.4236  Coverage for bone marrow transplant

14  procedures.--

15         (2)  An insurer or a health maintenance organization

16  may not exclude coverage for bone marrow transplant procedures

17  recommended by the referring physician and the treating

18  physician under a policy exclusion for experimental, clinical

19  investigative, educational, or similar procedures contained in

20  any individual or group health insurance policy or health

21  maintenance organization contract issued, amended, delivered,

22  or renewed in this state that covers treatment for cancer, if

23  the particular use of the bone marrow transplant procedure is

24  determined to be accepted within the appropriate oncological

25  specialty and not experimental pursuant to subsection (3).

26  Covered bone-marrow-transplant procedures must include costs

27  associated with the donor-patient to the same extent and

28  limitations as costs associated with the insured.

29         Section 2.  This act shall take effect July 1, 1999.

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






    Florida House of Representatives - 1999                 HB 377

    725-100-99






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  2                          SENATE SUMMARY

  3    Mandates that bone-marrow-transplant procedures covered
      by insurance or by a health maintenance organization
  4    include costs of the donor-patient to the same extent and
      limitations as costs associated with the insured.
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