HB 0701

CS

CHAMBER ACTION

1	The Committee on Insurance recommends the following:
2
3	Committee Substitute
4	Remove the entire bill and insert:
5	A bill to be entitled
6	An act relating to health care; amending s. 381.026, F.S.;
7	requiring certain licensed facilities to provide certain
8	financial information on its website; amending s. 395.301,
9	F.S.; requiring certain licensed facilities to provide
10	prospective patients with certain estimates of charges for
11	services; requiring such facilities to provide patients
12	with certain bill verification information; providing for
13	a fine for failure to provide such information; providing
14	charge limitations; requiring such facilities to establish
15	a patient question review and response methodology;
16	providing requirements; requiring certain licensed
17	facilities to provide to certain financial information on
18	its website; providing an exception for specified rural
19	hospitals; requiring a report; amending s. 408.061, F.S.;
20	requiring the Agency for Health Care Administration to
21	require health care facilities, health care providers, and
22	health insurers to submit certain information; providing
23	requirements; requiring the agency to adopt certain risk
24	adjustment methodologies or software; requiring the agency
25	to adopt certain rules; requiring certain information to
26	be certified; amending s. 408.062, F.S.; requiring the
27	agency to conduct certain health care costs and access
28	research, analyses, and studies; expanding the scope of
29	such studies to include collection of pharmacy retail
30	price data, use of emergency departments, physician
31	information, and Internet patient charge information
32	availability; requiring publication of information
33	collected on the Internet; requiring a report; requiring
34	the agency to conduct additional data-based studies and
35	make recommendations to the Legislature; requiring the
36	agency to develop and implement a strategy to adopt and
37	use electronic health records; authorizing the agency to
38	develop rules to protect electronic records
39	confidentiality; requiring a report to the Governor and
40	Legislature; amending s. 408.05, F.S.; requiring the
41	agency to develop a plan to make performance outcome and
42	financial data available to consumers for health care
43	services comparison purposes; requiring submittal of the
44	plan to the Governor and Legislature; requiring the agency
45	to update the plan; requiring the agency to make the plan
46	available electronically; providing plan requirements;
47	amending s. 409.9066, F.S.; requiring the agency to
48	provide certain information relating to the Medicare
49	prescription discount program; creating s. 465.0244, F.S.;
50	requiring each pharmacy to make available on its Internet
51	website a link to certain performance outcome and
52	financial data of the Agency for Health Care
53	Administration and a notice of the availability of such
54	information; amending s. 627.6499, F.S.; requiring each
55	health insurer to make available on its Internet website a
56	link to certain performance outcome and financial data of
57	the Agency for Health Care Administration and a notice in
58	policies of the availability of such information; amending
59	s. 641.54, F.S.; requiring health maintenance
60	organizations to make certain insurance financial
61	information available to subscribers; requiring health
62	maintenance organizations to make available on its
63	Internet website a link to certain performance outcome and
64	financial data of the Agency for Health Care
65	Administration and a notice in policies of the
66	availability of such information; authorizing rule
67	adoption; providing an effective date.
68
69	Be It Enacted by the Legislature of the State of Florida:
70
71	Section 1.  Paragraph (c) of subsection (4) of section
72	381.026, Florida Statutes, is amended to read:
73	381.026  Florida Patient's Bill of Rights and
74	Responsibilities.--
75	(4)  RIGHTS OF PATIENTS.--Each health care facility or
76	provider shall observe the following standards:
77	(c)  Financial information and disclosure.--
78	1.  A patient has the right to be given, upon request, by
79	the responsible provider, his or her designee, or a
80	representative of the health care facility full information and
81	necessary counseling on the availability of known financial
82	resources for the patient's health care.
83	2.  A health care provider or a health care facility shall,
84	upon request, disclose to each patient who is eligible for
85	Medicare, in advance of treatment, whether the health care
86	provider or the health care facility in which the patient is
87	receiving medical services accepts assignment under Medicare
88	reimbursement as payment in full for medical services and
89	treatment rendered in the health care provider's office or
90	health care facility.
91	3.  A health care provider or a health care facility shall,
92	upon request, furnish a patient, prior to provision of medical
93	services, a reasonable estimate of charges for such services.
94	Such reasonable estimate shall not preclude the health care
95	provider or health care facility from exceeding the estimate or
96	making additional charges based on changes in the patient's
97	condition or treatment needs.
98	4.  Each licensed facility not operated by the state shall
99	make available to the public on its Internet website or by other
100	electronic means a description of, and a link to, the
101	performance outcome and financial data that is published by the
102	agency pursuant to s. 408.05. The facility shall place a notice
103	in reception areas that such information is available
104	electronically and provide the Internet address. The licensed
105	facility may indicate that the pricing information is based on a
106	compilation of charges for the average patient and that each
107	patient's bill may vary from the average, depending upon the
108	severity of illness and individual resources consumed. The
109	licensed facility may also indicate that the price of service is
110	negotiable for eligible patients based upon the patient's
111	ability to pay.
112	5.4.  A patient has the right to receive a copy of an
113	itemized bill upon request. A patient has a right to be given an
114	explanation of charges upon request.
115	Section 2.  Subsections (1), (2), and (3) of section
116	395.301, Florida Statutes, are amended, and subsections (7),
117	(8), (9), (10), and (11) are added to said section, to read:
118	395.301  Itemized patient bill; form and content prescribed
119	by the agency.--
120	(1)  A licensed facility not operated by the state shall
121	notify each patient during admission and at discharge of his or
122	her right to receive an itemized bill upon request. Within 7
123	days following the patient's discharge or release from a
124	licensed facility not operated by the state, or within 7 days
125	after the earliest date at which the loss or expense from the
126	service may be determined, the licensed facility providing the
127	service shall, upon request, submit to the patient, or to the
128	patient's survivor or legal guardian as may be appropriate, an
129	itemized statement detailing in language comprehensible to an
130	ordinary layperson the specific nature of charges or expenses
131	incurred by the patient, which in the initial billing shall
132	contain a statement of specific services received and expenses
133	incurred for such items of service, enumerating in detail the
134	constituent components of the services received within each
135	department of the licensed facility and including unit price
136	data on rates charged by the licensed facility, as prescribed by
137	the agency.
138	(2)(a)  Each such statement submitted pursuant to this
139	section:
140	1.(a)  May not include charges of hospital-based physicians
141	if billed separately.
142	2.(b)  May not include any generalized category of expenses
143	such as "other" or "miscellaneous" or similar categories.
144	3.(c)  Shall list drugs by brand or generic name and not
145	refer to drug code numbers when referring to drugs of any sort.
146	4.(d)  Shall specifically identify therapy treatment as to
147	the date, type, and length of treatment when therapy treatment
148	is a part of the statement.
149	(b)  Any person receiving a statement pursuant to this
150	section shall be fully and accurately informed as to each charge
151	and service provided by the institution preparing the statement.
152	(3)  On each such itemized statement submitted pursuant to
153	subsection (1), there shall appear the words "A FOR-PROFIT (or
154	NOT-FOR-PROFIT or PUBLIC) HOSPITAL (or AMBULATORY SURGICAL
155	CENTER) LICENSED BY THE STATE OF FLORIDA" or substantially
156	similar words sufficient to identify clearly and plainly the
157	ownership status of the licensed facility. Each itemized
158	statement must prominently display the phone number of the
159	medical facility's patient liaison who is responsible for
160	expediting the resolution of any billing dispute between the
161	patient, or his or her representative, and the billing
162	department.
163	(7)  Each licensed facility not operated by the state shall
164	provide, prior to provision of any nonemergency medical
165	services, a written good faith estimate of reasonably
166	anticipated charges for the facility to treat the patient's
167	condition upon written request of a prospective patient. The
168	estimate shall be provided to the prospective patient within 7
169	business days of the receipt of the request. The estimate may be
170	the average charges for that diagnosis related group or the
171	average charges for that procedure. Upon request, the facility
172	shall notify the patient of any revision to the good faith
173	estimate. Such estimate shall not preclude the actual charges
174	from exceeding the estimate. The facility shall place a notice
175	in reception areas that such information is available. Failure
176	to provide the estimate within the provisions established
177	pursuant to this section shall result in a fine of $500 for each
178	instance of the facility's failure to provide the requested
179	information.
180	(8)  A licensed facility shall make available to a patient
181	all records necessary for verification of the accuracy of the
182	patient's bill within 30 business days after the request for
183	such records. The verification information must be made
184	available in the facility's offices. Such records shall be
185	available to the patient prior to and after payment of the bill
186	or claim. The facility may not charge the patient for making
187	such verification records available; however, the facility may
188	charge its usual fee for providing copies of records as
189	specified in s. 395.3025.
190	(9)  Each facility shall establish a method for reviewing
191	and responding to questions from patients concerning the
192	patient's itemized bill. Such response shall be provided within
193	30 days after the date a question is received. If the patient is
194	not satisfied with the response, the facility must provide the
195	patient with the address of the agency to which the issue may be
196	sent for review.
197	(10)  Each licensed facility shall make available on its
198	Internet website a link to the performance outcome and financial
199	data that is published by the Agency for Health Care
200	Administration pursuant to s. 408.05. The facility shall place a
201	notice in the reception area that the information is available
202	electronically and the Internet address.
203	(11)  Each rural hospital, as defined in s. 395.602, which
204	has fewer than 50 beds is exempt from subsection (10). The
205	agency shall evaluate the most cost-efficient method for
206	collecting and reporting data for these qualifying rural
207	hospitals and shall, by December 1, 2005, submit a report to the
208	Governor, the President of the Senate, and the Speaker of the
209	House of Representatives.
210	Section 3.  Subsection (1) of section 408.061, Florida
211	Statutes, is amended to read:
212	408.061  Data collection; uniform systems of financial
213	reporting; information relating to physician charges;
214	confidential information; immunity.--
215	(1)  The agency shall may require the submission by health
216	care facilities, health care providers, and health insurers of
217	data necessary to carry out the agency's duties. Specifications
218	for data to be collected under this section shall be developed
219	by the agency with the assistance of technical advisory panels
220	including representatives of affected entities, consumers,
221	purchasers, and such other interested parties as may be
222	determined by the agency.
223	(a)  Data to be submitted by health care facilities,
224	including the facilities as defined in chapter 395, shall may
225	include, but are not limited to: case-mix data, patient
226	admission and or discharge data, data on hospital-acquired
227	infections as specified by rule, data on complications as
228	specified by rule, data on readmissions as specified by rule,
229	with patient and provider-specific identifiers included, actual
230	charge data by diagnostic groups, financial data, accounting
231	data, operating expenses, expenses incurred for rendering
232	services to patients who cannot or do not pay, interest charges,
233	depreciation expenses based on the expected useful life of the
234	property and equipment involved, and demographic data. Hospital
235	emergency data shall include the number of the patients treated
236	in the emergency department of a licensed hospital reported by
237	patient acuity level. The agency shall adopt nationally
238	recognized risk adjustment methodologies or software consistent
239	with the standards of the Agency for Healthcare Research and
240	Quality for all data submitted as required by this section. Data
241	may be obtained from documents such as, but not limited to:
242	leases, contracts, debt instruments, itemized patient bills,
243	medical record abstracts, and related diagnostic information.
244	Reported data elements shall be reported electronically in
245	accordance with applicable department rules. Data submitted
246	shall be certified by the chief executive officer or an
247	appropriate and duly authorized representative or employee of
248	the licensed facility that the information is accurate.
249	(b)  Data to be submitted by health care providers may
250	include, but are not limited to: Medicare and Medicaid
251	participation, types of services offered to patients, amount of
252	revenue and expenses of the health care provider, and such other
253	data which are reasonably necessary to study utilization
254	patterns. Data submitted shall be certified as true and accurate
255	by the health care provider or by an appropriate and duly
256	authorized representative or employee of the health care
257	provider.
258	(c)  Data to be submitted by health insurers may include,
259	but are not limited to: claims, premium, administration, and
260	financial information. Data submitted shall be certified as by
261	the appropriate and duly authorized representative or employee
262	of the insurer that the information submitted is true and
263	accurate.
264	(d)  Data required to be submitted by health care
265	facilities, health care providers, or health insurers shall not
266	include specific provider contract reimbursement information.
267	However, such specific provider reimbursement data shall be
268	reasonably available for onsite inspection by the agency as is
269	necessary to carry out the agency's regulatory duties. Any such
270	data obtained by the agency as a result of onsite inspections
271	may not be used by the state for purposes of direct provider
272	contracting and are confidential and exempt from the provisions
273	of s. 119.07(1) and s. 24(a), Art. I of the State Constitution.
274	(e)  A requirement to submit data shall be adopted by rule
275	if the submission of data is being required of all members of
276	any type of health care facility, health care provider, or
277	health insurer. Rules are not required, however, for the
278	submission of data for a special study mandated by the
279	Legislature or when information is being requested for a single
280	health care facility, health care provider, or health insurer.
281	Section 4.  Subsections (1) and (4) of section 408.062,
282	Florida Statutes, are amended, and subsection (5) is added to
283	said section, to read:
284	408.062  Research, analyses, studies, and reports.--
285	(1)  The agency shall have the authority to conduct
286	research, analyses, and studies relating to health care costs
287	and access to and quality of health care services as access and
288	quality are affected by changes in health care costs. Such
289	research, analyses, and studies shall include, but not be
290	limited to, research and analysis relating to:
291	(a)  The financial status of any health care facility or
292	facilities subject to the provisions of this chapter.
293	(b)  The impact of uncompensated charity care on health
294	care facilities and health care providers.
295	(c)  The state's role in assisting to fund indigent care.
296	(d)  In conjunction with the Office of Insurance
297	Regulation, the availability and affordability of health
298	insurance for small businesses.
299	(e)  Total health care expenditures in the state according
300	to the sources of payment and the type of expenditure.
301	(f)  The quality of health services, using techniques such
302	as small area analysis, severity adjustments, and risk-adjusted
303	mortality rates.
304	(g)  The development of physician information payment
305	systems which are capable of providing data for health care
306	consumers, taking into account the amount of resources consumed,
307	including licensed facilities as defined in chapter 395, and the
308	outcomes produced in the delivery of care.
309	(h)  The collection of a statistically valid sample of data
310	on the retail prices charged by pharmacies for the 50 most
311	frequently prescribed medicines from any pharmacy licensed by
312	this state as a special study authorized by the Legislature to
313	be performed by the agency quarterly. If a drug is available
314	generically, price data shall be reported for the generic drug
315	and price data of a brand name drug for which the generic drug
316	is the equivalent shall be reported. The agency shall make
317	available on its Internet website for each pharmacy, no later
318	than October 1, 2005, drug prices for a 30-day supply at a
319	standard dose. The data collected shall be reported for each
320	drug by pharmacy and by metropolitan statistical area or region
321	and updated quarterly The impact of subacute admissions on
322	hospital revenues and expenses for purposes of calculating
323	adjusted admissions as defined in s. 408.07.
324	(i)  The use of emergency department services by patient
325	acuity level and the implication of increasing hospital cost by
326	providing nonurgent care in emergency departments. The agency
327	shall submit an annual report based on this monitoring and
328	assessment to the Governor, the President of the Senate, the
329	Speaker of the House of Representatives, and the substantive
330	legislative committees with the first report due January 1,
331	2006.
332	(j)  The making available on its Internet website no later
333	than October 1, 2004, and in a hard copy format upon request, of
334	patient charge, volumes, length of stay, and performance outcome
335	indicators collected from health care facilities pursuant to s.
336	408.061 for specific medical conditions, surgeries, and
337	procedures provided in inpatient and outpatient facilities as
338	determined by the agency. In making the determination of
339	specific medical conditions, surgeries, and procedures to
340	include, the agency shall consider such factors as volume,
341	severity of the illness, urgency of admission, individual and
342	societal costs, and whether the condition is acute or chronic.
343	Performance outcome indicators shall be risk adjusted or
344	severity adjusted, as applicable, using nationally recognized
345	risk adjustment methodologies or software consistent with the
346	standards of the Agency for Healthcare Research and Quality and
347	as selected by the agency. The Internet website shall also
348	provide an interactive search that allows consumers to view and
349	compare the information for specific facilities, a map that
350	allows consumers to select a county or region, definitions of
351	all of the data, descriptions of each procedure, and an
352	explanation about why the data may differ from facility to
353	facility. Such public data shall be updated quarterly. The
354	agency shall submit an annual status report on the collection of
355	data and publication of performance outcome indicators to the
356	Governor, the President of the Senate, the Speaker of the House
357	of Representatives, and the substantive legislative committees
358	with the first status report due January 1, 2005.
359	(4)(a)  The agency shall may conduct data-based studies and
360	evaluations and make recommendations to the Legislature and the
361	Governor concerning exemptions, the effectiveness of limitations
362	of referrals, restrictions on investment interests and
363	compensation arrangements, and the effectiveness of public
364	disclosure. Such analysis shall may include, but need not be
365	limited to, utilization of services, cost of care, quality of
366	care, and access to care. The agency may require the submission
367	of data necessary to carry out this duty, which may include, but
368	need not be limited to, data concerning ownership, Medicare and
369	Medicaid, charity care, types of services offered to patients,
370	revenues and expenses, patient-encounter data, and other data
371	reasonably necessary to study utilization patterns and the
372	impact of health care provider ownership interests in health-
373	care-related entities on the cost, quality, and accessibility of
374	health care.
375	(b)  The agency may collect such data from any health
376	facility or licensed health care provider as a special study.
377	(5)  The agency shall develop and implement a strategy for
378	the adoption and use of electronic health records. The agency
379	may develop rules to facilitate the functionality and protect
380	the confidentiality of electronic health records. The agency
381	shall report to the Governor, the President of the Senate, and
382	the Speaker of the House of Representatives on legislative
383	recommendations to protect the confidentiality of electronic
384	health records.
385	Section 5.  Paragraph (l) is added to subsection (3) of
386	section 408.05, Florida Statutes, and paragraph (a) of
387	subsection (8) of said section is amended, to read:
388	408.05  State Center for Health Statistics.--
389	(3)  COMPREHENSIVE HEALTH INFORMATION SYSTEM.--In order to
390	produce comparable and uniform health information and
391	statistics, the agency shall perform the following functions:
392	(l)  Develop, in conjunction with the State Comprehensive
393	Health Information System Advisory Council, and implement a
394	long-range plan for making available performance outcome and
395	financial data that will allow consumers to compare health care
396	services. The performance outcomes and financial data the agency
397	must make available shall include, but are not limited to,
398	pharmaceuticals, physicians, health care facilities, and health
399	plans and managed care entities. The agency shall submit the
400	initial plan to the Governor, the President of the Senate, and
401	the Speaker of the House of Representatives by March 1, 2005,
402	and shall update the plan and report on the status of its
403	implementation annually thereafter. The agency shall also make
404	the plan and status report available to the public on its
405	Internet website. As part of the plan, the agency shall identify
406	the process and timeframes for implementation, any barriers to
407	implementation, and recommendations of changes in the law that
408	may be enacted by the Legislature to eliminate the barriers. As
409	preliminary elements of the plan, the agency shall:
410	1.  Make available performance outcome and patient charge
411	data collected from health care facilities pursuant to s.
412	408.061. The agency shall determine which conditions and
413	procedures, performance outcomes, and patient charge data to
414	disclose based upon input from the council. When determining
415	which conditions and procedures are to be disclosed, the council
416	and the agency shall consider variation in costs, variation in
417	outcomes, and magnitude of variations and other relevant
418	information. When determining which performance outcomes to
419	disclose, the agency:
420	a.  Shall consider such factors as volume of cases, average
421	patient charges, average length of stay, complication rates,
422	mortality rates, and infection rates, among other factors, which
423	shall be adjusted for case mix and severity, if applicable.
424	b.  May consider such additional measures that are adopted
425	by the Centers for Medicare and Medicaid Studies, National
426	Quality Forum, the Joint Commission on Accreditation of
427	Healthcare Organizations, and the Agency for Healthcare Research
428	and Quality, or a similar national entity that establishes
429	standards to measure the performance of health care providers,
430	or by other states.
431
432	When determining which patient charge data to disclose, the
433	agency shall consider such measures as average charge, average
434	net revenue per adjusted patient day, average cost per adjusted
435	patient day, and average cost per admission, among other
436	measures.
437	2.  Make available performance measures, benefit design,
438	and premium cost data from health plans licensed pursuant to
439	chapter 627 or chapter 641. The agency shall determine which
440	performance outcome and member and subscriber cost data to
441	disclose, based upon input from the council. When determining
442	which data to disclose, the agency shall consider information
443	that may be required by either individual or group purchasers to
444	assess the value of the product, which may include membership
445	satisfaction, quality of care, current enrollment or membership,
446	coverage areas, accreditation status, premium costs, plan costs,
447	premium increases, range of benefits, copayments and
448	deductibles, accuracy and speed of claims payment, credentials
449	of physicians, number of providers, names of network providers,
450	and hospitals in the network. Health plans shall make available
451	to the agency any such data or information that is not currently
452	reported to the agency or the office.
453	3.  Determine the method and format for public disclosure
454	of data reported pursuant to this paragraph. The agency shall
455	make its determination based upon input from the Comprehensive
456	Health Information System Advisory Council. At a minimum, the
457	data shall be made available on the agency's Internet website in
458	a manner that allows consumers to conduct an interactive search
459	that allows them to view and compare the information for
460	specific providers. The Internet website must include such
461	additional information as is determined necessary to ensure that
462	the website enhances informed decisionmaking among consumers and
463	health care purchasers, which shall include, at a minimum,
464	appropriate guidance on how to use the data and an explanation
465	of why the data may vary from provider to provider. The data
466	specified in subparagraph 1. shall be released no later than
467	March 1, 2005. The data specified in subparagraph 2. shall be
468	released no later than March 1, 2006.
469	(8)  STATE COMPREHENSIVE HEALTH INFORMATION SYSTEM ADVISORY
470	COUNCIL.--
471	(a)  There is established in the agency the State
472	Comprehensive Health Information System Advisory Council to
473	assist the center in reviewing the comprehensive health
474	information system and to recommend improvements for such
475	system. The council shall consist of the following members:
476	1.  An employee of the Executive Office of the Governor, to
477	be appointed by the Governor.
478	2.  An employee of the Office of Insurance Regulation
479	Department of Financial Services, to be appointed by the Chief
480	Financial Officer.
481	3.  An employee of the Department of Education, to be
482	appointed by the Commissioner of Education.
483	4.  Ten persons, to be appointed by the Secretary of Health
484	Care Administration, representing other state and local
485	agencies, state universities, the Florida Association of
486	Business/Health Coalitions, local health councils, professional
487	health-care-related associations, consumers, and purchasers.
488	Section 6.  Subsection (3) of section 409.9066, Florida
489	Statutes, is amended to read:
490	409.9066  Medicare prescription discount program.--
491	(3)  The Agency for Health Care Administration shall
492	publish, on a free website available to the public, the most
493	recent average wholesale prices for the 200 drugs most
494	frequently dispensed to the elderly and, to the extent possible,
495	shall provide a mechanism that consumers may use to calculate
496	the retail price and the price that should be paid after the
497	discount required in subsection (1) is applied. The agency shall
498	provide retail information by geographic area and retail
499	information by provider within geographical areas.
500	Section 7.  Section 465.0244, Florida Statutes, is created
501	to read:
502	465.0244  Information disclosure.--Every pharmacy shall
503	make available on its Internet website a link to the financial
504	data that is published by the Agency for Health Care
505	Administration pursuant to ss. 408.06 and 409.9066 and shall
506	place in the area where customers receive filled prescriptions
507	notice that such information is available electronically and the
508	Internet address.
509	Section 8.  Section 627.6499, Florida Statutes, is amended
510	to read:
511	627.6499  Reporting by insurers and third-party
512	administrators.--
513	(1)  The office may require any insurer, third-party
514	administrator, or service company to report any information
515	reasonably required to assist the board in assessing insurers as
516	required by this act.
517	(2)  Each health insurance issuer shall make available on
518	its Internet website a link to the performance outcome and
519	financial data that is published by the Agency for Health Care
520	Administration pursuant to s. 408.05, and shall include in every
521	policy delivered or issued for delivery to any person in the
522	state or any materials provided as required by s. 627.64725,
523	notice that such information is available electronically and the
524	Internet address.
525	Section 9.  Subsections (6) and (7) are added to section
526	641.54, Florida Statutes, to read:
527	641.54  Information disclosure.--
528	(6)  Each health maintenance organization shall make
529	available to its subscribers the estimated copay, coinsurance
530	percentage, or deductible, whichever is applicable, for any
531	covered services, the status of the subscriber's maximum annual
532	out-of-pocket payments for a covered individual or family, and
533	the status of the subscriber's maximum lifetime benefit. Such
534	estimate shall not preclude the actual copay, coinsurance
535	percentage, or deductible, whichever is applicable, from
536	exceeding the estimate.
537	(7)  Each health maintenance organization shall make
538	available on its Internet website a link to the performance
539	outcome and financial data that is published by the Agency for
540	Health Care Administration pursuant to s. 408.05, and shall
541	include in every policy delivered or issued for delivery to any
542	person in the state or any materials provided as required by s.
543	627.64725, notice that such information is available
544	electronically and the Internet address.
545	Section 10.  The Agency for Health Care Administration
546	shall adopt all rules necessary to implement this act no later
547	than January 1, 2005.
548	Section 11.  This act shall take effect upon becoming a
549	law.

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