HOUSE AMENDMENT |
Bill No. HB 723 CS |
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CHAMBER ACTION |
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Representative Farkas offered the following: |
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Amendment (with title amendment) |
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Between lines 128 and 129, insert: |
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Section 2. Section 624.603, Florida Statutes, is amended |
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to read: |
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624.603 "Health insurance" defined.--"Health insurance," |
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also known as "disability insurance," is insurance of human |
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beings against bodily injury, disablement, or death by accident |
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or accidental means, or the expense thereof, or against |
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disablement or expense resulting from sickness, and every |
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insurance appertaining thereto. Health insurance does not |
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include workers' compensation coverages, except as provided in |
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s. 624.406. |
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Section 3. Paragraph (b) of subsection (6) of section |
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627.410, Florida Statutes, is amended to read: |
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627.410 Filing, approval of forms.-- |
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(6) |
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(b) The department may establish by rule, for each type of |
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health insurance form, procedures to be used in ascertaining the |
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reasonableness of benefits in relation to premium rates and may, |
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by rule, exempt from any requirement of paragraph (a) any health |
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insurance policy form or type thereof (as specified in such |
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rule) to which form or type such requirements may not be |
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practically applied or to which form or type the application of |
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such requirements is not desirable or necessary for the |
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protection of the public. A law restricting or limiting |
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deductibles, coinsurance, copayments, or annual or lifetime |
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maximum payments shall not apply to any health plan policy |
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offered or delivered to an individual or to a group of 51 or |
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more persons which provides coverage as described in s. |
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627.6561(5)(a)2.With respect to any health insurance policy |
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form or type thereof which is exempted by rule from any |
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requirement of paragraph (a), premium rates filed pursuant to |
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ss. 627.640 and 627.662 shall be for informational purposes. |
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Section 4. Section 627.6410, Florida Statutes, is created |
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to read: |
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627.6410 Optional coverage for speech, language, |
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swallowing, and hearing disorders.--
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(1) Insurers issuing individual health insurance policies |
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in this state shall make available to the policyholder as part |
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of the application for any such policy of insurance, for an |
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appropriate additional premium, the benefits or levels of |
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benefits specified in the December 1999 Florida Medicaid Therapy |
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Services Handbook for genetic or congenital disorders or |
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conditions involving speech, language, swallowing, and hearing |
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and a hearing aid and earmolds benefit at the level of benefits |
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specified in the January 2001 Florida Medicaid Hearing Services |
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Handbook.
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(2) This section does not apply to specified accident, |
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specified disease, hospital indemnity, limited benefit, |
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disability income, or long-term care insurance policies.
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(3) Such optional coverage is not required to be offered |
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when substantially similar benefits are included in the policy |
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of insurance issued to the policyholder.
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(4) This section does not require or prohibit the use of a |
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provider network.
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(5) This section does not prohibit an insurer from |
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requiring prior authorization for the benefits under this |
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section.
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================= T I T L E A M E N D M E N T ================= |
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Remove line 31, and insert: |
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program; amending s. 624.603, F.S.; providing an exception to |
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include workers’ compensation coverages in health insurance; |
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amending s. 627.410, F.S.; exempting individuals and certain |
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groups from laws restricting or limiting coinsurance, |
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copayments, or annual or lifetime maximum payments; creating s. |
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627.6410, F.S.; providing for optional coverage in health |
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insurance policies for speech, language, swallowing, and hearing |
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disorders; providing an exclusion; providing exceptions; |
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providing a limitation; amending s. 627.651, F.S.; correcting a |
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cross |