CS/HB 177

1	A bill to be entitled
2	An act relating to health insurance; amending s. 627.4236,
3	F.S.; revising the definition of the term "bone marrow
4	transplant"; amending ss. 627.642, 627.657, and 641.31,
5	F.S.; requiring an identification card containing
6	specified information to be given to insureds under health
7	benefit plans and group health insurance policies and
8	persons having health care services through health
9	maintenance contracts; providing applicability; providing
10	an effective date.
11
12	Be It Enacted by the Legislature of the State of Florida:
13
14	Section 1.  Subsection (1) of section 627.4236, Florida
15	Statutes, is amended to read:
16	627.4236  Coverage for bone marrow transplant procedures.--
17	(1)  As used in this section, the term "bone marrow
18	transplant" means human blood precursor cells administered to a
19	patient to restore normal hematological and immunological
20	functions following ablative or nonablative therapy with
21	curative or life-prolonging intent. Human blood precursor cells
22	may be obtained from the patient in an autologous transplant or
23	from a medically acceptable related or unrelated donor, and may
24	be derived from bone marrow, circulating blood, or a combination
25	of bone marrow and circulating blood. If chemotherapy is an
26	integral part of the treatment involving bone marrow
27	transplantation, the term "bone marrow transplant" includes both
28	the transplantation and the chemotherapy.
29	Section 2.  Subsection (3) is added to section 627.642,
30	Florida Statutes, to read:
31	627.642  Outline of coverage.--
32	(3)  In addition to the outline of coverage, a policy as
33	specified in s. 627.6699(3)(k) must be accompanied by an
34	identification card that contains, at a minimum:
35	(a)  The name of the organization issuing the policy or the
36	name of the organization administering the policy, whichever
37	applies.
38	(b)  The name of the contract holder.
39	(c)  The type of plan only if the plan is filed in the
40	state, an indication that the plan is self-funded, or the name
41	of the network.
42	(d)  The member identification number, contract number, and
43	policy or group number, if applicable.
44	(e)  A contact phone number or electronic address for
45	authorizations.
46	(f)  A phone number or electronic address whereby the
47	covered person or hospital, physician, or other person rendering
48	services covered by the policy may determine if the plan is
49	insured and may obtain a benefits verification in order to
50	estimate patient financial responsibility, in compliance with
51	privacy rules under the Health Insurance Portability and
52	Accountability Act.
53	(g)  The national plan identifier, in accordance with the
54	compliance date set forth by the federal Department of Health
55	and Human Services.
56
57	The identification card must present the information in a
58	readily identifiable manner or, alternatively, the information
59	may be embedded on the card and available through magnetic
60	stripe or smart card. The information may also be provided
61	through other electronic technology.
62	Section 3.  Present subsection (2) of section 627.657,
63	Florida Statutes, is renumbered as subsection (3), and a new
64	subsection (2) is added to that section to read:
65	627.657  Provisions of group health insurance policies.--
66	(2)  The medical policy as specified in s. 627.6699(3)(k)
67	must be accompanied by an identification card that contains, at
68	a minimum:
69	(a)  The name of the organization issuing the policy or
70	name of the organization administering the policy, whichever
71	applies.
72	(b)  The name of the certificateholder.
73	(c)  The type of plan only if the plan is filed in the
74	state, an indication that the plan is self-funded, or the name
75	of the network.
76	(d)  The member identification number, contract number, and
77	policy or group number, if applicable.
78	(e)  A contact phone number or electronic address for
79	authorizations.
80	(f)  A phone number or electronic address whereby the
81	covered person or hospital, physician, or other person rendering
82	services covered by the policy may determine if the plan is
83	insured and may obtain a benefits verification in order to
84	estimate patient financial responsibility, in compliance with
85	privacy rules under the Health Insurance Portability and
86	Accountability Act.
87	(g)  The national plan identifier, in accordance with the
88	compliance date set forth by the federal Department of Health
89	and Human Services.
90
91	The identification card must present the information in a
92	readily identifiable manner or, alternatively, the information
93	may be embedded on the card and available through magnetic
94	stripe or smart card. The information may also be provided
95	through other electronic technology.
96	Section 4.  Subsection (41) is added to section 641.31,
97	Florida Statutes, to read:
98	641.31  Health maintenance contracts.--
99	(41)  The contract, certificate, or member handbook must be
100	accompanied by an identification card that contains, at a
101	minimum:
102	(a)  The name of the organization offering the contract or
103	name of the organization administering the contract, whichever
104	applies.
105	(b)  The name of the subscriber.
106	(c)  A statement that the health plan is a health
107	maintenance organization. Only a health plan with a certificate
108	of authority issued under this chapter may be identified as a
109	health maintenance organization.
110	(d)  The member identification number, contract number, and
111	group number, if applicable.
112	(e)  A contact phone number or electronic address for
113	authorizations.
114	(f)  A phone number or electronic address whereby the
115	covered person or hospital, physician, or other person rendering
116	services covered by the contract may determine if the plan is
117	insured and may obtain a benefits verification in order to
118	estimate patient financial responsibility, in compliance with
119	privacy rules under the Health Insurance Portability and
120	Accountability Act.
121	(g)  The national plan identifier, in accordance with the
122	compliance date set forth by the federal Department of Health
123	and Human Services.
124
125	The identification card must present the information in a
126	readily identifiable manner or, alternatively, the information
127	may be embedded on the card and available through magnetic
128	stripe or smart card. The information may also be provided
129	through other electronic technology.
130	Section 5.  This act shall take effect January 1, 2008, and
131	shall apply to identification cards issued for policies or
132	certificates issued or renewed on or after that date.

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