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25	repealed.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