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



                                                   HOUSE AMENDMENT

                                                Bill No. CS/HB 393

    Amendment No. ___ (for drafter's use only)

                            CHAMBER ACTION
              Senate                               House
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  4  ______________________________________________________________

  5                                           ORIGINAL STAMP BELOW

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10  ______________________________________________________________

11  Representative(s) Simmons, Brown, and Waters offered the

12  following:

13

14         Amendment (with title amendment) 

15         On page 3, between lines 25 & 26 of the bill

16

17  insert:

18         Section 3.  Paragraph (b) of subsection (5) of section

19  627.736, Florida Statutes, is amended to read:

20         627.736  Required personal injury protection benefits;

21  exclusions; priority; claims.--

22         (5)  CHARGES FOR TREATMENT OF INJURED PERSONS.--

23         (b)1.  An insurer or insured is not required to pay a

24  claim made by a broker or by a person making a claim on behalf

25  of a broker.  However, this sub-paragraph shall not be

26  construed to require reimbursement for persons not otherwise

27  reimbursable.

28         2.  Charges for medically necessary cephalic

29  thermograms, peripheral thermograms, spinal ultrasounds,

30  extremity ultrasounds, video fluoroscopy, and surface

31  electromyography shall not exceed the maximum reimbursement

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    File original & 9 copies    03/20/02
    hin0002                     11:14 am         00393-0037-642077




                                                   HOUSE AMENDMENT

                                                Bill No. CS/HB 393

    Amendment No. ___ (for drafter's use only)





  1  allowance for such procedures as set forth in the applicable

  2  fee schedule or other payment methodology established pursuant

  3  to s. 440.13.

  4         3.  Allowable amounts that may be charged to a personal

  5  injury protection insurance insurer and insured for medically

  6  necessary nerve conduction testing when done in conjunction

  7  with a needle electromyography procedure and both are

  8  performed and billed solely by a physician licensed under

  9  chapter 458, chapter 459, chapter 460, or chapter 461 who is

10  also certified by the American Board of Electrodiagnostic

11  Medicine or by a board recognized by the American Board of

12  Medical Specialties or the American Osteopathic Association or

13  who holds diplomate status with the American Chiropractic

14  Neurology Board or its predecessors or the American Board of

15  Chiropractic Orthopedics shall not exceed 200 percent of the

16  allowable amount under the participating physician fee

17  schedule of Medicare Part B for year 2001, in effect on June

18  19, 2001 for the area in which the treatment was rendered,

19  adjusted annually in February of each year, beginning with

20  February 2003, by an additional amount equal to the prior

21  year's annual Medical Care Item of the Consumer Price Index

22  for All Urban Consumers as determined by the Bureau of Labor

23  Statistics of the United States Department of Labor medical

24  Consumer Price Index for Florida.

25         4.  Allowable amounts that may be charged to a personal

26  injury protection insurance insurer and insured for medically

27  necessary nerve conduction testing that does not meet the

28  requirements of subparagraph 3. shall not exceed the

29  applicable fee schedule or other payment methodology

30  established pursuant to s. 440.13.

31         5.  From June 19, 2001 Effective upon this act becoming

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    File original & 9 copies    03/20/02
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                                                   HOUSE AMENDMENT

                                                Bill No. CS/HB 393

    Amendment No. ___ (for drafter's use only)





  1  a law and before November 1, 2001, allowable amounts that may

  2  be charged to a personal injury protection insurance insurer

  3  and insured for magnetic resonance imaging services shall not

  4  exceed 200 percent of the allowable amount under the

  5  participating physician fee schedule of Medicare Part B for

  6  year 2001 in effect on June 19, 2001, for the area in which

  7  the treatment was rendered. Beginning November 1, 2001,

  8  allowable amounts that may be charged to a personal injury

  9  protection insurance insurer and insured for magnetic

10  resonance imaging services shall not exceed 175 percent of the

11  allowable amount under the participating physician fee

12  schedule of Medicare Part B for year 2001 in effect on June

13  19, 2001, for the area in which the treatment was rendered,

14  adjusted annually in February of each year, beginning with

15  February 2003, by an additional amount equal to the prior

16  year's annual Medical Care Item of the Consumer Price Index

17  for All Urban Consumers as determined by the Bureau of Labor

18  Statistics of the United States Department of Labor medical

19  Consumer Price Index for Florida, except that allowable

20  amounts that may be charged to a personal injury protection

21  insurance insurer and insured for magnetic resonance imaging

22  services provided in facilities accredited by the American

23  College of Radiology or the Joint Commission on Accreditation

24  of Healthcare Organizations shall not exceed 200 percent of

25  the allowable amount under the participating physician fee

26  schedule of Medicare Part B for year 2001 in effect on June

27  19, 2001, for the area in which the treatment was rendered,

28  adjusted annually in February of each year, beginning with

29  February 2003, by an additional amount equal to the prior

30  year's annual Medical Care Item of the Consumer Price Index

31  for All Urban Consumers as determined by the Bureau of Labor

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    File original & 9 copies    03/20/02
    hin0002                     11:14 am         00393-0037-642077




                                                   HOUSE AMENDMENT

                                                Bill No. CS/HB 393

    Amendment No. ___ (for drafter's use only)





  1  Statistics of the United States Department of Labor medical

  2  Consumer Price Index for Florida. This paragraph does not

  3  apply to charges for magnetic resonance imaging services and

  4  nerve conduction testing for inpatients and emergency services

  5  and care as defined in chapter 395 rendered by facilities

  6  licensed under chapter 395.

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  8

  9  ================ T I T L E   A M E N D M E N T ===============

10  And the title is amended as follows:

11         On page 1, line 5

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13  after "effect;", insert:

14         amending s. 627.736, F.S.; revising provisions

15         for charges for treatment of injured persons;

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    File original & 9 copies    03/20/02
    hin0002                     11:14 am         00393-0037-642077