The Florida Senate

CS/HB 293: Health Care Coverage Procedures

GENERAL BILL by Council for Healthy Communities ; Benson ; (CO-INTRODUCERS) Negron ; Green ; Harrell ; Ritter ; Fasano ; Slosberg ; Wishner ; Farkas ; Dick ; Russell

Health Care Coverage Procedures; includes preferred provider organizations & health insurers in claim dispute resolution program; specifies timeframes for submission of supporting documentation necessary for dispute resolution; specifies payment of claims provisions applicable to certain health insurers; modifies circumstances under which provider knows that organization is liable for service reimbursement, etc. Amends FS.

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• Bill History

  Date	Chamber	Action
  10/22/2001	House	• Prefiled
  11/6/2001	House	• Referred to Health Promotion (HCC); Judicial Oversight (SGC); Council for Healthy Communities
  11/21/2001	House	• On Committee agenda-- Health Promotion (HCC), 12/04/01, 9:00 am, 404-H --Workshop-Discussed
  12/7/2001	House	• On Committee agenda-- Health Promotion (HCC), 12/18/01, 2:45 pm, 404-H --Amendments adopted-Bill temporarily deferred
  12/21/2001	House	• On Committee agenda-- Health Promotion (HCC), 01/08/02, 2:45 pm, 404-H
  1/8/2002	House	• Favorable with 1 amendment(s) by Health Promotion (HCC); YEAS 9 NAYS 2
  1/22/2002	House	• Introduced, referred to Health Promotion (HCC); Judicial Oversight (SGC); Council for Healthy Communities -HJ 00026; On Committee agenda-- Health Promotion (HCC), 12/04/01, 9:00 am, 404-H --Workshop-Discussed; On Committee agenda-- Health Promotion (HCC), 12/18/01, 2:45 pm, 404-H --Amendments adopted-Bill temporarily deferred; On Committee agenda-- Health Promotion (HCC), 01/08/02, 2:45 pm, 404-H; Favorable with 1 amendment(s) by Health Promotion (HCC); YEAS 9 NAYS 2 -HJ 00082; Now in Judicial Oversight (SGC) -HJ 00082
  1/28/2002	House	• On Committee agenda-- Judicial Oversight (SGC), 01/30/02, 1:00 pm, 212-K --Temporarily deferred
  2/8/2002	House	• On Committee agenda-- Judicial Oversight (SGC), 02/12/02, 10:15 am, 212-K --Temporarily deferred
  2/19/2002	House	• On Committee agenda-- Judicial Oversight (SGC), 02/21/02, 8:00 am, 212-K
  2/21/2002	House	• Favorable with 1 amendment(s) by Judicial Oversight (SGC); YEAS 9 NAYS 0 -HJ 00292
  2/25/2002	House	• Now in Council for Healthy Communities -HJ 00292; On Council agenda-- Council for Healthy Communities, 02/26/02, 8:00 am, Reed Hall
  2/26/2002	House	• CS by- Council for Healthy Communities; YEAS 16 NAYS 0 -HJ 00859
  3/6/2002	House	• CS read first time on 03/06/02 -HJ 00853; Pending review of CS under Rule 6 -HJ 00859; Placed on Calendar -HJ 00859
  3/22/2002	House	• Died on Calendar, Link/Iden/Sim/Compare passed, refer to SB 46-E (Ch. 2002-389)

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• CS/HB 293, Committee Substitute 1 (Current Bill Version) Posted 3/7/2002 at 2:29 AM

  Bill Text:	Web Page | PDF

  Analyses:	Council for Healthy Communities (Post-Meeting) 2/26/2002 (pdf)

  Related Bills (4)

  Bill Number	Subject	Filed By	Relationship	Last Action and Location
  H 927	Public Records/Managed Care Org.	Benson	Linked	Last Action: 3/22/2002 H Died in Committee on State Administration (SGC), Link/Iden/Sim/Compare passed, refer to SB 46-E (Ch. 2002-389) Location:
  H 2007	Health Care Coverage Procedures	Council for Healthy Communities	Similar	Last Action: 3/15/2002 H Placed on Special Order Calendar; Substituted CS/CS/SB 362 (Died on House Calendar); Laid on Table, Link/Iden/Sim/Compare passed, refer to SB 46-E (Ch. 2002-389) -HJ 01898 Location:
  H 507 (e2)	Emergencies & Disasters/Response	Farkas	Compare	Last Action: 3/22/2002 H In returning messages; Died in returning Messages, Link/Iden/Sim/Compare passed, refer to HB 1405 (Ch. 2002-254), CS/SB 268 (Ch. 2002-195), CS/SB 1262 (Ch. 2002-269), CS/SB 2048 (Ch. 2002-35), HB 59-E (Ch. 2002-400) Location:
  S 362 (e2)	Health Insurance	Saunders	Compare	Last Action: 3/22/2002 H Read third time -HJ 02769; Amendment(s) reconsidered, Temporarily postponed -HJ 02836; Died on Calendar, Link/Iden/Sim/Compare passed, refer to SB 46-E (Ch. 2002-389) Location:

  Citations - Statutes (11)

  Citation	Catchline	Location in Bill Location In Bill Help
  408.7057	Statewide provider and managed care organization claim dispute resolution program.
  626.88	Definitions of "administrator" and "insurer".
  627.6131
  627.6135
  627.638	Direct payment for hospital, medical services.
  627.651	Group contracts and plans of self-insurance must meet group requirements.
  627.662	Other provisions applicable.
  641.30	Construction and relationship to other laws.
  641.3154	Organization liability; provider billing prohibited.
  641.3155	Payment of claims.
  641.3156	Treatment authorization; payment of claims.

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• HB 293, Original Filed Version Posted 10/24/2001 at 1:14 AM

  Bill Text:	Web Page | PDF

  Analyses:	Health Promotion (Post-Meeting) 11/28/2001 (pdf) Health Promotion (Post-Meeting) 1/22/2002 (pdf) Judicial Oversight (Post-Meeting) 1/28/2002 (pdf) Judicial Oversight (Post-Meeting) 2/18/2002 (pdf) Judicial Oversight (Post-Meeting) 2/21/2002 (pdf)

  Committee Amendments (2)

  Amendment	Sponsor	Filed	Last Committee Action	Format
  864531 - Amendment	Health Promotion	1/17/2002 9:57 AM		Web Page PDF
  762351 - Substitute Amendment (864531)	Judicial Oversight	2/27/2002 12:39 AM		Web Page PDF

  Citations - Statutes (7)

  Citation	Catchline	Location in Bill Location In Bill Help
  408.7057	Statewide provider and managed care organization claim dispute resolution program.
  627.638	Direct payment for hospital, medical services.
  627.651	Group contracts and plans of self-insurance must meet group requirements.
  627.662	Other provisions applicable.
  641.30	Construction and relationship to other laws.
  641.3155	Payment of claims.
  641.3156	Treatment authorization; payment of claims.

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