House Bill hb0911
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Florida House of Representatives - 2002 HB 911
By Representative Farkas
1 A bill to be entitled
2 An act relating to mandated health benefit
3 coverages; requiring the Office of Legislative
4 Services to contract for completion of a report
5 on existing and proposed mandated health
6 insurance benefit coverages; specifying report
7 review requirements; requiring a report to the
8 Legislature; providing an effective date.
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10 Be It Enacted by the Legislature of the State of Florida:
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12 Section 1. (1) Using a portion of the funds made
13 available in Specific Appropriation 2556 in the General
14 Appropriations Act for fiscal year 2001-2002, the Office of
15 Legislative Services shall contract for the completion of a
16 report assessing the impact of:
17 (a) The following existing mandated health benefit
18 coverages:
19 1. Bone marrow transplants.
20 2. Cancer drugs.
21 3. Child health supervision services.
22 4. Cleft lip and cleft palate for children.
23 5. Dental procedures for children: general anesthesia
24 and hospitalization.
25 6. Diabetes treatment.
26 7. Emergency care.
27 8. Extension of major medical benefits.
28 9. HIV coverage.
29 10. Home health care services.
30 11. Mammograms.
31 12. Mastectomy:
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Florida House of Representatives - 2002 HB 911
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1 a. Length of stay and outpatient coverage.
2 b. Surgical procedures and devices.
3 13. Maternity: length of stay and postdelivery care.
4 14. Obstetrical and gynecological annual visits.
5 15. Osteoporosis diagnosis and treatment.
6 16. Out-of-hospital services.
7 17. Temporomandibular joint disease.
8 18. Newborn hearing screening.
9 (b) The following proposed mandated health benefit
10 coverages:
11 1. Substance abuse.
12 2. Contraceptives and infertility.
13 3. Mental health services for persons with a serious
14 mental illness. For purposes of this subparagraph, the term
15 "serious mental illness" means any mental illness that is
16 recognized in the edition of relevant manuals of the American
17 Psychiatric Association or by the International Classification
18 of Diseases in effect on October 1, 2000, and affirmed by
19 medical science as caused by biological disorder of the brain
20 and that substantially limits the life activities of the
21 patient. The term includes, but is not limited to,
22 schizophrenia, autism, schizoaffective disorders, anxiety and
23 panic, bipolar affective disorders, major depression, and
24 obsessive-compulsive disorder.
25 (2) Such review shall include:
26 (a) Those elements for review as specified in s.
27 624.215(2), Florida Statutes, relating to proposals for
28 legislation which would mandate health benefit coverage and
29 review by the Legislature, to what extent the mandated health
30 benefit coverage is part of self-insured plans offered in this
31 state or federally funded programs such as those offered to
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Florida House of Representatives - 2002 HB 911
728-139A-02
1 employees of the United States Postal Service and employees of
2 the Federal Government, to what extent such mandated health
3 benefit coverages are available as part of large group plans
4 versus small group plans, and recent state and Federal Court
5 and administrative rulings regarding such issues.
6 (b) The nature of those services being used by those
7 insured persons who currently have a health coverage benefit,
8 including what is included in such coverage, the conditions
9 for which coverage is included, the extent to which such
10 covered persons reach any applicable annual or lifetime
11 benefit cap, utilization and authorization guidelines
12 applicable to such coverage, and inclusion of treatment
13 medications and guidelines applicable to medication coverage.
14 (3) Such contract shall be executed by August 1, 2002,
15 and the report shall be submitted to the President of the
16 Senate and the Speaker of the House of Representatives by
17 April 1, 2003.
18 Section 2. This act shall take effect upon becoming a
19 law.
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22 HOUSE SUMMARY
23
Requires the Office of Legislative Services to contract
24 for completion of a report on existing mandated health
insurance benefit coverages and proposed health benefit
25 coverages and specifies report review requirements.
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CODING: Words stricken are deletions; words underlined are additions.