Senate Bill sb1092c1
CODING: Words stricken are deletions; words underlined are additions.
Florida Senate - 2004 CS for SB 1092
By the Committee on Health, Aging, and Long-Term Care; and
Senator Saunders
317-1328-04
1 A bill to be entitled
2 An act relating to health care practice
3 parameters; amending ss. 627.6418 and 627.6613,
4 F.S., relating to health insurance policy
5 coverage for mammograms; deleting provisions
6 expressing the legislative intent that
7 requirements for such coverage conform to
8 specified practice parameters; repealing s.
9 408.02, F.S., which requires that the Agency
10 for Health Care Administration develop,
11 endorse, and implement such parameters;
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. Subsection (1) of section 627.6418, Florida
17 Statutes, is amended to read:
18 627.6418 Coverage for mammograms.--
19 (1) An accident or health insurance policy issued,
20 amended, delivered, or renewed in this state must provide
21 coverage for at least the following:
22 (a) A baseline mammogram for any woman who is 35 years
23 of age or older, but younger than 40 years of age.
24 (b) A mammogram every 2 years for any woman who is 40
25 years of age or older, but younger than 50 years of age, or
26 more frequently based on the patient's physician's
27 recommendation.
28 (c) A mammogram every year for any woman who is 50
29 years of age or older.
30 (d) One or more mammograms a year, based upon a
31 physician's recommendation, for any woman who is at risk for
1
CODING: Words stricken are deletions; words underlined are additions.
Florida Senate - 2004 CS for SB 1092
317-1328-04
1 breast cancer because of a personal or family history of
2 breast cancer, because of having a history of biopsy-proven
3 benign breast disease, because of having a mother, sister, or
4 daughter who has or has had breast cancer, or because a woman
5 has not given birth before the age of 30.
6
7 It is the intent of the Legislature that, when practice
8 parameters for the delivery of mammography services are
9 developed pursuant to s. 408.02(7), the Legislature review the
10 requirements of this section and conform to the practice
11 parameters.
12 Section 2. Subsection (1) of section 627.6613, Florida
13 Statutes, is amended to read:
14 627.6613 Coverage for mammograms.--
15 (1) A group, blanket, or franchise accident or health
16 insurance policy issued, amended, delivered, or renewed in
17 this state must provide coverage for at least the following:
18 (a) A baseline mammogram for any woman who is 35 years
19 of age or older, but younger than 40 years of age.
20 (b) A mammogram every 2 years for any woman who is 40
21 years of age or older, but younger than 50 years of age, or
22 more frequently based on the patient's physician's
23 recommendation.
24 (c) A mammogram every year for any woman who is 50
25 years of age or older.
26 (d) One or more mammograms a year, based upon a
27 physician's recommendation, for any woman who is at risk for
28 breast cancer because of a personal or family history of
29 breast cancer, because of having a history of biopsy-proven
30 benign breast disease, because of having a mother, sister, or
31
2
CODING: Words stricken are deletions; words underlined are additions.
Florida Senate - 2004 CS for SB 1092
317-1328-04
1 daughter who has or has had breast cancer, or because a woman
2 has not given birth before the age of 30.
3
4 It is the intent of the Legislature that, when practice
5 parameters for the delivery of mammography services are
6 developed pursuant to s. 408.02(7), the Legislature review the
7 requirements of this section and conform to the practice
8 parameters.
9 Section 3. Section 408.02, Florida Statutes, is
10 repealed.
11 Section 4. This act shall take effect upon becoming a
12 law.
13
14 STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
COMMITTEE SUBSTITUTE FOR
15 Senate Bill 1092
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17 The Committee Substitute removes an unclear reference to
practice parameters adopted by the U.S. Agency for Healthcare
18 Research and Quality, and deletes the requirement that
insurance coverage for mammography be in accordance with
19 practice parameters developed by the Agency for Healthcare
Administration.
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CODING: Words stricken are deletions; words underlined are additions.