Senate Bill sb0110

    Florida Senate - 2007                                   SB 110

    By Senator Hill





    1-181-07

  1                      A bill to be entitled

  2         An act relating to health insurance; requiring

  3         health benefit plans, as defined, to offer

  4         coverage for prostate cancer early detection

  5         screening for certain men; providing an

  6         effective date.

  7  

  8  Be It Enacted by the Legislature of the State of Florida:

  9  

10         Section 1.  (1)(a)  A health benefit plan that is

11  offered, issued, or renewed in this state on or after January

12  1, 2008, which provides coverage to men age 40 or older must

13  offer coverage for annual screening for prostate cancer for

14  such men, according to the prostate cancer early detection

15  guidelines of the National Comprehensive Cancer Network. The

16  coverage may not be subject to plan deductibles.

17         (b)  The coverage for prostate cancer screening shall

18  consist, at a minimum, of the following tests:

19         1.  Prostate-specific antigen blood test; and

20         2.  Digital rectal examination.

21         (c)  If a medical practitioner recommends that an

22  insured, subscriber, or enrollee undergo a prostate-specific

23  antigen blood test, coverage may not be denied because that

24  person previously had a digital rectal exam and the exam

25  results were negative.

26         (2)  The benefits required by this section do not limit

27  diagnostic benefits otherwise allowable under a health benefit

28  plan.

29         (3)  As used in this section, the term "health benefit

30  plan" means group hospital or medical insurance coverage, a

31  not-for-profit hospital or medical service or indemnity plan,

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






    Florida Senate - 2007                                   SB 110
    1-181-07




 1  a prepaid health plan, a health maintenance organization plan,

 2  a preferred provider organization plan, a state or municipal

 3  employee health insurance plan, a program funded under Title

 4  XIX of the Social Security Act or other publicly funded

 5  program, a Multiple Employer Welfare Arrangement, or an

 6  employee self-insured plan, except as exempt under federal

 7  ERISA provisions. The term does not include short-term,

 8  accident, fixed indemnity, or specified disease policies,

 9  disability income contracts, limited benefit or credit

10  disability insurance, workers' compensation insurance,

11  automobile medical payment insurance, or insurance under which

12  benefits are payable without regard to fault and which is

13  required by law to be included in a liability insurance policy

14  or equivalent self-insurance.

15         Section 2.  This act shall take effect January 1, 2008.

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18                          SENATE SUMMARY

19    Requires health benefit plans that offer coverage to
      persons age 40 or older to include diagnostic screening
20    benefits for prostate cancer to such men. (See bill for
      details.)
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CODING: Words stricken are deletions; words underlined are additions.