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The Committee on Banking and Insurance (Lawson) recommended the

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following amendment:

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     Senate Amendment (with title amendment)

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     Delete everything after the enacting clause

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and insert:

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     Section 1. This act may be cited as the "Senator Les Miller

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Act."

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     Section 2.  Section 627.64091, Florida Statutes, is created

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to read:

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     627.64091 Coverage for prostate cancer screening.--

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     (1) A health insurance policy providing coverage to a man

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40 years of age or older must provide coverage for annual

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screening for prostate cancer for such man in accordance with the

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guidelines for the early detection of prostate cancer set forth

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in the National Comprehensive Cancer Network guidelines.

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     (2) The coverage for prostate cancer screening shall

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consist, at a minimum, of the following tests:

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     (a) Prostate-specific antigen blood test; and

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     (b) Digital rectal examination.

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     (3) If a licensed medical practitioner recommends that an

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insured undergo a prostate-specific antigen blood test, coverage

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may not be denied because that person previously had a digital

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rectal exam and the exam results were negative.

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     (4) The benefits required by this section do not limit

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diagnostic benefits otherwise allowable under the policy.

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     Section 3.  Paragraph (c) of subsection (2) of section

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627.6515, Florida Statutes, is amended to read:

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     627.6515  Out-of-state groups.--

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     (2)  Except as otherwise provided in this part, this part

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does not apply to a group health insurance policy issued or

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delivered outside this state under which a resident of this state

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is provided coverage if:

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     (c)  The policy provides the benefits specified in ss.

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627.419, 627.6574, 627.6575, 627.6579, 627.6612, 627.66121,

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627.66122, 627.6613, 627.6614, 627.667, 627.6675, 627.6691, and

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627.66911.

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     Section 4.  Section 627.6614, Florida Statutes, is created

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to read:

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     627.6614 Coverage for prostate cancer screening.--

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     (1) A group health insurance policy that provides coverage

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to a man 40 years of age or older must provide coverage for

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annual screening for prostate cancer for such man in accordance

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with the guidelines for the early detection of prostate cancer

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set forth in the National Comprehensive Cancer Network

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guidelines.

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     (2) The coverage for prostate cancer screening shall

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consist, at a minimum, of the following tests:

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     (a) Prostate-specific antigen blood test; and

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     (b) Digital rectal examination.

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     (3) If a licensed medical practitioner recommends that an

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insured undergo a prostate-specific antigen blood test, coverage

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may not be denied because that person previously had a digital

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rectal exam and the exam results were negative.

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     (4) The benefits required by this section do not limit

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diagnostic benefits otherwise allowable under the policy.

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     Section 5.  Subsection (41) is added to section 641.31,

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Florida Statutes, to read:

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     641.31  Health maintenance contracts.--

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     (41)(a) A health maintenance organization contract that

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provides coverage to a man 40 years of age or older must provide

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coverage for annual screening for prostate cancer for such man in

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accordance with the guidelines for the early detection of

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prostate cancer set forth in the National Comprehensive Cancer

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Network guidelines.

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     (b) The coverage for prostate cancer screening shall

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consist, at a minimum, of the following tests:

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     1. Prostate-specific antigen blood test; and

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     2. Digital rectal examination.

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     (c) If a licensed medical practitioner recommends that a

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subscriber undergo a prostate-specific antigen blood test,

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coverage may not be denied because that person previously had a

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digital rectal exam and the exam results were negative.

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     (d) The benefits required by this section do not limit

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diagnostic benefits otherwise allowable under the contract.

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     Section 6. The Legislature finds that the provisions of

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this act fulfill an important state interest.

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     Section 7.  This act shall take effect January 1, 2009, and

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applies to policies and contracts issued or renewed on or after

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that date.

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================ T I T L E  A M E N D M E N T ================

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And the title is amended as follows:

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     Delete everything before the enacting clause

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and insert:

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A bill to be entitled

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An act relating to health insurance; creating the "Senator

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Les Miller Act"; creating ss. 627.64091 and 627.6614,

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F.S., and amending s. 641.31, F.S.; requiring that health

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insurance policies, group health insurance policies, and

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health maintenance contracts provide coverage for an

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annual screening for prostate cancer for men of a

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specified age or older; providing requirements for the

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screening; providing that coverage for prostate cancer

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screening does not limit diagnostic benefits otherwise

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allowed under the policy; amending s. 627.6515, F.S.;

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providing for the benefit requirement to apply to a group

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health insurance policy issued or delivered outside the

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state; providing a finding that the act fulfills an

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important state interest; providing for application of the

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act; providing an effective date.

3/31/2008  8:21:00 AM     6-06020-08