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.

  9

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

11

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

    728-139A-02






  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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21            *****************************************

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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