HB 805

1	A bill to be entitled
2	An act relating to plans, policies, contracts, and
3	programs for the provision of health care services;
4	amending s. 408.909, F.S.; revising eligibility
5	requirements for participation in health flex plans;
6	amending s. 627.4236, F.S.; redefining the term "bone
7	marrow transplant" for purposes of required coverage for
8	certain procedures to include nonablative therapy having
9	life-prolonging intent; amending s. 627.642, F.S.;
10	requiring an identification card containing specified
11	information to be given to insureds who have health and
12	accident insurance; requiring certain insurers to provide
13	to certain service providers by an Internet website
14	certain information relating to a covered person;
15	providing criteria; specifying time requirements for such
16	insurers to implement such requirements; amending s.
17	627.657, F.S.; requiring an identification card containing
18	specified information to be given to insureds under group
19	health insurance policies; requiring certain insurers to
20	provide to certain service providers by an Internet
21	website certain information relating to a covered person;
22	providing criteria; specifying time requirements for such
23	insurers to implement such requirements; amending s.
24	627.6699, F.S.; revising a provision relating to
25	applicability and scope of the Employee Health Care Access
26	Act; amending s. 636.204, F.S.; revising a license
27	application provision for discount medical plan
28	organizations; amending s. 636.206, F.S.; revising
29	examination and investigative authority; amending s.
30	636.210, F.S.; providing an exception to prohibited
31	activities; amending s. 636.216, F.S.; providing exception
32	to review of certain charges to members of the plan;
33	amending s. 636.218, F.S.; removing certain information
34	from the annual report; amending s. 636.220, F.S.;
35	revising certain minimum capital requirements of discount
36	medical plan organizations; amending s. 636.232, F.S.;
37	revising commission rulemaking authority; repealing s.
38	636.230, F.S., relating to the bundling of discount
39	medical plans with other products; amending s. 641.31,
40	F.S.; requiring an identification card to be given to
41	persons having health care services through a health
42	maintenance contract; requiring certain health maintenance
43	organizations to provide to certain service providers by
44	an Internet website certain information relating to a
45	covered person; providing criteria; specifying time
46	requirements for such health maintenance organizations to
47	implement such requirements; amending s. 641.316, F.S.;
48	redefining the term "fiscal intermediary services
49	organization"; revising registration requirements for
50	fiscal intermediary services organizations; amending ss.
51	383.145, 641.185, 641.2018, 641.3107, 641.3922, and
52	641.513, F.S.; conforming cross-references to changes made
53	by the act; providing application; providing an effective
54	date.
55
56	Be It Enacted by the Legislature of the State of Florida:
57
58	Section 1.  Subsection (5) of section 408.909, Florida
59	Statutes, is amended to read:
60	408.909  Health flex plans.--
61	(5)  ELIGIBILITY.--Eligibility to enroll in an approved
62	health flex plan is limited to residents of this state who:
63	(a)1.  Are 64 years of age or younger;
64	2.(b)  Have a family income equal to or less than 250 200
65	percent of the federal poverty level;
66	3.(c)  Are eligible under a federally approved Medicaid
67	demonstration waiver and reside in Palm Beach County or Miami-
68	Dade County;
69	4.(d)  Are not covered by a private insurance policy and
70	are not eligible for coverage through a public health insurance
71	program, such as Medicare or Medicaid, unless specifically
72	authorized under subparagraph 3. paragraph (c), or another
73	public health care program, such as KidCare, and have not been
74	covered at any time during the past 6 months; and
75	5.(e)  Have applied for health care coverage through an
76	approved health flex plan and have agreed to make any payments
77	required for participation, including periodic payments or
78	payments due at the time health care services are provided; or
79	(b)  Are part of an employer group where at least 75
80	percent of the employees have a family income equal to or less
81	than 250 percent of the federal poverty level and the employee
82	group is not covered by a private health insurance policy and
83	has not been covered at any time during the past 6 months. If
84	the health flex plan entity is a health insurer, health plan, or
85	health maintenance organization properly licensed under Florida
86	law, only 50 percent of the employees must meet the income
87	requirements for the purposes of this paragraph.
88	Section 2.  Subsection (1) of section 627.4236, Florida
89	Statutes, is amended to read:
90	627.4236  Coverage for bone marrow transplant procedures.--
91	(1)  As used in this section, the term "bone marrow
92	transplant" means human blood precursor cells administered to a
93	patient to restore normal hematological and immunological
94	functions following ablative or nonablative therapy with
95	curative or life-prolonging intent. Human blood precursor cells
96	may be obtained from the patient in an autologous transplant or
97	from a medically acceptable related or unrelated donor, and may
98	be derived from bone marrow, circulating blood, or a combination
99	of bone marrow and circulating blood. If chemotherapy is an
100	integral part of the treatment involving bone marrow
101	transplantation, the term "bone marrow transplant" includes both
102	the transplantation and the chemotherapy.
103	Section 3.  Subsections (3) and (4) are added to section
104	627.642, Florida Statutes, to read:
105	627.642  Outline of coverage.--
106	(3)  In addition to the outline of coverage, a policy as
107	specified in s. 627.6699(3)(k) must be accompanied by an
108	identification card that contains, at a minimum:
109	(a)  The name of the organization issuing the policy or
110	name of the organization administering the policy, whichever
111	applies.
112	(b)  The name of the contract holder.
113	(c)  The type of plan only if the health plan is filed with
114	the state, an indication that the plan is self-funded, or the
115	name of the network.
116	(d)  The member identification number, contract number, and
117	policy or group number, if applicable.
118	(e)  A contact phone number or electronic address for
119	authorizations.
120	(f)  A phone number or electronic address whereby the
121	covered person or hospital, physician, or other person rendering
122	services covered by the policy may determine if the plan is
123	insured and may obtain a benefits verification in order to
124	estimate patient financial responsibility, in compliance with
125	privacy rules under the Health Insurance Portability and
126	Accountability Act.
127	(g)  The national plan identifier, in accordance with the
128	compliance date set forth by the federal Department of Health
129	and Human Services.
130
131	The identification card must present the information in a
132	readily identifiable manner or, alternatively, the information
133	may be embedded on the card and available through magnetic
134	stripe or smart card. The information may also be provided
135	through other electronic technology.
136	(4)(a)  An insurer that issues a health insurance policy
137	shall provide a hospital, physician, or other person rendering
138	services covered by the policy electronic access to the covered
139	person's eligibility and benefits information through a secure
140	Internet website. The eligibility and benefits information shall
141	comply with the transaction standards specified in ANSI ASC X12N
142	270 for health care claim eligibility inquiries and ANSI ASC
143	X12N 271 for health care claim eligibility responses, or
144	successor transaction standards, pursuant to the Health
145	Insurance Portability and Accountability Act.
146	(b)  An insurer shall develop an implementation plan to
147	comply with paragraph (a) no later than March 31, 2007, and
148	shall make the eligibility and benefits information described in
149	this subsection available through a secure Internet website no
150	later than July 1, 2007.
151	Section 4.  Present subsection (2) of section 627.657,
152	Florida Statutes, is renumbered as subsection (4), and new
153	subsections (2) and (3) are added to that section, to read:
154	627.657  Provisions of group health insurance policies.--
155	(2)  The medical policy as specified in s. 627.6699(3)(k)
156	must be accompanied by an identification card that contains, at
157	a minimum:
158	(a)  The name of the organization issuing the policy or
159	name of the organization administering the policy, whichever
160	applies.
161	(b)  The name of the certificateholder.
162	(c)  The type of plan only if the health plan is filed with
163	the state, an indication that the plan is self-funded, or the
164	name of the network.
165	(d)  The member identification number, contract number, and
166	policy or group number, if applicable.
167	(e)  A contact phone number or electronic address for
168	authorizations.
169	(f)  A phone number or electronic address whereby the
170	covered person or hospital, physician, or other person rendering
171	services covered by the policy may determine if the plan is
172	insured and may obtain a benefits verification in order to
173	estimate patient financial responsibility, in compliance with
174	privacy rules under the Health Insurance Portability and
175	Accountability Act.
176	(g)  The national plan identifier, in accordance with the
177	compliance date set forth by the federal Department of Health
178	and Human Services.
179
180	The identification card must present the information in a
181	readily identifiable manner or, alternatively, the information
182	may be embedded on the card and available through magnetic
183	stripe or smart card. The information may also be provided
184	through other electronic technology.
185	(3)(a)  An insurer that issues a group health insurance
186	policy shall provide a hospital, physician, or other person
187	rendering services covered by the policy electronic access to
188	the covered person's eligibility and benefits information
189	through a secure Internet website. The eligibility and benefits
190	information shall comply with the transaction standards
191	specified in ANSI ASC X12N 270 for health care claim eligibility
192	inquiries and ANSI ASC X12N 271 for health care claim
193	eligibility responses, or successor transaction standards,
194	pursuant to the Health Insurance Portability and Accountability
195	Act.
196	(b)  An insurer shall develop an implementation plan to
197	comply with paragraph (a) no later than March 31, 2007, and
198	shall make the eligibility and benefits information described in
199	this subsection available through a secure Internet website no
200	later than July 1, 2007.
201	Section 5.  Paragraph (a) of subsection (4) of section
202	627.6699, Florida Statutes, is amended to read:
203	627.6699  Employee Health Care Access Act.--
204	(4)  APPLICABILITY AND SCOPE.--
205	(a)1.  This section applies to a health benefit plan that
206	provides coverage to employees of a small employer in this
207	state, unless the coverage is marketed directly to the
208	individual employee, and the employer does not contribute
209	directly or indirectly to the premiums or facilitate the
210	administration of the coverage in any manner. For the purposes
211	of this subparagraph, an employer is not deemed to be
212	contributing to the premiums or facilitating the administration
213	of coverage if the employer:
214	a.  Does not contribute to the premium and merely collects
215	the premiums for coverage from an employee's wages or salary
216	through payroll deduction and submits payment for the premiums
217	of one or more employees in a lump sum to a carrier; or
218	b.  Directly or indirectly establishes or administers a
219	health reimbursement account plan for its employees.
220	2.  A carrier authorized to issue group or individual
221	health benefit plans under this chapter or chapter 641 may offer
222	coverage as described in this paragraph to individual employees
223	without being subject to this section if the employer has not
224	had a group health benefit plan in place in the prior 6 months.
225	A carrier authorized to issue group or individual health benefit
226	plans under this chapter or chapter 641 may offer coverage as
227	described in this subparagraph to employees that are not
228	eligible employees as defined in this section, whether or not
229	the small employer has a group health benefit plan in place. A
230	carrier that offers coverage as described in this subparagraph
231	must provide a cancellation notice to the primary insured at
232	least 10 days prior to canceling the coverage for nonpayment of
233	premium.
234	Section 6.  Paragraph (i) of subsection (2) of section
235	636.204, Florida Statutes, is amended to read:
236	636.204  License required.--
237	(2)  An application for a license to operate as a discount
238	medical plan organization must be filed with the office on a
239	form prescribed by the commission. Such application must be
240	sworn to by an officer or authorized representative of the
241	applicant and be accompanied by the following, if applicable:
242	(i)  A copy of the applicant's most recent financial
243	statements audited by an independent certified public
244	accountant. An applicant that is a subsidiary of a parent entity
245	that is publicly traded and that prepares audited financial
246	statements reflecting the consolidated operations of the parent
247	entity and the subsidiary may submit petition the office to
248	accept, in lieu of the audited financial statement of the
249	applicant, the audited financial statement of the parent entity
250	and a written guaranty by the parent entity that the minimum
251	capital requirements of the applicant required by this part will
252	be met by the parent entity.
253	Section 7.  Subsection (1) of section 636.206, Florida
254	Statutes, is amended to read:
255	636.206  Examinations and investigations.--
256	(1)  The office may examine or investigate the business and
257	affairs of any discount medical plan organization if the
258	commissioner has reason to believe that the discount medical
259	plan organization is not complying with the requirements of this
260	act. The office may order any discount medical plan organization
261	or applicant to produce any records, books, files, advertising
262	and solicitation materials, or other information and may take
263	statements under oath to determine whether the discount medical
264	plan organization or applicant is in violation of the law or is
265	acting contrary to the public interest. The expenses incurred in
266	conducting any examination or investigation must be paid by the
267	discount medical plan organization or applicant. Examinations
268	and investigations must be conducted as provided in chapter 624.
269	Section 8.  Subsection (1) of section 636.210, Florida
270	Statutes, is amended to read:
271	636.210  Prohibited activities of a discount medical plan
272	organization.--
273	(1)  A discount medical plan organization may not:
274	(a)  Use in its advertisements, marketing material,
275	brochures, and discount cards the term "insurance" except as
276	otherwise provided in this part or as a disclaimer of any
277	relationship between discount medical plan organization benefits
278	and insurance;
279	(b)  Use in its advertisements, marketing material,
280	brochures, and discount cards the terms "health plan,"
281	"coverage," "copay," "copayments," "preexisting conditions,"
282	"guaranteed issue," "premium," "PPO," "preferred provider
283	organization," or other terms in a manner that could reasonably
284	mislead a person into believing the discount medical plan was
285	health insurance;
286	(c)  Have restrictions on free access to plan providers,
287	except for hospital services, including, but not limited to,
288	waiting periods and notification periods; or
289	(d)  Pay providers any fees for medical services.
290	Section 9.  Subsections (1), (3), and (4) of section
291	636.216, Florida Statutes, are amended to read:
292	636.216  Charge or form filings.--
293	(1)  All charges to members must be filed with the office.
294	and Any charge to members greater than $30 per month or $360 per
295	year for access to healthcare services, other than those
296	provided by physicians licensed under chapter 458 or chapter 459
297	or by hospitals licensed under chapter 395, must be approved by
298	the office before the charges can be used. Any charge to members
299	greater than $60 dollars per month or $720 per year for
300	healthcare services that include services provided by physicians
301	licensed under chapters 458 and 459 or by hospitals licensed
302	under chapter 395 must be approved by the office before the
303	charges can be used. The discount medical plan organization has
304	the burden of proof that the charges bear a reasonable relation
305	to the benefits received by the member.
306	(3)  All forms used, including the written agreement
307	pursuant to subsection (2), must first be filed with and
308	approved by the office. Every form filed shall be identified by
309	a unique form number placed in the lower left corner of each
310	form.
311	(4)  A charge or form is considered approved on the 60th
312	day after its date of filing unless it has been previously
313	disapproved by the office. The office shall disapprove any form
314	that does not meet the requirements of this part or that is
315	unreasonable, discriminatory, misleading, or unfair. If such
316	filing is filings are disapproved, the office shall notify the
317	discount medical plan organization and shall specify in the
318	notice the reasons for disapproval.
319	Section 10.  Subsection (2) of section 636.218, Florida
320	Statutes, is amended to read:
321	636.218  Annual reports.--
322	(2)  Such reports must be on forms prescribed by the
323	commission and must include:
324	(a)  Audited financial statements prepared in accordance
325	with generally accepted accounting principles certified by an
326	independent certified public accountant, including the
327	organization's balance sheet, income statement, and statement of
328	changes in cash flow for the preceding year. An organization
329	that is a subsidiary of a parent entity that is publicly traded
330	and that prepares audited financial statements reflecting the
331	consolidated operations of the parent entity and the
332	organization may petition the office to accept, in lieu of the
333	audited financial statement of the organization, the audited
334	financial statement of the parent entity and a written guaranty
335	by the parent entity that the minimum capital requirements of
336	the organization required by this part will be met by the parent
337	entity.
338	(a)(b)  If different from the initial application or the
339	last annual report, a list of the names and residence addresses
340	of all persons responsible for the conduct of the organization's
341	affairs, together with a disclosure of the extent and nature of
342	any contracts or arrangements between such persons and the
343	discount medical plan organization, including any possible
344	conflicts of interest.
345	(b)(c)  The number of discount medical plan members in the
346	state.
347	(c)(d)  Such other information relating to the performance
348	of the discount medical plan organization as is reasonably
349	required by the commission or office.
350	Section 11.  Subsection (1) of section 636.220, Florida
351	Statutes, is amended to read:
352	636.220  Minimum capital requirements.--
353	(1)  Each discount medical plan organization must at all
354	times maintain a net worth of at least $150,000 and each
355	discount medical plan organization shall certify in writing
356	under oath at licensure and annually that the minimum
357	capitalization requirements of this part are satisfied.
358	Section 12.  Section 636.232, Florida Statutes, is amended
359	to read:
360	636.232  Rules.--The commission may adopt rules to
361	administer this part, including rules for the licensing of
362	discount medical plan organizations; establishing standards for
363	evaluating forms, advertisements, marketing materials,
364	brochures, and discount cards; providing for the collection of
365	data; relating to disclosures to plan members; and defining
366	terms used in this part.
367	Section 13.  Section 636.230, Florida Statutes, is
368	repealed.
369	Section 14.  Present subsections (5) through (40) of
370	section 641.31, Florida Statutes, are renumbered as subsections
371	(7) through (42), respectively, and new subsections (5) and (6)
372	are added to that section, to read:
373	641.31  Health maintenance contracts.--
374	(5)  The contract, certificate, or member handbook must be
375	accompanied by an identification card that contains, at a
376	minimum:
377	(a)  The name of the organization offering the contract or
378	name of the organization administering the contract, whichever
379	applies.
380	(b)  The name of the subscriber.
381	(c)  A statement that the health plan is a health
382	maintenance organization. Only a health plan with a certificate
383	of authority issued under this chapter may be identified as a
384	health maintenance organization.
385	(d)  The member identification number, contract number, and
386	group number, if applicable.
387	(e)  A contact phone number or electronic address for
388	authorizations.
389	(f)  A phone number or electronic address whereby the
390	covered person or hospital, physician, or other person rendering
391	services covered by the contract may determine if the plan is
392	insured and may obtain a benefits verification in order to
393	estimate patient financial responsibility, in compliance with
394	privacy rules under the Health Insurance Portability and
395	Accountability Act.
396	(g)  The national plan identifier, in accordance with the
397	compliance date set forth by the federal Department of Health
398	and Human Services.
399
400	The identification card must present the information in a
401	readily identifiable manner or, alternatively, the information
402	may be embedded on the card and available through magnetic
403	stripe or smart card. The information may also be provided
404	through other electronic technology.
405	(6)(a)  A health maintenance organization shall provide a
406	hospital, physician, or other person rendering services covered
407	by the policy electronic access to the covered person's
408	eligibility and benefits information through a secure Internet
409	website. The eligibility and benefits information shall comply
410	with the transaction standards specified in ANSI ASC X12N 270
411	for health care claim eligibility inquiries and ANSI ASC X12N
412	271 for health care claim eligibility responses, or successor
413	transaction standards, pursuant to the Health Insurance
414	Portability and Accountability Act.
415	(b)  A health maintenance organization shall develop an
416	implementation plan to comply with paragraph (a) no later than
417	March 31, 2007, and shall make the eligibility and benefits
418	information described in this subsection available through a
419	secure Internet website no later than July 1, 2007.
420	Section 15.  Paragraph (j) of subsection (3) of section
421	383.145, Florida Statutes, is amended to read:
422	383.145  Newborn and infant hearing screening.--
423	(3)  REQUIREMENTS FOR SCREENING OF NEWBORNS; INSURANCE
424	COVERAGE; REFERRAL FOR ONGOING SERVICES.--
425	(j)  The initial procedure for screening the hearing of the
426	newborn or infant and any medically necessary followup
427	reevaluations leading to diagnosis shall be a covered benefit,
428	reimbursable under Medicaid as an expense compensated
429	supplemental to the per diem rate for Medicaid patients enrolled
430	in MediPass or Medicaid patients covered by a fee for service
431	program. For Medicaid patients enrolled in HMOs, providers shall
432	be reimbursed directly by the Medicaid Program Office at the
433	Medicaid rate. This service may not be considered a covered
434	service for the purposes of establishing the payment rate for
435	Medicaid HMOs. All health insurance policies and health
436	maintenance organizations as provided under ss. 627.6416,
437	627.6579, and 641.31(32)(30), except for supplemental policies
438	that only provide coverage for specific diseases, hospital
439	indemnity, or Medicare supplement, or to the supplemental
440	polices, shall compensate providers for the covered benefit at
441	the contracted rate. Nonhospital-based providers shall be
442	eligible to bill Medicaid for the professional and technical
443	component of each procedure code.
444	Section 16.  Paragraphs (b) and (i) of subsection (1) of
445	section 641.185, Florida Statutes, are amended to read:
446	641.185  Health maintenance organization subscriber
447	protections.--
448	(1)  With respect to the provisions of this part and part
449	III, the principles expressed in the following statements shall
450	serve as standards to be followed by the commission, the office,
451	the department, and the Agency for Health Care Administration in
452	exercising their powers and duties, in exercising administrative
453	discretion, in administrative interpretations of the law, in
454	enforcing its provisions, and in adopting rules:
455	(b)  A health maintenance organization subscriber should
456	receive quality health care from a broad panel of providers,
457	including referrals, preventive care pursuant to s. 641.402(1),
458	emergency screening and services pursuant to ss. 641.31(14)(12)
459	and 641.513, and second opinions pursuant to s. 641.51.
460	(i)  A health maintenance organization subscriber should
461	receive timely and, if necessary, urgent grievances and appeals
462	within the health maintenance organization pursuant to ss.
463	641.228, 641.31(7)(5), 641.47, and 641.511.
464	Section 17.  Subsection (1) of section 641.2018, Florida
465	Statutes, is amended to read:
466	641.2018  Limited coverage for home health care
467	authorized.--
468	(1)  Notwithstanding other provisions of this chapter, a
469	health maintenance organization may issue a contract that limits
470	coverage to home health care services only. The organization and
471	the contract shall be subject to all of the requirements of this
472	part that do not require or otherwise apply to specific benefits
473	other than home care services. To this extent, all of the
474	requirements of this part apply to any organization or contract
475	that limits coverage to home care services, except the
476	requirements for providing comprehensive health care services as
477	provided in ss. 641.19(4), (11), and (12), and 641.31(1), except
478	ss. 641.31(11)(9), (14)(12), (17), (18), (19), (20), (21), (23),
479	and (26)(24) and 641.31095.
480	Section 18.  Section 641.3107, Florida Statutes, is amended
481	to read:
482	641.3107  Delivery of contract.--Unless delivered upon
483	execution or issuance, a health maintenance contract,
484	certificate of coverage, or member handbook shall be mailed or
485	delivered to the subscriber or, in the case of a group health
486	maintenance contract, to the employer or other person who will
487	hold the contract on behalf of the subscriber group within 10
488	working days from approval of the enrollment form by the health
489	maintenance organization or by the effective date of coverage,
490	whichever occurs first. However, if the employer or other person
491	who will hold the contract on behalf of the subscriber group
492	requires retroactive enrollment of a subscriber, the
493	organization shall deliver the contract, certificate, or member
494	handbook to the subscriber within 10 days after receiving notice
495	from the employer of the retroactive enrollment. This section
496	does not apply to the delivery of those contracts specified in
497	s. 641.31(15)(13).
498	Section 19.  Paragraph (a) of subsection (7) of section
499	641.3922, Florida Statutes, is amended to read:
500	641.3922  Conversion contracts; conditions.--Issuance of a
501	converted contract shall be subject to the following conditions:
502	(7)  REASONS FOR CANCELLATION; TERMINATION.--The converted
503	health maintenance contract must contain a cancellation or
504	nonrenewability clause providing that the health maintenance
505	organization may refuse to renew the contract of any person
506	covered thereunder, but cancellation or nonrenewal must be
507	limited to one or more of the following reasons:
508	(a)  Fraud or intentional misrepresentation, subject to the
509	limitations of s. 641.31(25)(23), in applying for any benefits
510	under the converted health maintenance contract.;
511	Section 20.  Subsection (4) of section 641.513, Florida
512	Statutes, is amended to read:
513	641.513  Requirements for providing emergency services and
514	care.--
515	(4)  A subscriber may be charged a reasonable copayment, as
516	provided in s. 641.31(14)(12), for the use of an emergency room.
517	Section 21.  Paragraph (b) of subsection (2) and subsection
518	(6) of section 641.316, Florida Statutes, are amended to read:
519	641.316  Fiscal intermediary services.--
520	(2)
521	(b)  The term "fiscal intermediary services organization"
522	means a person or entity that which performs fiduciary or fiscal
523	intermediary services to health care professionals who contract
524	with health maintenance organizations other than a fiscal
525	intermediary services organization owned, operated, or
526	controlled by a hospital licensed under chapter 395, an insurer
527	licensed under chapter 624, a third-party administrator licensed
528	under chapter 626, a prepaid limited health service organization
529	licensed under chapter 636, a health maintenance organization
530	licensed under this chapter, or physician group practices as
531	defined in s. 456.053(3)(h) and providing services under the
532	scope of licenses of the members of the group practice.
533	(6)  Any fiscal intermediary services organization, other
534	than a fiscal intermediary services organization owned,
535	operated, or controlled by a hospital licensed under chapter
536	395, an insurer licensed under chapter 624, a third-party
537	administrator licensed under chapter 626, a prepaid limited
538	health service organization licensed under chapter 636, a health
539	maintenance organization licensed under this chapter, or
540	physician group practices as defined in s. 456.053(3)(h), and
541	providing services under the scope of licenses of the members of
542	the group practice, must register with the office and meet the
543	requirements of this section. In order to register as a fiscal
544	intermediary services organization, the organization must comply
545	with ss. 641.21(1)(c), and (d), and (j), and 641.22(6), and
546	641.27. The fiscal intermediary services organization must also
547	comply with the provisions of ss. 641.3155, 641.3156, and
548	641.51(4). Should the office determine that the fiscal
549	intermediary services organization does not meet the
550	requirements of this section, the registration shall be denied.
551	In the event that the registrant fails to maintain compliance
552	with the provisions of this section, the office may revoke or
553	suspend the registration. In lieu of revocation or suspension of
554	the registration, the office may levy an administrative penalty
555	in accordance with s. 641.25.
556	Section 22.  This act shall take effect January 1, 2007,
557	and shall apply to identification cards issued for policies or
558	certificates issued or renewed on or after that date.

CODING: Words stricken are deletions; words underlined are additions.