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 (and title amendment) |
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Between lines 1320 and 1321, insert: |
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Section 25. Subsection (6) is added to section 641.54, |
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Florida Statutes, to read: |
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641.54 Information disclosure.-- |
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(6) Every health maintenance organization shall make |
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available to its subscribers the estimated co-pay, co-insurance, |
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or deductible, whichever is applicable, for any covered service, |
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the status of the subscriber’s maximum annual out-of-pocket |
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payments for a covered individual or family, and the status of |
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the subscriber’s maximum lifetime benefit. Each health |
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maintenance organization shall, upon request of a subscriber, |
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provide an estimate of the amount the health maintenance |
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organization will pay for a particular medical procedure or |
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service. The estimate may be in the form of a range of payments |
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or an average payment. A health maintenance organization that |
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provides a subscriber with a good faith estimate is not bound by |
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the estimate.
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Section 26. If any provision of this act or the |
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application thereof to any person or circumstance is held |
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invalid, the invalidity shall not affect other provisions or |
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applications of the act which can be given effect without the |
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invalid provision or application, and to this end the provisions |
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of this act are declared severable.
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================= T I T L E A M E N D M E N T ================= |
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Remove line 73, and insert: |
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cross references; amending s. 641.54, F.S.; requiring |
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health maintenance organizations to provide specific |
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information to subscribers; providing severability; |
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providing an effective date. |