Senate Bill sb0836e1

    CS for SB 836                                  First Engrossed



  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 this

10         prohibition to group health insurance, blanket

11         health insurance, and franchise health

12         insurance; amending s. 641.315, F.S.; applying

13         this 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(4) to accept the terms of other health care

23  practitioner contracts with the insurer, including Medicare

24  and Medicaid practitioner contracts and those authorized by s.

25  627.6471, s. 627.6472, or s. 641.315, except for a

26  practitioner in a group practice as defined in s. 456.053 who

27  must accept the terms of a contract negotiated for the

28  practitioner by the group, as a condition of continuation or

29  renewal of the contract. Any contract provision that violates

30  this section is void. A violation of this section is not

31  subject to the criminal penalty specified in s. 624.15.


                                  1

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






    CS for SB 836                                  First Engrossed



  1         Section 2.  Subsection (11) is added to section

  2  627.662, Florida Statutes, to read:

  3         627.662  Other provisions applicable.--The following

  4  provisions apply to group health insurance, blanket health

  5  insurance, and franchise health insurance:

  6         (11)  Section 627.6474, relating to provider contracts.

  7         Section 3.  Subsection (10) is added to section

  8  641.315, Florida Statutes, to read:

  9         641.315  Provider contracts.--

10         (10)  A health maintenance organization shall not

11  require a contracted health care practitioner as defined in s.

12  456.001(4) to accept the terms of other health care

13  practitioner contracts with the health maintenance

14  organization, including Medicare and Medicaid practitioner

15  contracts and those authorized by s. 627.6471, s. 627.6472, or

16  s. 641.315, except for a practitioner in a group practice as

17  defined in s. 456.053 who must accept the terms of a contract

18  negotiated for the practitioner by the group, as a condition

19  of continuation or renewal of the contract. Any contract

20  provision that violates this section is void. A violation of

21  this section is not subject to the criminal penalty specified

22  in s. 624.15.

23         Section 4.  This act shall take effect July 1, 2001,

24  and shall apply to contracts entered into or renewed on or

25  after that date.

26

27

28

29

30

31


                                  2

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