HB 0743 2003
1	A bill to be entitled
2	An act relating to health care practice parameters;
3	repealing ss. 408.02 and 440.13(15), F.S., to delete the
4	requirement that the Agency for Health Care Administration
5	develop, endorse, and implement health care practice
6	parameters; amending ss. 440.134, 627.6418, and 627.6613,
7	F.S., relating to workers' compensation managed care plans
8	and health insurance policy coverage for mammograms;
9	removing references and legislative intent, to conform;
10	providing an effective date.
11
12	Be It Enacted by the Legislature of the State of Florida:
13
14	Section 1. Section 408.02, Florida Statutes, and
15	subsection (15) of section 440.13, Florida Statutes, are
16	repealed.
17	Section 2. Subsection (11) of section 440.134, Florida
18	Statutes, is amended to read:
19	440.134 Workers' compensation managed care arrangement.--
20	(11) A description of the use of any applicableworkers'
21	compensation practice parameters for health care services when
22	adopted by the agency.
23	Section 3. Subsection (1) of section 627.6418, Florida
24	Statutes, is amended to read:
25	627.6418 Coverage for mammograms.--
26	(1) An accident or health insurance policy issued,
27	amended, delivered, or renewed in this state must provide
28	coverage for at least the following:
29	(a) A baseline mammogram for any woman who is 35 years of
30	age or older, but younger than 40 years of age.
31	(b) A mammogram every 2 years for any woman who is 40
32	years of age or older, but younger than 50 years of age, or more
33	frequently based on the patient's physician's recommendation.
34	(c) A mammogram every year for any woman who is 50 years
35	of age or older.
36	(d) One or more mammograms a year, based upon a
37	physician's recommendation, for any woman who is at risk for
38	breast cancer because of a personal or family history of breast
39	cancer, because of having a history of biopsy-proven benign
40	breast disease, because of having a mother, sister, or daughter
41	who has or has had breast cancer, or because a woman has not
42	given birth before the age of 30.
43
44	It is the intent of the Legislature that, when practice
45	parameters for the delivery of mammography services are
46	developed pursuant to s. 408.02(7), the Legislature review the
47	requirements of this section and conform to the practice
48	parameters.
49	Section 4. Subsection (1) of section 627.6613, Florida
50	Statutes, is amended to read:
51	627.6613 Coverage for mammograms.--
52	(1) A group, blanket, or franchise accident or health
53	insurance policy issued, amended, delivered, or renewed in this
54	state must provide coverage for at least the following:
55	(a) A baseline mammogram for any woman who is 35 years of
56	age or older, but younger than 40 years of age.
57	(b) A mammogram every 2 years for any woman who is 40
58	years of age or older, but younger than 50 years of age, or more
59	frequently based on the patient's physician's recommendation.
60	(c) A mammogram every year for any woman who is 50 years
61	of age or older.
62	(d) One or more mammograms a year, based upon a
63	physician's recommendation, for any woman who is at risk for
64	breast cancer because of a personal or family history of breast
65	cancer, because of having a history of biopsy-proven benign
66	breast disease, because of having a mother, sister, or daughter
67	who has or has had breast cancer, or because a woman has not
68	given birth before the age of 30.
69
70	It is the intent of the Legislature that, when practice
71	parameters for the delivery of mammography services are
72	developed pursuant to s. 408.02(7), the Legislature review the
73	requirements of this section and conform to the practice
74	parameters.
75	Section 5. This act shall take effect upon becoming a law.