Senate Bill 1664

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



    Florida Senate - 2000                                  SB 1664

    By Senator Forman





    32-1252-00

  1                      A bill to be entitled

  2         An act relating to health care; creating s.

  3         409.9051, F.S.; requiring the Agency for Health

  4         Care Administration to pay for medically

  5         necessary treatment of social anxiety disorder;

  6         creating ss. 627.64091, 627.6681, F.S.;

  7         requiring health insurance policies, insurers,

  8         health maintenance organizations, and nonprofit

  9         health care services that provide mental health

10         benefits to provide coverage for treatment of

11         social anxiety disorder; providing for

12         unenforceability of policies or contracts not

13         providing such coverage; amending s. 641.31,

14         F.S.; requiring health maintenance contracts

15         that include mental health coverage to include

16         coverage for social anxiety disorder; providing

17         an effective date.

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

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21         Section 1.  Section 409.9051, Florida Statutes, is

22  created to read:

23         409.9051  Coverage for social anxiety disorder.--The

24  agency shall pay for medically necessary treatment of social

25  anxiety disorder. As used in this section, the term "social

26  anxiety disorder" means a condition that meets the criteria

27  for generalized social phobia set forth in the Diagnostic and

28  Statistical Manual of Mental Disorders, Fourth Edition, of the

29  American Psychiatric Association.

30         Section 2.  Section 627.64091, Florida Statutes, is

31  created to read:

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    Florida Senate - 2000                                  SB 1664
    32-1252-00




  1         627.64091  Coverage for social anxiety disorder.--

  2         (1)  Each health insurance policy that provides

  3  coverage for mental health benefits to residents of this state

  4  and that is issued, amended, delivered, or renewed in this

  5  state on or after January 1, 2001, must include coverage for

  6  medically necessary treatment of social anxiety disorder.

  7         (2)  Any provision in any health insurance policy that

  8  is issued, amended, delivered, or renewed in this state on or

  9  after January 1, 2001, which conflicts with this section is

10  unenforceable.

11         (3)  As used in this section, the term "social anxiety

12  disorder" means a condition that meets the criteria for

13  generalized social phobia set forth in the Diagnostic and

14  Statistical Manual of Mental Disorders, Fourth Edition, of the

15  American Psychiatric Association.

16         Section 3.  Section 627.6681, Florida Statutes, is

17  created to read:

18         627.6681  Coverage for social anxiety disorder.--

19         (1)  Each insurer, health maintenance organization, and

20  nonprofit health care services plan that provides group health

21  insurance policies or prepaid health care contracts that

22  include mental health benefits and that are issued, amended,

23  delivered, or renewed in this state on or after January 1,

24  2001, must include coverage for medically necessary treatment

25  of social anxiety disorder.

26         (2)  Any provision in any health insurance policy or

27  health contract issued, amended, delivered, or renewed in this

28  state on or after January 1, 2001, which conflicts with this

29  section, is unenforceable.

30         (3)  As used in this section, the term "social anxiety

31  disorder" means a condition that meets the criteria for

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






    Florida Senate - 2000                                  SB 1664
    32-1252-00




  1  generalized social phobia set forth in the Diagnostic and

  2  Statistical Manual of Mental Disorders, Fourth Edition, of the

  3  American Psychiatric Association.

  4         Section 4.  Subsection (39) is added to section 641.31,

  5  Florida Statutes, to read:

  6         641.31  Health Maintenance Contracts.--

  7         (39)  Health maintenance contracts that provide mental

  8  health coverage must include coverage for medically necessary

  9  treatment of social anxiety disorder. As used in this section,

10  the term "social anxiety disorder" means a condition that

11  meets the criteria for generalized social phobia set forth in

12  the Diagnostic and Statistical Manual of Mental Disorders,

13  Fourth Edition, of the American Psychiatric Association.

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

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17                          SENATE SUMMARY

18    Requires the Agency for Health Care Administration to pay
      for medically necessary treatment of social anxiety
19    disorder. Provides that health insurance policies that
      provide mental health benefits must provide coverage for
20    treatment of social anxiety disorder. Provides that
      policies not providing such coverage are unenforceable.
21    Requires insurers, health maintenance organizations, and
      nonprofit health care services that provide mental health
22    benefits to include coverage for social anxiety disorder.
      Provides that policies or contracts not complying with
23    coverage for social anxiety disorder are unenforceable.
      Provides that health maintenance contracts must include
24    coverage for social anxiety disorder.

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