HOUSE AMENDMENT Bill No. HB 15C
1	CHAMBER ACTION
2	Senate House
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12	Representative Sobel offered the following:
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14	Amendment (with title amendment)
15	Remove line(s) 2361-2394, and insert:
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17	(18) "Subscriber" means an entity or individual who has
18	contracted, or on whose behalf a contract has been entered into,
19	with a health maintenance organization for health care coverage
20	services or other persons who also receive health care coverage
21	servicesas a result of the contract.
22	Section 43. Subsection (3) of section 641.51, Florida
23	Statutes, is amended to read:
24	641.51 Quality assurance program; second medical opinion
25	requirement.--
26	(3) The health maintenance organization shall not have the
27	right to control theprofessional judgment of a physician
28	licensed under chapter 458, chapter 459, chapter 460, or chapter
29	461 concerning the proper course of treatment of a subscriber
30	shall not be subject to modification by the organization or its
31	board of directors, officers, or administrators, unless the
32	course of treatment prescribed is inconsistent with the
33	prevailing standards of medical practice in the community.
34	However, this subsection shall not be considered to restrict a
35	utilization management program established by an organization or
36	to affect an organization’s decision as to payment for covered
37	services.
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39	================= T I T L E A M E N D M E N T =================
40	Remove line(s) 167-176, and insert:
41	s. 641.19, F.S.; revising certain definitions; amending s.
42	641.51, F.S.; proscribing a health maintenance organization’s
43	right to control the professional judgment of a physician;
44	amending s.