Florida Senate - 2005                        SENATOR AMENDMENT
    Bill No. CS for CS for SB's 1872 & 2378
                        Barcode 323076
                            CHAMBER ACTION
              Senate                               House
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       04/27/2005 11:03 AM         .                    
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11  Senator Bullard moved the following amendment:
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13         Senate Amendment (with title amendment) 
14         On page 20, between lines 9 and 10,
15  
16  insert:  
17         Section 7.  Section 627.64194, Florida Statutes, is
18  created to read:
19         627.64194  Services for the treatment of congenital
20  craniofacial anomalies.--A health insurance policy sold in
21  this state must provide coverage for all medically appropriate
22  and necessary equipment, supplies, supplements, and patient
23  self-management training and educational services used to
24  treat a congenital craniofacial anomaly if the patient's
25  treating physician or a physician who specializes in the
26  treatment of craniofacial anomalies certifies that such
27  services are necessary.
28         Section 8.  Section 627.6614, Florida Statutes, is
29  created to read:
30         627.6614  Services for the treatment of congenital
31  craniofacial anomalies.--A group health insurance policy sold
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    6:02 PM   04/26/05                             s1872c2c-39-tic

Florida Senate - 2005 SENATOR AMENDMENT Bill No. CS for CS for SB's 1872 & 2378 Barcode 323076 1 in this state must provide coverage for all medically 2 appropriate and necessary equipment, supplies, supplements, 3 and patient self-management training and educational services 4 used to treat a congenital craniofacial anomaly if the 5 patient's treating physician or a physician who specializes in 6 the treatment of craniofacial anomalies certifies that such 7 services are necessary. 8 Section 9. Present subsections (36), (37), (38), (39), 9 and (40) of section 641.31, Florida Statutes, are redesignated 10 as subsections (37), (38), (39), (40), and (41), respectively, 11 and a new subsection (36) is added to that section to read: 12 641.31 Health maintenance contracts.-- 13 (36) A health maintenance contract sold in this state 14 must provide coverage for all medically appropriate and 15 necessary equipment, supplies, supplements, and patient 16 self-management training and educational services used to 17 treat a congenital craniofacial anomaly if the patient's 18 treating physician or a physician who specializes in the 19 treatment of craniofacial anomalies certifies that such 20 services are necessary. 21 Section 10. Subsection (2) of section 627.6515, 22 Florida Statutes, is amended to read: 23 627.6515 Out-of-state groups.-- 24 (2) Except as otherwise provided in this part, this 25 part does not apply to a group health insurance policy issued 26 or delivered outside this state under which a resident of this 27 state is provided coverage if: 28 (a) The policy is issued to an employee group the 29 composition of which is substantially as described in s. 30 627.653; a labor union group or association group the 31 composition of which is substantially as described in s. 2 6:02 PM 04/26/05 s1872c2c-39-tic
Florida Senate - 2005 SENATOR AMENDMENT Bill No. CS for CS for SB's 1872 & 2378 Barcode 323076 1 627.654; an additional group the composition of which is 2 substantially as described in s. 627.656; a group insured 3 under a blanket health policy when the composition of the 4 group is substantially in compliance with s. 627.659; a group 5 insured under a franchise health policy when the composition 6 of the group is substantially in compliance with s. 627.663; 7 an association group to cover persons associated in any other 8 common group, which common group is formed primarily for 9 purposes other than providing insurance; a group that is 10 established primarily for the purpose of providing group 11 insurance, provided the benefits are reasonable in relation to 12 the premiums charged thereunder and the issuance of the group 13 policy has resulted, or will result, in economies of 14 administration; or a group of insurance agents of an insurer, 15 which insurer is the policyholder; 16 (b) Certificates evidencing coverage under the policy 17 are issued to residents of this state and contain in 18 contrasting color and not less than 10-point type the 19 following statement: "The benefits of the policy providing 20 your coverage are governed primarily by the law of a state 21 other than Florida"; and 22 (c) The policy provides the benefits specified in ss. 23 627.419, 627.6574, 627.6575, 627.6579, 627.6612, 627.66121, 24 627.66122, 627.6613, 627.6614, 627.667, 627.6675, 627.6691, 25 and 627.66911. 26 (d) Applications for certificates of coverage offered 27 to residents of this state must contain, in contrasting color 28 and not less than 12-point type, the following statement on 29 the same page as the applicant's signature: 30 31 "This policy is primarily governed by the laws 3 6:02 PM 04/26/05 s1872c2c-39-tic
Florida Senate - 2005 SENATOR AMENDMENT Bill No. CS for CS for SB's 1872 & 2378 Barcode 323076 1 of ...insert state where the master policy if 2 filed.... As a result, all of the rating laws 3 applicable to policies filed in this state do 4 not apply to this coverage, which may result in 5 increases in your premium at renewal that would 6 not be permissible under a Florida-approved 7 policy. Any purchase of individual health 8 insurance should be considered carefully, as 9 future medical conditions may make it 10 impossible to qualify for another individual 11 health policy. For information concerning 12 individual health coverage under a 13 Florida-approved policy, consult your agent or 14 the Florida Department of Financial Services." 15 16 This paragraph applies only to group certificates providing 17 health insurance coverage which require individualized 18 underwriting to determine coverage eligibility for an 19 individual or premium rates to be charged to an individual 20 except for the following: 21 1. Policies issued to provide coverage to groups of 22 persons all of whom are in the same or functionally related 23 licensed professions, and providing coverage only to such 24 licensed professionals, their employees, or their dependents; 25 2. Policies providing coverage to small employers as 26 defined by s. 627.6699. Such policies shall be subject to, and 27 governed by, the provisions of s. 627.6699; 28 3. Policies issued to a bona fide association, as 29 defined by s. 627.6571(5), provided that there is a person or 30 board acting as a fiduciary for the benefit of the members, 31 and such association is not owned, controlled by, or otherwise 4 6:02 PM 04/26/05 s1872c2c-39-tic
Florida Senate - 2005 SENATOR AMENDMENT Bill No. CS for CS for SB's 1872 & 2378 Barcode 323076 1 associated with the insurance company; or 2 4. Any accidental death, accidental death and 3 dismemberment, accident-only, vision-only, dental-only, 4 hospital indemnity-only, hospital accident-only, cancer, 5 specified disease, Medicare supplement, products that 6 supplement Medicare, long-term care, or disability income 7 insurance, or similar supplemental plans provided under a 8 separate policy, certificate, or contract of insurance, which 9 cannot duplicate coverage under an underlying health plan, 10 coinsurance, or deductibles or coverage issued as a supplement 11 to workers' compensation or similar insurance, or automobile 12 medical-payment insurance. 13 14 (Redesignate subsequent sections.) 15 16 17 ================ T I T L E A M E N D M E N T =============== 18 And the title is amended as follows: 19 On page 1, line 24, after the semicolon, 20 21 insert: 22 creating ss. 627.64194 and 627.6614, F.S.; 23 requiring an individual health insurance policy 24 or a group health insurance policy to cover 25 services needed to treat congenital 26 craniofacial anomalies as authorized by a 27 physician; amending s. 641.31, F.S.; requiring 28 a contract by a health maintenance organization 29 to cover services needed to treat congenital 30 craniofacial anomalies as authorized by a 31 physician; amending s. 627.6515, F.S., relating 5 6:02 PM 04/26/05 s1872c2c-39-tic
Florida Senate - 2005 SENATOR AMENDMENT Bill No. CS for CS for SB's 1872 & 2378 Barcode 323076 1 to out-of-state groups; conforming a 2 cross-reference to changes made by the act; 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 6 6:02 PM 04/26/05 s1872c2c-39-tic