HOUSE AMENDMENT

    228-206AX-32                                   Bill No. HB 953

    Amendment No.     (for drafter's use only)

                            CHAMBER ACTION
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 5                                           ORIGINAL STAMP BELOW

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11  Representative(s) Sanderson offered the following:

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13         Amendment to Amendment 500527 

14         On page 1, line 23, through page 2, line 17,

15  remove from the amendment:  all of said lines,

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17  and insert in lieu thereof:  obstetrician-gynecologists

18  contracting with the organization. As used in this subsection,

19  "obstetrical-gynecological care" means up to two annual

20  visits, including one well-woman visit and one additional

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

22  medically necessary followup care to treat the specific

23  obstetrical-gynecological condition detected by the

24  obstetrician-gynecologist during these visits. Nothing in this

25  subsection shall prevent a plan from requiring that an

26  obstetrician-gynecologist treating a covered patient

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

28  physician, if applicable.

29         Section 2.  Subsection (6) of section 641.51, Florida

30  Statutes, is amended to read:

31         641.51  Quality assurance program; second medical

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    File original & 9 copies    04/21/99
    hbd0022                     01:59 pm         00953-0091-595225




                                                   HOUSE AMENDMENT

    228-206AX-32                                   Bill No. HB 953

    Amendment No.     (for drafter's use only)





 1  opinion requirement.--

 2         (6)  Each organization shall develop and maintain

 3  written policies and procedures for the provision of standing

 4  referrals to subscribers with chronic and disabling conditions

 5  which require ongoing specialty care. The organization shall

 6  not require prior authorization for female subscribers for

 7  obstetrical-gynecological care, as defined below, with

 8  obstetrician-gynecologists contracting with the organization.

 9  As used in this subsection, "obstetrical-gynecological care"

10  means up to two annual visits, including one well-woman visit

11  and one additional visit to address acute gynecological

12  problems, as well as all medically necessary followup care to

13  treat the specific

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    File original & 9 copies    04/21/99
    hbd0022                     01:59 pm         00953-0091-595225