Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for CS for SB's 1872 & 2378
Barcode 872138
CHAMBER ACTION
Senate House
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04/27/2005 11:03 AM .
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11 Senator Bullard moved the following substitute for amendment
12 (323076):
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14 Senate Amendment (with title amendment)
15 On page 20, between lines 9 and 10,
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17 insert:
18 Section 7. (1) The Agency for Health Care
19 Administration, in consultation with the Office of Insurance
20 Regulation, shall conduct a study evaluating the medical
21 necessity, efficacy, and costs associated with mandating
22 health insurers and health maintenance organizations to
23 provide coverage for cranial skull molding orthotics and other
24 therapies used in the treatment of deformational or positional
25 plagiocephaly. The agency and office shall evaluate whether or
26 not gaps in coverage currently exist in the small and large
27 group insurance markets for medically necessary care and
28 treatment of plagiocephaly. The agency shall provide
29 information concerning the types of benefits, including the
30 cost of such benefits, provided to Medicaid recipients for the
31 treatment of plagiocephaly, and the demographic
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7:27 PM 04/26/05 s1872c2c-39-tc3
Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for CS for SB's 1872 & 2378
Barcode 872138
1 characteristics of such Medicaid recipients. The Department of
2 Health shall coordinate with the agency to provide such
3 information concerning coverage and costs provided to children
4 having plagiocephaly who are enrolled in the Children's
5 Medical Services Program.
6 (2) The agency, in consultation with the office, may
7 contract with an actuary who is a member of the American
8 Academy of Actuaries and other persons who have an extensive
9 background in health insurance for the purpose of assisting
10 the agency in evaluating the medically necessity, efficacy,
11 and costs of such coverage. The agency shall report its
12 findings and recommendations related to mandating insurance
13 coverage for the treatment of plagiocephaly to the President
14 of the Senate and the Speaker of the House of Representatives
15 no later than January 1, 2006.
16 Section 8. For the 2005-2006 fiscal year, the sum of
17 $25,000 is appropriated in nonrecurring funds from the
18 Insurance Regulatory Trust Fund to the Office of Insurance
19 Regulation for the purpose of funding the study conducted by
20 the Agency for Health Care Administration as provided in
21 section 7.
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23 (Redesignate subsequent sections.)
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27 And the title is amended as follows:
28 On page 1, line 24, after the semicolon,
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30 insert:
31 requiring that the Agency for Health Care
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7:27 PM 04/26/05 s1872c2c-39-tc3
Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for CS for SB's 1872 & 2378
Barcode 872138
1 Administration, in consultation with the Office
2 of Insurance Regulation, conduct a study
3 concerning the medical necessity, costs, and
4 efficacy of mandating coverage for certain
5 treatments and therapies relating to congenital
6 craniofacial anomalies; providing an
7 appropriation; requiring that the agency report
8 its findings and recommendations to the
9 Legislature;
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