| 1 | The Insurance Committee recommends the following: |
| 2 |
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| 3 | Council/Committee Substitute |
| 4 | Remove the entire bill and insert: |
| 5 | A bill to be entitled |
| 6 | An act relating to fiscal intermediary services |
| 7 | organizations; amending s. 641.316, F.S.; redefining the |
| 8 | term "fiscal intermediary services organization"; revising |
| 9 | registration requirements for fiscal intermediary services |
| 10 | organizations; 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. Paragraph (b) of subsection (2) and subsection |
| 15 | (6) of section 641.316, Florida Statutes, are amended to read: |
| 16 | 641.316 Fiscal intermediary services.-- |
| 17 | (2) |
| 18 | (b) The term "fiscal intermediary services organization" |
| 19 | means a person or entity that which performs fiduciary or fiscal |
| 20 | intermediary services to health care professionals who contract |
| 21 | with health maintenance organizations other than a fiscal |
| 22 | intermediary services organization owned, operated, or |
| 23 | controlled by a hospital licensed under chapter 395, an insurer |
| 24 | licensed under chapter 624, a third-party administrator licensed |
| 25 | under chapter 626, a prepaid limited health service organization |
| 26 | licensed under chapter 636, a health maintenance organization |
| 27 | licensed under this chapter, or physician group practices as |
| 28 | defined in s. 456.053(3)(h) and providing services under the |
| 29 | scope of licenses of the members of the group practice. |
| 30 | (6) Any fiscal intermediary services organization, other |
| 31 | than a fiscal intermediary services organization owned, |
| 32 | operated, or controlled by a hospital licensed under chapter |
| 33 | 395, an insurer licensed under chapter 624, a third-party |
| 34 | administrator licensed under chapter 626, a prepaid limited |
| 35 | health service organization licensed under chapter 636, a health |
| 36 | maintenance organization licensed under this chapter, or |
| 37 | physician group practices as defined in s. 456.053(3)(h), and |
| 38 | providing services under the scope of licenses of the members of |
| 39 | the group practice, must register with the office and meet the |
| 40 | requirements of this section. In order to register as a fiscal |
| 41 | intermediary services organization, the organization must comply |
| 42 | with ss. 641.21(1)(c), and (d), and (j), and 641.22(6), and |
| 43 | 641.27. The fiscal intermediary services organization must also |
| 44 | comply with the provisions of ss. 641.3155, 641.3156, and |
| 45 | 641.51(4). Should the office determine that the fiscal |
| 46 | intermediary services organization does not meet the |
| 47 | requirements of this section, the registration shall be denied. |
| 48 | In the event that the registrant fails to maintain compliance |
| 49 | with the provisions of this section, the office may revoke or |
| 50 | suspend the registration. In lieu of revocation or suspension of |
| 51 | the registration, the office may levy an administrative penalty |
| 52 | in accordance with s. 641.25. |
| 53 | Section 2. This act shall take effect October 1, 2006. |