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The Committee on Health Policy (Saunders) recommended the

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following amendment:

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     Senate Amendment (with title amendment)

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     Delete lines 27-59

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and insert:

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     (a) Prescription and nonprescription enteral formulas for

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home use which are ordered or physician prescribed by a

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prescribing practitioner licensed under chapter 458, chapter 459,

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or chapter 464, as medically necessary for the treatment of

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inherited diseases of amino acid, organic acid, carbohydrate, or

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fat metabolism as well as malabsorption originating from

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congenital defects present at birth or acquired during the

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neonatal period. Such coverage for inherited diseases of amino

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acids and organic acids shall include food products modified to

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be low protein, in an amount not to exceed $2,500 annually for

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any insured individual, through the age of 24.

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     (b) Amino-acid-based elemental formulas, regardless of the

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method of intake, for the medically necessary treatment of

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medically diagnosed conditions of severe multiple food protein

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allergies, gastroesophageal reflux, eosinophilic disorders, and

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short bowel syndrome when ordered or prescribed by a prescribing

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practitioner licensed under chapter 458, chapter 459, or chapter

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464. Treatments using amino-acid-based elemental formulas must be

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medically necessary and appropriate treatment that is consistent

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with the person's symptoms, diagnosis, and condition, and may not

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be furnished primarily for the convenience of the person or

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provider. Conditions for which these formulas are used in

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experimental or investigational services do not meet the

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criterion of medical necessity.

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     (2) This section applies to any person or family

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notwithstanding the existence of any preexisting condition.

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     Section 2.  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 health maintenance contract must make available

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coverage of amino-acid-based elemental formulas, regardless of

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the method of intake, for the medically necessary treatment of

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medically diagnosed conditions such as severe multiple food

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protein allergies, gastroesophageal reflux, eosinophilic

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disorders, and short bowel syndrome when ordered or prescribed by

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a prescribing practitioner licensed under chapter 458, chapter

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459, or chapter 464. Treatments using amino-acid-based elemental

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formulas

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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 line 7

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and insert:

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conditions; revising a prerequisite concerning such

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coverage to authorize persons holding certain licenses to

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prescribe or order such formulas; amending s. 627.6741,

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F.S.; requiring an

4/8/2008  9:14:00 AM     37-06827-08