Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for SB 822
Barcode 534670
CHAMBER ACTION
Senate House
.
.
1 WD/2R .
04/27/2005 11:10 AM .
2 .
.
3 .
.
4 ______________________________________________________________
5
6
7
8
9
10 ______________________________________________________________
11 Senator Bullard moved the following substitute for amendment
12 (280188):
13
14 Senate Amendment (with title amendment)
15 On page 14, between line 26 and 27,
16
17 insert:
18 Section 2. (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
1
7:33 PM 04/26/05 s0822c1c-39-ta1
Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for SB 822
Barcode 534670
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 3. 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 2.
22
23 (Redesignate subsequent sections.)
24
25
26 ================ T I T L E A M E N D M E N T ===============
27 And the title is amended as follows:
28 Delete everything before the enacting clause
29
30 and insert:
31 A bill to be entitled
2
7:33 PM 04/26/05 s0822c1c-39-ta1
Florida Senate - 2005 SENATOR AMENDMENT
Bill No. CS for SB 822
Barcode 534670
1 An act relating to insurance; amending s.
2 110.123, F.S.; revising the terms "state group
3 insurance program" and "surviving spouse" and
4 defining the term "TRICARE supplemental
5 insurance plan"; including the TRICARE
6 supplemental insurance plan within the state
7 group insurance program; requiring the
8 Department of Management Services to purchase
9 health care for employees under the TRICARE
10 supplemental insurance plan; authorizing a
11 surviving spouse to elect to continue coverage
12 under the TRICARE supplemental insurance plan;
13 providing that an enrollee in the TRICARE
14 supplemental insurance plan may change to any
15 other state health plan during open enrollment;
16 requiring that the Agency for Health Care
17 Administration, in consultation with the Office
18 of Insurance Regulation, conduct a study
19 concerning the medical necessity, costs, and
20 efficacy of mandating coverage for certain
21 treatments and therapies relating congenital
22 craniofacial anomalies; providing an
23 appropriation; requiring that the agency report
24 its findings and recommendations to the
25 Legislature; providing an effective date.
26
27
28
29
30
31
3
7:33 PM 04/26/05 s0822c1c-39-ta1