SENATE AMENDMENT
Bill No. CS for SB 1788 Barcode 575848
Amendment No. ___
CHAMBER ACTION
Senate House
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11 Senator Carlton moved the following amendment:
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13 Senate Amendment (with title amendment)
14 On page 2, line 14, delete that line
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16 and insert:
17 Section 3. Subsection (9) is added to section 627.419,
18 Florida Statutes, to read:
19 627.419 Construction of policies.--
20 (9) With respect to any group or individual insurer
21 covering dental services, each claimant, or dentist acting for
22 a claimant, who has had a claim denied as not medically or
23 dentally necessary or who has had a claim payment based on an
24 alternate dental service in accordance with accepted dental
25 standards for adequate and appropriate care must be provided
26 an opportunity for an appeal to the insurer's licensed dentist
27 who is responsible for the medical necessity reviews under the
28 plan or is a member of the plan's peer review group. The
29 appeal may be by telephone, and the insurer's dentist must
30 respond within a reasonable time, not to exceed 15 business
31 days.
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SENATE AMENDMENT
Bill No. CS for SB 1788 Barcode 575848
Amendment No. ___
1 Section 4. This act shall take effect July 1, 2001,
2 and section 3 of this act, amending section 627.419, Florida
3 Statutes, shall apply to policies issued or renewed after that
4 date.
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8 And the title is amended as follows:
9 Delete everything before the enacting clause
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12 A bill to be entitled
13 An act relating to dentistry; amending s.
14 627.419, F.S.; providing for appeals from
15 certain adverse determinations relating to
16 dental service claims; amending s. 456.031,
17 F.S.; providing an alternative by which
18 licensees under ch. 466, F.S., may comply with
19 a general requirement that they take
20 domestic-violence education courses; amending
21 s. 456.033, F.S.; providing an alternative by
22 which such licensees may comply with a general
23 requirement that they take AIDS/HIV education
24 courses; providing an effective date.
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