House Bill hb0321e1

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




                                 CS/CS/HB 321, First Engrossed/ntc



  1                      A bill to be entitled

  2         An act relating to prescription drug claim

  3         identification cards; creating s. 627.4302,

  4         F.S.; providing intent; requiring certain

  5         entities to provide a benefits identification

  6         card by a date certain for certain purposes

  7         under certain circumstances; providing an

  8         exception; specifying required information;

  9         providing for temporary stickers for annual

10         renewal cards; providing an effective date.

11

12  Be It Enacted by the Legislature of the State of Florida:

13

14         Section 1.  Section 627.4302, Florida Statutes, is

15  created to read:

16         627.4302  Identification cards for processing

17  prescription drug claims.--

18         (1)  The purpose of this section is to improve patient

19  care by minimizing confusion, eliminating unnecessary work,

20  decreasing patient wait time, and improving business

21  efficiencies.

22         (2)  Any health insurer or health maintenance

23  organization and all state and local government entities

24  entering into an agreement to provide coverage for

25  prescription drugs on an outpatient basis shall provide a

26  benefits identification card containing the following

27  information:

28         (a)  The name of the claim processor.

29         (b)  The electronic claims payor identification number

30  or the issuer identification number, also referred to as the

31


                                  1

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






                                 CS/CS/HB 321, First Engrossed/ntc



  1  Banking Identification Number or "BIN," assigned by the

  2  American National Standards Institute.

  3         (c)  The insured's prescription group number.

  4         (d)  The insured's identification number.

  5         (e)  The insured's name.

  6         (f)  The claims submission name and address.

  7         (g)  The help desk telephone number.

  8         (h)  Any other information that the entity finds will

  9  assist in the processing of the claim.

10         (i)  The information required in (a), (b), (g), and (h)

11  must be provided on the card, unless instruction is provided

12  on the card for ready access to such information by electronic

13  means.

14         (3)  The benefits identification card shall present the

15  information in a manner readily identifiable or,

16  alternatively, the information may be embedded in the card and

17  available through magnetic stripe or smart card.  The

18  information may also be provided through other electronic

19  technology.

20         (4)  Any entity providing a health benefits

21  identification card containing all of the information required

22  by this section shall not be required to provide a separate

23  identification card for prescription drug benefits.

24         (5)  A benefits identification card required under

25  subsection (2) shall be issued no later than 60 days after any

26  change in the information contained on the card becomes

27  effective.  An entity may issue a temporary sticker containing

28  the new information in lieu of issuing a new card prior to the

29  annual renewal date.  Such sticker shall be designed so that

30  it can be attached to the existing card.

31


                                  2

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






                                 CS/CS/HB 321, First Engrossed/ntc



  1         Section 2.  This act shall take effect October 1, 2002,

  2  and shall apply to policies or contracts issued or renewed on

  3  or after that date.

  4

  5

  6

  7

  8

  9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31


                                  3

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