Senate Bill sb1088e1

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    CS for SB 1088                                 First Engrossed



  1                      A bill to be entitled

  2         An act relating to health maintenance

  3         organization provider contracts; amending s.

  4         641.19, F.S.; defining the term "schedule of

  5         reimbursements"; amending s. 641.315, F.S.;

  6         requiring a contract between a health

  7         maintenance organization and a provider to

  8         disclose a complete schedule of reimbursements

  9         for contracted services, including changes and

10         deviations; providing criteria, requirements,

11         and limitations; providing a definition;

12         providing an effective date.

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14  Be It Enacted by the Legislature of the State of Florida:

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16         Section 1.  Subsections (16) through (20) of section

17  641.19, Florida Statutes, are renumbered as subsections (17)

18  through (21), respectively, and a new subsection (16) is added

19  to said section to read:

20         641.19  Definitions.--As used in this part, the term:

21         (16)  "Schedule of reimbursements" means a schedule of

22  fees to be paid by a health maintenance organization to a

23  physician provider for reimbursement for specific services

24  pursuant to the terms of a contract. The physician provider's

25  net reimbursement may vary after consideration of other

26  factors, including, but not limited to, bundling codes

27  together into another code and member cost-sharing

28  responsibility, as long as these factors are disclosed and

29  included in the terms of the contract between the health

30  maintenance organization and provider. The reimbursement

31  schedule may be stated as:


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    CS for SB 1088                                 First Engrossed



 1         (a)  A percentage of the Medicare fee schedule for

 2  specific relative-value services;

 3         (b)  A listing of the reimbursements to be paid by

 4  Current Procedural Terminology codes for physicians that

 5  pertain to each physician's practice; or

 6         (c)  Any other method agreed upon by the parties.

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 8  Specific non-relative-value services shall be stated

 9  separately from relative-value services, and reimbursement for

10  unclassified services shall be on a reasonable basis.

11         Section 2.  Subsection (4) of section 641.315, Florida

12  Statutes, is amended to read:

13         641.315  Provider contracts.--

14         (4)  Whenever a contract exists between a health

15  maintenance organization and a provider, the health

16  maintenance organization shall disclose to the provider:

17         (a)  The mailing address or electronic address where

18  claims should be sent for processing.;

19         (b)  The telephone number that a provider may call to

20  have questions and concerns regarding claims addressed.; and

21         (c)  The address of any separate claims-processing

22  centers for specific types of services.

23         (d)1.  The complete schedule of reimbursements for all

24  the services for which a health maintenance organization and a

25  provider have contracted and any changes in or deviations from

26  the contracted schedule of reimbursements. The health

27  maintenance organization may satisfy this requirement by:

28         a.  Providing the schedule of reimbursements or changes

29  in or deviations from the schedule by electronic means to the

30  provider; or

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    CS for SB 1088                                 First Engrossed



 1         b.  Providing a written copy of the schedule of

 2  reimbursements or changes or deviations from the schedule if

 3  requested by the provider.

 4         2.  The schedule of reimbursements is subject to the

 5  nondisclosure provisions of the contract, and the provider

 6  shall maintain the confidentiality of the schedule. For

 7  purposes of this paragraph, the term "provider" means a

 8  physician licensed under chapter 458, chapter 459, chapter

 9  460, chapter 461, or chapter 466.

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11  A health maintenance organization shall provide to its

12  contracted providers no less than 30 calendar days' prior

13  written notice of any changes in the information required in

14  this subsection.

15         Section 3.  This act shall take effect January 1, 2005.

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CODING: Words stricken are deletions; words underlined are additions.