Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for CS for SB 1660
Barcode 910288
CHAMBER ACTION
Senate House
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05/04/2005 01:57 PM .
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11 Senator Saunders moved the following amendment to amendment
12 (675004):
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14 Senate Amendment (with title amendment)
15 On page 20, between lines 29 and 30,
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17 insert:
18 Section 12. Effective October 1, 2005, paragraph (b)
19 of subsection (2) of section 641.316, Florida Statutes, is
20 amended to read:
21 641.316 Fiscal intermediary services.--
22 (2)
23 (b) The term "fiscal intermediary services
24 organization" means a person or entity that which performs
25 fiduciary or fiscal intermediary services to health care
26 professionals who contract with health maintenance
27 organizations other than a fiscal intermediary services
28 organization owned, operated, or controlled by a hospital
29 licensed under chapter 395, an insurer licensed under chapter
30 624, a third-party administrator licensed under chapter 626, a
31 prepaid limited health service organization licensed under
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11:01 AM 05/04/05 s1660c2c-37-tb2
Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for CS for SB 1660
Barcode 910288
1 chapter 636, a health maintenance organization licensed under
2 this chapter, or physician group practices as defined in s.
3 456.053(3)(h) and providing services under the scope of
4 licenses of the members of the group practice.
5 Section 13. Effective October 1, 2005, subsection (4)
6 of section 641.234, Florida Statutes, is amended to read:
7 641.234 Administrative, provider, and management
8 contracts.--
9 (4)(a) If a health maintenance organization, through a
10 health care risk contract, transfers to any entity the
11 obligations to pay any provider for any claims arising from
12 services provided to or for the benefit of any subscriber of
13 the organization, the health maintenance organization shall
14 remain responsible for any violations of ss. 641.3155,
15 641.3156, and 641.51(4). The provisions of ss.
16 624.418-624.4211 and 641.52 shall apply to any such
17 violations.
18 (b) As used in this subsection,:
19 1. The term "health care risk contract" means a
20 contract under which an entity receives compensation in
21 exchange for providing to the health maintenance organization
22 a provider network or other services, which may include
23 administrative services.
24 2. the term "entity" means a person licensed as an
25 administrator under s. 626.88 and does not include any
26 provider or group practice, as defined in s. 456.053,
27 providing services under the scope of the license of the
28 provider or the members of the group practice. The term does
29 not include a hospital providing billing, claims, and
30 collection services solely on its own and its physicians'
31 behalf and providing services under the scope of its license.
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11:01 AM 05/04/05 s1660c2c-37-tb2
Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for CS for SB 1660
Barcode 910288
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2 (Redesignate subsequent sections.)
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5 ================ T I T L E A M E N D M E N T ===============
6 And the title is amended as follows:
7 On page 23, line 6, after the semicolon,
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9 insert:
10 amending s. 641.316, F.S.; redefining the term
11 "fiscal intermediary services organization";
12 amending s. 641.234, F.S.; expanding the
13 requirement that a health maintenance
14 organization remains responsible for violations
15 of certain statutory requirements if the
16 organization transfers to any entity the
17 obligations to pay any provider for claims
18 arising from services to subscribers of the
19 organization;
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