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





                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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 4                                                                

 5                                           ORIGINAL STAMP BELOW

 6

 7

 8

 9

10                                                                

11  Representative(s) Farkas offered the following:

12

13         Amendment (with title amendment) 

14         On page 1, line 16,

15

16  insert:

17         Section 1.  Subsection (1) of section 408.7056, Florida

18  Statutes, is amended to read:

19         408.7056  Statewide Provider and Subscriber Assistance

20  Program.--

21         (1)  As used in this section, the term:

22         (a)  "Agency" means the Agency for Health Care

23  Administration.

24         (b)  "Department" means the Department of Insurance.

25         (c)  "Grievance procedure" means an established set of

26  rules that specify a process for appeal of an organizational

27  decision.

28         (d)  "Health care provider" or "provider" means a

29  state-licensed or state-authorized facility, a facility

30  principally supported by a local government or by funds from a

31  charitable organization that holds a current exemption from

                                  1

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  federal income tax under s. 501(c)(3) of the Internal Revenue

 2  Code, a licensed practitioner, a county health department

 3  established under part I of chapter 154, a prescribed

 4  pediatric extended care center defined in s. 400.902, a

 5  federally supported primary care program such as a migrant

 6  health center or a community health center authorized under s.

 7  329 or s. 330 of the United States Public Health Services Act

 8  that delivers health care services to individuals, or a

 9  community facility that receives funds from the state under

10  the Community Alcohol, Drug Abuse, and Mental Health Services

11  Act and provides mental health services to individuals.

12         (e)(a)  "Managed care entity" means a health

13  maintenance organization or a prepaid health clinic certified

14  under chapter 641, a prepaid health plan authorized under s.

15  409.912, or an exclusive provider organization certified under

16  s. 627.6472.

17         (f)(b)  "Panel" means a statewide provider and

18  subscriber assistance panel selected as provided in subsection

19  (11).

20         Section 2.  Section 627.654, Florida Statutes, is

21  amended to read:

22         627.654  Labor union, and association, and small

23  employer health alliance groups.--

24         (1)(a)  A group of individuals may be insured under a

25  policy issued to an association, including a labor union,

26  which association has a constitution and bylaws and not less

27  than 25 individual members and which has been organized and

28  has been maintained in good faith for a period of 1 year for

29  purposes other than that of obtaining insurance, or to the

30  trustees of a fund established by such an association, which

31  association or trustees shall be deemed the policyholder,

                                  2

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  insuring at least 15 individual members of the association for

 2  the benefit of persons other than the officers of the

 3  association, the association or trustees.

 4         (b)  A small employer, as defined in s. 627.6699 and

 5  including the employer's eligible employees and the spouses

 6  and dependents of such employees, may be insured under a

 7  policy issued to a small employer health alliance by a carrier

 8  as defined in s. 627.6699.  A small employer health alliance

 9  must be organized as a not-for-profit corporation under

10  chapter 617. Notwithstanding any other law, if a small

11  employer member of an alliance loses eligibility to purchase

12  health care through the alliance solely because the business

13  of the small employer member expands to more than 50 and fewer

14  than 75 eligible employees, the small employer member may, at

15  its next renewal date, purchase coverage through the alliance

16  for not more than 1 additional year.  A small employer health

17  alliance shall establish conditions of participation in the

18  alliance by a small employer, including, but not limited to:

19         1.  Assurance that the small employer is not formed for

20  the purpose of securing health benefit coverage.

21         2.  Assurance that the employees of a small employer

22  have not been added for the purpose of securing health benefit

23  coverage.

24         (2)  No such policy of insurance as defined in

25  subsection (1) may be issued to any such association or

26  alliance, unless all individual members of such association,

27  or all small employer members of an alliance, or all of any

28  class or classes thereof, are declared eligible and acceptable

29  to the insurer at the time of issuance of the policy.

30         (3)  Any such policy issued under paragraph (1)(a) may

31  insure the spouse or dependent children with or without the

                                  3

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  member being insured.

 2         (4)  A single master policy issued to an association,

 3  labor union, or small employer health alliance may include

 4  more than one health plan from the same insurer or affiliated

 5  insurer group as alternatives for an employer, employee, or

 6  member to select.

 7         Section 3.  Paragraph (f) of subsection (2), paragraph

 8  (b) of subsection (4), and subsection (6) of section 627.6571,

 9  Florida Statutes, are amended to read:

10         627.6571  Guaranteed renewability of coverage.--

11         (2)  An insurer may nonrenew or discontinue a group

12  health insurance policy based only on one or more of the

13  following conditions:

14         (f)  In the case of health insurance coverage that is

15  made available only through one or more bona fide associations

16  as defined in subsection (5) or through one or more small

17  employer health alliances as described in s. 627.654(1)(b),

18  the membership of an employer in the association or in the

19  small employer health alliance, on the basis of which the

20  coverage is provided, ceases, but only if such coverage is

21  terminated under this paragraph uniformly without regard to

22  any health-status-related factor that relates to any covered

23  individuals.

24         (4)  At the time of coverage renewal, an insurer may

25  modify the health insurance coverage for a product offered:

26         (b)  In the small-group market if, for coverage that is

27  available in such market other than only through one or more

28  bona fide associations as defined in subsection (5) or through

29  one or more small employer health alliances as described in s.

30  627.654(1)(b), such modification is consistent with s.

31  627.6699 and effective on a uniform basis among group health

                                  4

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  plans with that product.

 2         (6)  In applying this section in the case of health

 3  insurance coverage that is made available by an insurer in the

 4  small-group market or large-group market to employers only

 5  through one or more associations or through one or more small

 6  employer health alliances as described in s. 627.654(1)(b), a

 7  reference to "policyholder" is deemed, with respect to

 8  coverage provided to an employer member of the association, to

 9  include a reference to such employer.

10         Section 4.  Paragraph (h) of subsection (5), paragraph

11  (b) of subsection (6), and paragraph (a) of subsection (12) of

12  section 627.6699, Florida Statutes, are amended to read:

13         627.6699  Employee Health Care Access Act.--

14         (5)  AVAILABILITY OF COVERAGE.--

15         (h)  All health benefit plans issued under this section

16  must comply with the following conditions:

17         1.  For employers who have fewer than two employees, a

18  late enrollee may be excluded from coverage for no longer than

19  24 months if he or she was not covered by creditable coverage

20  continually to a date not more than 63 days before the

21  effective date of his or her new coverage.

22         2.  Any requirement used by a small employer carrier in

23  determining whether to provide coverage to a small employer

24  group, including requirements for minimum participation of

25  eligible employees and minimum employer contributions, must be

26  applied uniformly among all small employer groups having the

27  same number of eligible employees applying for coverage or

28  receiving coverage from the small employer carrier, except

29  that a small employer carrier that participates in,

30  administers, or issues health benefits pursuant to s. 381.0406

31  which do not include a preexisting condition exclusion may

                                  5

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  require as a condition of offering such benefits that the

 2  employer has had no health insurance coverage for its

 3  employees for a period of at least 6 months.  A small employer

 4  carrier may vary application of minimum participation

 5  requirements and minimum employer contribution requirements

 6  only by the size of the small employer group.

 7         3.  In applying minimum participation requirements with

 8  respect to a small employer, a small employer carrier shall

 9  not consider as an eligible employee employees or dependents

10  who have qualifying existing coverage in an employer-based

11  group insurance plan or an ERISA qualified self-insurance plan

12  in determining whether the applicable percentage of

13  participation is met. However, a small employer carrier may

14  count eligible employees and dependents who have coverage

15  under another health plan that is sponsored by that employer

16  except if such plan is offered pursuant to s. 408.706.

17         4.  A small employer carrier shall not increase any

18  requirement for minimum employee participation or any

19  requirement for minimum employer contribution applicable to a

20  small employer at any time after the small employer has been

21  accepted for coverage, unless the employer size has changed,

22  in which case the small employer carrier may apply the

23  requirements that are applicable to the new group size.

24         5.  If a small employer carrier offers coverage to a

25  small employer, it must offer coverage to all the small

26  employer's eligible employees and their dependents.  A small

27  employer carrier may not offer coverage limited to certain

28  persons in a group or to part of a group, except with respect

29  to late enrollees.

30         6.  A small employer carrier may not modify any health

31  benefit plan issued to a small employer with respect to a

                                  6

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  small employer or any eligible employee or dependent through

 2  riders, endorsements, or otherwise to restrict or exclude

 3  coverage for certain diseases or medical conditions otherwise

 4  covered by the health benefit plan.

 5         7.  An initial enrollment period of at least 30 days

 6  must be provided.  An annual 30-day open enrollment period

 7  must be offered to each small employer's eligible employees

 8  and their dependents. A small employer carrier must provide

 9  special enrollment periods as required by s. 627.65615.

10         (6)  RESTRICTIONS RELATING TO PREMIUM RATES.--

11         (b)  For all small employer health benefit plans that

12  are subject to this section and are issued by small employer

13  carriers on or after January 1, 1994, premium rates for health

14  benefit plans subject to this section are subject to the

15  following:

16         1.  Small employer carriers must use a modified

17  community rating methodology in which the premium for each

18  small employer must be determined solely on the basis of the

19  eligible employee's and eligible dependent's gender, age,

20  family composition, tobacco use, or geographic area as

21  determined under paragraph (5)(j).

22         2.  Rating factors related to age, gender, family

23  composition, tobacco use, or geographic location may be

24  developed by each carrier to reflect the carrier's experience.

25  The factors used by carriers are subject to department review

26  and approval.

27         3.  Small employer carriers may not modify the rate for

28  a small employer for 12 months from the initial issue date or

29  renewal date, unless the composition of the group changes or

30  benefits are changed. However, a small employer carrier may

31  modify the rate one time prior to 12 months after the initial

                                  7

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  issue date for a small employer who enrolls under a previously

 2  issued group policy that has a common anniversary date for all

 3  employers covered under the policy if:

 4         a.  The carrier discloses to the employer in a clear

 5  and conspicuous manner the date of the first renewal and the

 6  fact that the premium may increase on or after that date.

 7         b.  The insurer demonstrates to the department that

 8  efficiencies in administration are achieved and reflected in

 9  the rates charged to small employers covered under the policy.

10         4.  A carrier may issue a group health insurance policy

11  to a small employer health alliance or other group association

12  with rates that reflect a premium credit for expense savings

13  attributable to administrative activities being performed by

14  the alliance or group association if such expense savings are

15  specifically documented in the insurer's rate filing and are

16  approved by the department. Any such credit may not be based

17  on different morbidity assumptions or on any other factor

18  related to the health status or claims experience of any

19  person covered under the policy. Nothing in this subparagraph

20  exempts an alliance or group association from licensure for

21  any activities that require licensure under the Insurance

22  Code. A carrier issuing a group health insurance policy to a

23  small employer health alliance or other group association

24  shall allow any properly licensed and appointed agent of that

25  carrier to market and sell the small employer health alliance

26  or other group association policy. Such agent shall be paid

27  the usual and customary commission paid to any agent selling

28  the policy. Carriers participating in the alliance program, in

29  accordance with ss. 408.70-408.706, may apply a different

30  community rate to business written in that program.

31         (12)  STANDARD, BASIC, AND LIMITED HEALTH BENEFIT

                                  8

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  PLANS.--

 2         (a)1.  By May 15, 1993, the commissioner shall appoint

 3  a health benefit plan committee composed of four

 4  representatives of carriers which shall include at least two

 5  representatives of HMOs, at least one of which is a staff

 6  model HMO, two representatives of agents, four representatives

 7  of small employers, and one employee of a small employer.  The

 8  carrier members shall be selected from a list of individuals

 9  recommended by the board.  The commissioner may require the

10  board to submit additional recommendations of individuals for

11  appointment.  As alliances are established under s. 408.702,

12  each alliance shall also appoint an additional member to the

13  committee.

14         2.  The committee shall develop changes to the form and

15  level of coverages for the standard health benefit plan and

16  the basic health benefit plan, and shall submit the forms, and

17  levels of coverages to the department by September 30, 1993.

18  The department must approve such forms and levels of coverages

19  by November 30, 1993, and may return the submissions to the

20  committee for modification on a schedule that allows the

21  department to grant final approval by November 30, 1993.

22         3.  The plans shall comply with all of the requirements

23  of this subsection.

24         4.  The plans must be filed with and approved by the

25  department prior to issuance or delivery by any small employer

26  carrier.

27         5.  After approval of the revised health benefit plans,

28  if the department determines that modifications to a plan

29  might be appropriate, the commissioner shall appoint a new

30  health benefit plan committee in the manner provided in

31  subparagraph 1. to submit recommended modifications to the

                                  9

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  department for approval.

 2         Section 5.  Subsection (1) of section 240.2995, Florida

 3  Statutes, is amended to read:

 4         240.2995  University health services support

 5  organizations.--

 6         (1)  Each state university is authorized to establish

 7  university health services support organizations which shall

 8  have the ability to enter into, for the benefit of the

 9  university academic health sciences center, arrangements with

10  other entities as providers for accountable health

11  partnerships, as defined in s. 408.701, and providers in other

12  integrated health care systems or similar entities.  To the

13  extent required by law or rule, university health services

14  support organizations shall become licensed as insurance

15  companies, pursuant to chapter 624, or be certified as health

16  maintenance organizations, pursuant to chapter 641.

17  University health services support organizations shall have

18  sole responsibility for the acts, debts, liabilities, and

19  obligations of the organization.  In no case shall the state

20  or university have any responsibility for such acts, debts,

21  liabilities, and obligations incurred or assumed by university

22  health services support organizations.

23         Section 6.  Paragraph (a) of subsection (2) of section

24  240.2996, Florida Statutes, is amended to read:

25         240.2996  University health services support

26  organization; confidentiality of information.--

27         (2)  The following university health services support

28  organization's records and information are confidential and

29  exempt from the provisions of s. 119.07(1) and s. 24(a), Art.

30  I of the State Constitution:

31         (a)  Contracts for managed care arrangements, as

                                  10

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  managed care is defined in s. 408.701, under which the

 2  university health services support organization provides

 3  health care services, including preferred provider

 4  organization contracts, health maintenance organization

 5  contracts, alliance network arrangements, and exclusive

 6  provider organization contracts, and any documents directly

 7  relating to the negotiation, performance, and implementation

 8  of any such contracts for managed care arrangements or

 9  alliance network arrangements. As used in this paragraph, the

10  term "managed care" means systems or techniques generally used

11  by third-party payors or their agents to affect access to and

12  control payment for health care services. Managed-care

13  techniques most often include one or more of the following:

14  prior, concurrent, and retrospective review of the medical

15  necessity and appropriateness of services or site of services;

16  contracts with selected health care providers; financial

17  incentives or disincentives related to the use of specific

18  providers, services, or service sites; controlled access to

19  and coordination of services by a case manager; and payor

20  efforts to identify treatment alternatives and modify benefit

21  restrictions for high-cost patient care.

22

23  The exemptions in this subsection are subject to the Open

24  Government Sunset Review Act of 1995 in accordance with s.

25  119.15 and shall stand repealed on October 2, 2001, unless

26  reviewed and saved from repeal through reenactment by the

27  Legislature.

28         Section 7.  Paragraph (b) of subsection (8) of section

29  240.512, Florida Statutes, is amended to read:

30         240.512  H. Lee Moffitt Cancer Center and Research

31  Institute.--There is established the H. Lee Moffitt Cancer

                                  11

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  Center and Research Institute at the University of South

 2  Florida.

 3         (8)

 4         (b)  Proprietary confidential business information is

 5  confidential and exempt from the provisions of s. 119.07(1)

 6  and s. 24(a), Art. I of the State Constitution.  However, the

 7  Auditor General and Board of Regents, pursuant to their

 8  oversight and auditing functions, must be given access to all

 9  proprietary confidential business information upon request and

10  without subpoena and must maintain the confidentiality of

11  information so received. As used in this paragraph, the term

12  "proprietary confidential business information" means

13  information, regardless of its form or characteristics, which

14  is owned or controlled by the not-for-profit corporation or

15  its subsidiaries; is intended to be and is treated by the

16  not-for-profit corporation or its subsidiaries as private and

17  the disclosure of which would harm the business operations of

18  the not-for-profit corporation or its subsidiaries; has not

19  been intentionally disclosed by the corporation or its

20  subsidiaries unless pursuant to law, an order of a court or

21  administrative body, a legislative proceeding pursuant to s.

22  5, Art. III of the State Constitution, or a private agreement

23  that provides that the information may be released to the

24  public; and which is information concerning:

25         1.  Internal auditing controls and reports of internal

26  auditors;

27         2.  Matters reasonably encompassed in privileged

28  attorney-client communications;

29         3.  Contracts for managed-care arrangements, as managed

30  care is defined in s. 408.701, including preferred provider

31  organization contracts, health maintenance organization

                                  12

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  contracts, and exclusive provider organization contracts, and

 2  any documents directly relating to the negotiation,

 3  performance, and implementation of any such contracts for

 4  managed-care arrangements;

 5         4.  Bids or other contractual data, banking records,

 6  and credit agreements the disclosure of which would impair the

 7  efforts of the not-for-profit corporation or its subsidiaries

 8  to contract for goods or services on favorable terms;

 9         5.  Information relating to private contractual data,

10  the disclosure of which would impair the competitive interest

11  of the provider of the information;

12         6.  Corporate officer and employee personnel

13  information;

14         7.  Information relating to the proceedings and records

15  of credentialing panels and committees and of the governing

16  board of the not-for-profit corporation or its subsidiaries

17  relating to credentialing;

18         8.  Minutes of meetings of the governing board of the

19  not-for-profit corporation and its subsidiaries, except

20  minutes of meetings open to the public pursuant to subsection

21  (9);

22         9.  Information that reveals plans for marketing

23  services that the corporation or its subsidiaries reasonably

24  expect to be provided by competitors;

25         10.  Trade secrets as defined in s. 688.002, including

26  reimbursement methodologies or rates; or

27         11.  The identity of donors or prospective donors of

28  property who wish to remain anonymous or any information

29  identifying such donors or prospective donors.  The anonymity

30  of these donors or prospective donors must be maintained in

31  the auditor's report.

                                  13

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1

 2  As used in this paragraph, the term "managed care" means

 3  systems or techniques generally used by third-party payors or

 4  their agents to affect access to and control payment for

 5  health care services. Managed-care techniques most often

 6  include one or more of the following:  prior, concurrent, and

 7  retrospective review of the medical necessity and

 8  appropriateness of services or site of services; contracts

 9  with selected health care providers; financial incentives or

10  disincentives related to the use of specific providers,

11  services, or service sites; controlled access to and

12  coordination of services by a case manager; and payor efforts

13  to identify treatment alternatives and modify benefit

14  restrictions for high-cost patient care.

15         Section 8.  Subsection (14) of section 381.0406,

16  Florida Statutes, is amended to read:

17         381.0406  Rural health networks.--

18         (14)  NETWORK FINANCING.--Networks may use all sources

19  of public and private funds to support network activities.

20  Nothing in this section prohibits networks from becoming

21  managed care providers, or accountable health partnerships,

22  provided they meet the requirements for an accountable health

23  partnership as specified in s. 408.706.

24         Section 9.  Paragraph (a) of subsection (2) of section

25  395.3035, Florida Statutes, is amended to read:

26         395.3035  Confidentiality of hospital records and

27  meetings.--

28         (2)  The following records and information of any

29  hospital that is subject to chapter 119 and s. 24(a), Art. I

30  of the State Constitution are confidential and exempt from the

31  provisions of s. 119.07(1) and s. 24(a), Art. I of the State

                                  14

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  Constitution:

 2         (a)  Contracts for managed care arrangements, as

 3  managed care is defined in s. 408.701, under which the public

 4  hospital provides health care services, including preferred

 5  provider organization contracts, health maintenance

 6  organization contracts, exclusive provider organization

 7  contracts, and alliance network arrangements, and any

 8  documents directly relating to the negotiation, performance,

 9  and implementation of any such contracts for managed care or

10  alliance network arrangements. As used in this paragraph, the

11  term "managed care" means systems or techniques generally used

12  by third-party payors or their agents to affect access to and

13  control payment for health care services. Managed-care

14  techniques most often include one or more of the following:

15  prior, concurrent, and retrospective review of the medical

16  necessity and appropriateness of services or site of services;

17  contracts with selected health care providers; financial

18  incentives or disincentives related to the use of specific

19  providers, services, or service sites; controlled access to

20  and coordination of services by a case manager; and payor

21  efforts to identify treatment alternatives and modify benefit

22  restrictions for high-cost patient care.

23         Section 10.  Paragraph (b) of subsection (1) of section

24  627.4301, Florida Statutes, is amended to read:

25         627.4301  Genetic information for insurance purposes.--

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

27         (b)  "Health insurer" means an authorized insurer

28  offering health insurance as defined in s. 624.603, a

29  self-insured plan as defined in s. 624.031, a

30  multiple-employer welfare arrangement as defined in s.

31  624.437, a prepaid limited health service organization as

                                  15

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1  defined in s. 636.003, a health maintenance organization as

 2  defined in s. 641.19, a prepaid health clinic as defined in s.

 3  641.402, a fraternal benefit society as defined in s. 632.601,

 4  an accountable health partnership as defined in s. 408.701, or

 5  any health care arrangement whereby risk is assumed.

 6         Section 11.  Subsection (3) of section 408.70, and

 7  sections 408.701, 408.702, 408.703, 408.704, 408.7041,

 8  408.7042, 408.7045, 408.7055, and 408.706, Florida Statutes,

 9  are repealed.

10

11

12  ================ T I T L E   A M E N D M E N T ===============

13  And the title is amended as follows:

14         On page 1, lines 2 and 3,

15  remove from the title of the bill:  all of said lines,

16

17  and insert in lieu thereof:

18         An act relating to small employer health

19         insurance; amending s. 408.7056, F.S.;

20         providing additional definitions for the

21         Statewide Provider and Subscriber Assistance

22         Program; amending s. 627.654, F.S.; providing

23         for insuring small employers under policies

24         issued to small employer health alliances;

25         providing requirements for participation;

26         providing limitations; providing for insuring

27         spouses and dependent children; allowing a

28         single master policy to include alternative

29         health plans; amending s. 627.6571, F.S.;

30         including small employer health alliances

31         within policy nonrenewal or discontinuance,

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                                                   HOUSE AMENDMENT

    hbd-032                                        Bill No. HB 687

    Amendment No.     (for drafter's use only)





 1         coverage modification, and application

 2         provisions; amending s. 627.6699, F.S.;

 3         revising restrictions relating to premium rates

 4         to authorize small employer carriers to modify

 5         rates under certain circumstances and to

 6         authorize carriers to issue group health

 7         insurance policies to small employer health

 8         alliances under certain circumstances;

 9         requiring carriers issuing a policy to an

10         alliance to allow appointed agents to sell such

11         a policy; amending ss. 240.2995, 240.2996,

12         240.512, 381.0406, 395.3035, and 627.4301,

13         F.S.; conforming cross references; defining the

14         term "managed care"; repealing ss. 408.70(3),

15         408.701, 408.702, 408.703, 408.704, 408.7041,

16         408.7042, 408.7045, 408.7055, and 408.706,

17         F.S., relating to community health purchasing

18         alliances; amending s. 627.6699, F.S.;

19

20

21

22

23

24

25

26

27

28

29

30

31

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    File original & 9 copies    04/26/00
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