| 1 | A bill to be entitled |
| 2 | An act relating to infant eye care; amending s. 383.04, |
| 3 | F.S.; requiring certain eye examinations for all infants |
| 4 | born in hospitals in the state; revising certain |
| 5 | applicability provisions; reenacting s. 383.07, F.S., |
| 6 | relating to a penalty; amending ss. 627.6416 and 641.31, |
| 7 | F.S.; providing that coverage for children under health |
| 8 | insurance policies and health maintenance organization |
| 9 | contracts include certain eye examinations for infants and |
| 10 | children; providing an effective date. |
| 11 |
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| 12 | Be It Enacted by the Legislature of the State of Florida: |
| 13 |
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| 14 | Section 1. Section 383.04, Florida Statutes, is amended to |
| 15 | read: |
| 16 | 383.04 Prophylactic required for eyes of infants.--Every |
| 17 | physician, midwife, or other person in attendance at the birth |
| 18 | of a child in the state is required to instill or have instilled |
| 19 | into the eyes of the baby within 1 hour after birth an effective |
| 20 | prophylactic recommended by the Committee on Infectious Diseases |
| 21 | of the American Academy of Pediatrics for the prevention of |
| 22 | neonatal ophthalmia. In addition, every baby born in a hospital |
| 23 | in the state shall receive, prior to being discharged from the |
| 24 | hospital, an eye examination using an ophthalmoscope and |
| 25 | dilation of the pupils for detection of pediatric congenital and |
| 26 | ocular abnormalities and developmental abnormalities. The |
| 27 | provisions relating to the examination using an ophthalmoscope |
| 28 | are not subject to the provisions of s. 383.07. This section |
| 29 | does not apply to cases where the parents file with the |
| 30 | physician, midwife, or other person in attendance at the birth |
| 31 | of a child written objections on account of religious beliefs |
| 32 | contrary to the use of drugs. In such case the physician, |
| 33 | midwife, or other person in attendance shall maintain a record |
| 34 | that such measures were or were not employed and attach thereto |
| 35 | any written objection. |
| 36 | Section 2. Section 383.07, Florida Statutes, is reenacted |
| 37 | to read: |
| 38 | 383.07 Penalty for violation.--Any person who fails to |
| 39 | comply with the provisions of ss. 383.04-383.06 shall be guilty |
| 40 | of a misdemeanor of the second degree, punishable as provided in |
| 41 | s. 775.083. |
| 42 | Section 3. Paragraph (a) of subsection (2) of section |
| 43 | 627.6416, Florida Statutes, is amended to read: |
| 44 | 627.6416 Coverage for child health supervision services.-- |
| 45 | (2) As used in this section, the term "child health |
| 46 | supervision services" means physician-delivered or physician- |
| 47 | supervised services that include, at a minimum, services |
| 48 | delivered at the intervals and scope stated in this section. |
| 49 | (a) Child health supervision services must include |
| 50 | periodic visits which shall include a history, a physical |
| 51 | examination, a developmental assessment and anticipatory |
| 52 | guidance, and appropriate immunizations and laboratory tests, |
| 53 | and eye examinations at birth, at 6 to 8 weeks of age, and at 6 |
| 54 | to 9 months of age, using an ophthalmoscope and dilation of the |
| 55 | pupils for detection of pediatric congenital and ocular |
| 56 | abnormalities and developmental abnormalities. Such services and |
| 57 | periodic visits shall be provided in accordance with prevailing |
| 58 | medical standards consistent with the Recommendations for |
| 59 | Preventive Pediatric Health Care of the American Academy of |
| 60 | Pediatrics. |
| 61 | Section 4. Paragraph (b) of subsection (30) of section |
| 62 | 641.31, Florida Statutes, is amended to read: |
| 63 | 641.31 Health maintenance contracts.-- |
| 64 | (30) |
| 65 | (b) As used in this subsection, the term "child health |
| 66 | supervision services" means physician-delivered or physician- |
| 67 | supervised services that include, at a minimum, services |
| 68 | delivered at the intervals and scope stated in this subsection. |
| 69 | 1. Child health supervision services must include periodic |
| 70 | visits which shall include a history, a physical examination, a |
| 71 | developmental assessment and anticipatory guidance, and |
| 72 | appropriate immunizations and laboratory tests, and eye |
| 73 | examinations at birth, at 6 to 8 weeks of age, and at 6 to 9 |
| 74 | months of age, using an ophthalmoscope and dilation of the |
| 75 | pupils for detection of pediatric congenital and ocular |
| 76 | abnormalities and developmental abnormalities. Such services and |
| 77 | periodic visits shall be provided in accordance with prevailing |
| 78 | medical standards consistent with the Recommendations for |
| 79 | Preventive Pediatric Health Care of the American Academy of |
| 80 | Pediatrics. |
| 81 | 2. Minimum benefits may be limited to one visit payable to |
| 82 | one provider for all of the services provided at each visit |
| 83 | cited in this subsection. |
| 84 | Section 5. This act shall take effect July 1, 2004. |