House Bill 0673

    Florida House of Representatives - 2000                 HB 673

        By Representative Posey






  1                      A bill to be entitled

  2         An act relating to clinical laboratory

  3         services; amending ss. 627.6471, 627.6472, and

  4         641.31, F.S.; requiring certain insurers and

  5         health maintenance organizations to cover and

  6         pay for certain clinical laboratory services

  7         under certain circumstances; providing an

  8         effective date.

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

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12         Section 1.  Subsection (7) is added to section

13  627.6471, Florida Statutes, to read:

14         627.6471  Contracts for reduced rates of payment;

15  limitations; coinsurance and deductibles.--

16         (7)  Any insurer which issues in this state a policy of

17  health insurance which includes coverage for clinical

18  laboratory services as defined in s. 483.041 shall cover and

19  pay for the services of any clinical laboratory to which a

20  specimen is directed by a preferred provider, without penalty

21  to such preferred provider.

22         Section 2.  Subsection (19) is added to section

23  627.6472, Florida Statutes, to read:

24         627.6472  Exclusive provider organizations.--

25         (19)  Any insurer which issues in this state a policy

26  of health insurance which includes coverage for clinical

27  laboratory services as defined in s. 483.041 shall cover and

28  pay for the services of any clinical laboratory to which a

29  specimen is directed by an exclusive provider, without penalty

30  to such exclusive provider.

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






    Florida House of Representatives - 2000                 HB 673

    532-234-00






  1         Section 3.  Subsection (39) is added to section 641.31,

  2  Florida Statutes, to read:

  3         641.31  Health maintenance contracts.--

  4         (39)  Any health maintenance organization which issues

  5  in this state a health maintenance contract which includes

  6  coverage for clinical laboratory services as defined in s.

  7  483.041 shall cover and pay for the services of any clinical

  8  laboratory to which a specimen is directed by a treating

  9  physician, without penalty to such treating physician.

10         Section 4.  This act shall take effect July 1, 2000.

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13                          HOUSE SUMMARY

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      Requires health insurers and health maintenance
15    organizations to cover and pay for services of a clinical
      laboratory to which a specimen is directed by a preferred
16    provider, exclusive provider, or treating physician,
      without penalty to the provider or physician.
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