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





                                                   HOUSE AMENDMENT

                                                   Bill No. HB 953

    Amendment No.     (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 5                                           ORIGINAL STAMP BELOW

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11  The Committee on Health Care Services offered the following:

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13         Amendment (with title amendment) 

14  Remove from the bill:  Everything after the enacting clause

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16  and insert in lieu thereof:

17         Section 1.  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  contracted obstetrician-gynecologists. As used in this

24  subsection, "obstetrical-gynecological care" means up to two

25  annual visits, including one well woman visit, one additional

26  visit to address acute gynecological problems, as well as all

27  medically necessary follow-up care to treat the

28  obstetrical-gynecological condition detected by the

29  obstetrician-gynecologist during these visits. Nothing in this

30  subsection shall prevent a plan from requiring that an

31  obstetrician-gynecologist treating a covered patient

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    File original & 9 copies    03/19/99
    hci0001                     09:10 am         00953-hcs -500527




                                                   HOUSE AMENDMENT

                                                   Bill No. HB 953

    Amendment No.     (for drafter's use only)





 1  coordinate the medical care through the patient's primary care

 2  physician, if applicable.

 3         Section 2.  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  contracted obstetrician-gynecologists. As used in this

14  subsection, "obstetrical-gynecological care" means up to two

15  annual visits, including one well woman visit, one additional

16  visit to address acute gynecological problems, as well as all

17  medically necessary follow-up care to treat the

18  obstetrical-gynecological condition detected by the

19  obstetrician-gynecologist during these visits. Nothing in this

20  subsection shall prevent a plan from requiring that an

21  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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26  ================ T I T L E   A M E N D M E N T ===============

27  And the title is amended as follows:

28         On page 1, lines 2-10,

29  remove from the title of the bill:  all of said lines

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31  and insert in lieu thereof:

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    File original & 9 copies    03/19/99
    hci0001                     09:10 am         00953-hcs -500527




                                                   HOUSE AMENDMENT

                                                   Bill No. HB 953

    Amendment No.     (for drafter's use only)





 1         An act relating to access to obstetrical and

 2         gynecological service; amending ss. 627.6472

 3         and 641.51, F.S.; requiring exclusive provider

 4         organizations and health maintenance

 5         organizations to provide direct patient access

 6         to certain obstetrical or gynecological

 7         services; providing an effective date.

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    File original & 9 copies    03/19/99
    hci0001                     09:10 am         00953-hcs -500527