House Bill hb0809c2
CODING: Words stricken are deletions; words underlined are additions.
Florida House of Representatives - 2001 CS/CS/HB 809
By the Council for Competitive Commerce and Committee on
Insurance and Representatives Murman, Waters, Benson, Harrell,
Ritter, Sobel, Slosberg, Farkas, Simmons, Negron, Romeo,
Prieguez, Melvin, Kallinger, Ross, Clarke, Bucher, Cusack,
Littlefield, Joyner, Diaz de la Portilla and Brown
1 A bill to be entitled
2 An act relating to health insurers and health
3 maintenance organizations; creating s.
4 627.6474, F.S.; prohibiting health insurers
5 from requiring certain contracted health care
6 practitioners to accept the terms of other
7 health care contracts as a condition of
8 continuation or renewal; providing exceptions;
9 amending s. 627.662, F.S.; applying such
10 prohibition to group health insurance, blanket
11 health insurance, and franchise health
12 insurance; amending s. 641.315, F.S.; applying
13 such prohibition to health maintenance
14 organizations; providing an effective date.
15
16 Be It Enacted by the Legislature of the State of Florida:
17
18 Section 1. Section 627.6474, Florida Statutes, is
19 created to read:
20 627.6474 Provider contracts.--A health insurer shall
21 not require a contracted health care practitioner as defined
22 in s. 456.001 to accept the terms of other health care
23 practitioner contracts with the insurer, or any other insurer
24 or health maintenance organization under common management and
25 control with the insurer, including Medicare and Medicaid
26 practitioner contracts and those authorized by s. 627.6471, s.
27 627.6472, or s. 641.315, except for a practitioner in a group
28 practice as defined in s. 456.053 who must accept the terms of
29 a contract negotiated for the practitioner by the group as a
30 condition of continuation or renewal of the contract. Any
31 contract provision that violates this section is void. A
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Florida House of Representatives - 2001 CS/CS/HB 809
402-115-01
1 violation of this section is not subject to the criminal
2 penalty specified in s. 624.15.
3 Section 2. Subsection (11) is added to section
4 627.662, Florida Statutes, to read:
5 627.662 Other provisions applicable.--The following
6 provisions apply to group health insurance, blanket health
7 insurance, and franchise health insurance:
8 (11) Section 627.6474, relating to provider contracts.
9 Section 3. Subsection (10) is added to section
10 641.315, Florida Statutes, to read:
11 641.315 Provider contracts.--
12 (10) A health maintenance organization shall not
13 require a contracted health care practitioner as defined in s.
14 456.001 to accept the terms of other health care practitioner
15 contracts with the health maintenance organization, or any
16 insurer or other health maintenance organization under common
17 management and control with the health maintenance
18 organization, including Medicare and Medicaid practitioner
19 contracts and those authorized by s. 627.6471, s. 627.6472, or
20 s. 641.315, except for a practitioner in a group practice as
21 defined in s. 456.053 who must accept the terms of a contract
22 negotiated for the practitioner by the group, as a condition
23 of continuation or renewal of the contract. Any contract
24 provision that violates this section is void. A violation of
25 this section is not subject to the criminal penalty specified
26 in s. 624.15.
27 Section 4. This act shall take effect July 1, 2001,
28 and shall apply to contracts entered into or renewed on or
29 after that date.
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