Senate Bill 1178

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



    Florida Senate - 2000                                  SB 1178

    By Senator Lee





    23-745A-00

  1                      A bill to be entitled

  2         An act relating to health insurance; creating

  3         s. 627.4296, F.S.; providing definitions;

  4         prohibiting certain health insurers and health

  5         maintenance organizations from denying

  6         qualified individuals from participating in

  7         approved clinical trials; requiring certain

  8         health insurers and health maintenance

  9         organizations to provide coverage to qualified

10         individuals for certain costs relating to

11         approved clinical trials; providing for

12         reimbursement of patient costs; amending s.

13         627.6515, F.S.; requiring out-of-state group

14         policies to provide coverage for certain costs

15         relating to approved clinical trials; providing

16         a legislative finding that the act fulfills an

17         important state interest; providing an

18         effective date.

19

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

21

22         Section 1.  Section 627.4296, Florida Statutes, is

23  created to read:

24         627.4296  Health insurance coverage for approved

25  clinical trials.--

26         (1)  DEFINITIONS.--As used in this section, the term:

27         (a)  "Approved clinical trial" means a clinical

28  research study or clinical investigation treatment program

29  approved by the federal Food and Drug Administration or the

30  National Institute of Health in cooperation with the National

31  Cancer Institute.

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    Florida Senate - 2000                                  SB 1178
    23-745A-00




  1         (b)  "Qualified individual" means an individual who is

  2  a participant or beneficiary in a health plan or an enrollee

  3  under health insurance coverage, whose participation in an

  4  approved clinical trial has been approved by a participating

  5  health care professional and who:

  6         1.  Has a life-threatening illness for which no

  7  standard treatment is effective;

  8         2.  Is eligible to participate in an approved clinical

  9  trial according to the approved clinical trial protocol with

10  respect to treatment of such illness; and

11         3.  Could receive potentially significant clinical

12  benefit from participation in the approved clinical trial.

13         (c)  "Routine patient cost" means the cost of a

14  medically necessary health care service which is incurred as a

15  result of the treatment being provided to a qualified

16  individual in an approved clinical trial.

17         (2)  COVERAGE FOR APPROVED CLINICAL TRIALS.--

18         (a)  Any health insurer or health maintenance

19  organization that issues major medical insurance coverage in

20  this state may not:

21         1.  Deny a qualified individual participation in an

22  approved clinical trial;

23         2.  Deny, limit, or impose additional conditions on the

24  coverage of routine patient costs for items and services

25  furnished in connection with participation in an approved

26  clinical trial; or

27         3.  Discriminate against a qualified individual on the

28  basis of that individual's participation in such an approved

29  clinical trial.

30         (b)  A health insurer or health maintenance

31  organization that issues major medical insurance coverage in

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    Florida Senate - 2000                                  SB 1178
    23-745A-00




  1  this state shall provide for payment of routine patient costs.

  2  Routine patient costs do not include the following items;

  3         1.  Cost of nonhealth care services that a patient

  4  could be required to receive as a result of the treatment

  5  being provided pursuant to an approved clinical trial;

  6         2.  Costs not otherwise covered under the insured's,

  7  subscriber's, or enrollee's policy, plan, or contract of

  8  coverage for noninvestigational treatments;

  9         3.  Cost of tests or measurements conducted primarily

10  for the purpose of evaluating the approved clinical trial;

11         4.  Costs associated with managing the research

12  associated with the approved clinical trial; and

13         5.  Costs for treatments or services prescribed for the

14  convenience of the insured, subscriber, enrollee, or

15  physician.

16         (c)  A health insurer or health maintenance

17  organization that issues major medical insurance coverage in

18  this state is not required to pay for costs of items and

19  services that are reasonably expected to be paid for by the

20  sponsors of an approved clinical trial, including the cost of

21  an investigational drug or device.

22         (d)  The reimbursement for routine patient costs

23  incurred during participation in an approved clinical trial

24  for treatment must be determined in the same manner as

25  reimbursement is determined for other medical and surgical

26  procedures. Such coverage must have durational limits, dollar

27  limits, deductibles, copayments, and coinsurance factors that

28  are no less favorable to the insured, subscriber, or enrollee

29  than for physical illness generally.

30         Section 2.  Subsection (2) of section 627.6515, Florida

31  Statutes, is amended to read:

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    Florida Senate - 2000                                  SB 1178
    23-745A-00




  1         627.6515  Out-of-state groups.--

  2         (2)  This part does not apply to a group health

  3  insurance policy issued or delivered outside this state under

  4  which a resident of this state is provided coverage if:

  5         (a)  The policy is issued to an employee group the

  6  composition of which is substantially as described in s.

  7  627.653; a labor union group or association group the

  8  composition of which is substantially as described in s.

  9  627.654; an additional group the composition of which is

10  substantially as described in s. 627.656; a group insured

11  under a blanket health policy when the composition of the

12  group is substantially in compliance with s. 627.659; a group

13  insured under a franchise health policy when the composition

14  of the group is substantially in compliance with s. 627.663;

15  an association group to cover persons associated in any other

16  common group, which common group is formed primarily for

17  purposes other than providing insurance; a group that is

18  established primarily for the purpose of providing group

19  insurance, provided the benefits are reasonable in relation to

20  the premiums charged thereunder and the issuance of the group

21  policy has resulted, or will result, in economies of

22  administration; or a group of insurance agents of an insurer,

23  which insurer is the policyholder;

24         (b)  Certificates evidencing coverage under the policy

25  are issued to residents of this state and contain in

26  contrasting color and not less than 10-point type the

27  following statement:  "The benefits of the policy providing

28  your coverage are governed primarily by the law of a state

29  other than Florida"; and

30         (c)  The policy provides the benefits specified in ss.

31  627.419, 627.4296, 627.6574, 627.6575, 627.6579, 627.6612,

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    Florida Senate - 2000                                  SB 1178
    23-745A-00




  1  627.66121, 627.66122, 627.6613, 627.667, 627.6675, 627.6691,

  2  and 627.66911.

  3         Section 3.  The Legislature finds that the provisions

  4  of this act fulfill an important state interest.

  5         Section 4.  This act shall take effect January 1, 2001

  6  and shall apply to policies issued or renewed on or after that

  7  date.

  8

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10                          SENATE SUMMARY

11    Requires health insurers and health maintenance
      organizations that issue major medical insurance coverage
12    in this state to provide to qualified individuals
      coverage of the routine patient costs for participation
13    in a clinical research study or investigation treatment
      program (an approved clinical trial) approved by the
14    federal Food and Drug Administration or the National
      Institute of Health in cooperation with the National
15    Cancer Institute. Prohibits such organizations from
      denying qualified individuals the right to participate in
16    such an approved clinical trial. Provides that certain
      specified costs are not routine patient costs. Provides
17    that reimbursement for routine patient costs incurred
      during participation in an approved clinical trial for
18    treatment must be determined in the same manner as
      reimbursement is determined for other medical and
19    surgical procedures. Requires out-of-state group policies
      to provide coverage for certain costs relating to
20    approved clinical trials.

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