Florida Senate - 2008 CS for SB 1968
By the Committee on General Government Appropriations; and Senators Posey and Storms
601-07391-08 20081968c1
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A bill to be entitled
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An act relating to health insurance; amending s. 627.4236,
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F.S.; revising the definition of the term "bone marrow
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F.S.; requiring an identification card containing
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specified information to be given to insureds under health
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benefit plans and group health insurance policies and
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persons having health care services through health
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maintenance contracts; providing that a company that
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contracts with the state to provide medical services to
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enrollees in the state group insurance program is exempt
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from updating identification cards that were issued before
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a specified date; providing applicability; providing an
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effective date.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Subsection (1) of section 627.4236, Florida
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Statutes, is amended to read:
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627.4236 Coverage for bone marrow transplant procedures.--
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(1) As used in this section, the term "bone marrow
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transplant" means human blood precursor cells administered to a
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patient to restore normal hematological and immunological
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functions following ablative or nonablative therapy with curative
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or life-prolonging intent. Human blood precursor cells may be
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obtained from the patient in an autologous transplant or from a
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medically acceptable related or unrelated donor, and may be
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derived from bone marrow, circulating blood, or a combination of
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bone marrow and circulating blood. If chemotherapy is an integral
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part of the treatment involving bone marrow transplantation, the
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term "bone marrow transplant" includes both the transplantation
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and the chemotherapy.
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Section 2. Subsection (3) is added to section 627.642,
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Florida Statutes, to read:
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627.642 Outline of coverage.--
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(3) In addition to the outline of coverage, a policy as
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specified in s. 627.6699(3)(k) must be accompanied by an
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identification card that contains, at a minimum:
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(a) The name of the organization issuing the policy or the
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name of the organization administering the policy, whichever
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applies.
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(b) The name of the contract holder.
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(c) The type of plan only if the plan is filed in the
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state, an indication that the plan is self-funded, or the name of
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the network.
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(d) The member identification number, contract number, and
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policy or group number, if applicable.
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(e) A contact phone number or electronic address for
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authorizations and admission certifications.
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(f) A phone number or electronic address whereby the
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covered person or hospital, physician, or other person rendering
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services covered by the policy may obtain benefits verification
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and information in order to estimate patient financial
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responsibility, in compliance with privacy rules under the Health
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Insurance Portability and Accountability Act.
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(g) The national plan identifier, in accordance with the
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compliance date set forth by the federal Department of Health and
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Human Services.
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The identification card must present the information in a readily
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identifiable manner or, alternatively, the information may be
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embedded on the card and available through magnetic stripe or
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smart card. The information may also be provided through other
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electronic technology.
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Section 3. Present subsection (2) of section 627.657,
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Florida Statutes, is renumbered as subsection (3), and a new
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subsection (2) is added to that section, to read:
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627.657 Provisions of group health insurance policies.--
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(2) The medical policy as specified in s. 627.6699(3)(k)
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must be accompanied by an identification card that contains, at a
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minimum:
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(a) The name of the organization issuing the policy or name
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of the organization administering the policy, whichever applies.
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(b) The name of the certificateholder.
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(c) The type of plan only if the plan is filed in the
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state, an indication that the plan is self-funded, or the name of
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the network.
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(d) The member identification number, contract number, and
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policy or group number, if applicable.
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(e) A contact phone number or electronic address for
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authorizations and admission certifications.
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(f) A phone number or electronic address whereby the
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covered person or hospital, physician, or other person rendering
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services covered by the policy may obtain benefits verification
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and information in order to estimate patient financial
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responsibility, in compliance with privacy rules under the Health
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Insurance Portability and Accountability Act.
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(g) The national plan identifier, in accordance with the
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compliance date set forth by the federal Department of Health and
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Human Services.
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The identification card must present the information in a readily
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identifiable manner or, alternatively, the information may be
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embedded on the card and available through magnetic stripe or
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smart card. The information may also be provided through other
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electronic technology.
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Section 4. 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) The contract, certificate, or member handbook must be
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accompanied by an identification card that contains, at a
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minimum:
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(a) The name of the organization offering the contract or
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name of the organization administering the contract, whichever
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applies.
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(b) The name of the subscriber.
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(c) A statement that the health plan is a health
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maintenance organization. Only a health plan with a certificate
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of authority issued under this chapter may be identified as a
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health maintenance organization.
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(d) The member identification number, contract number, and
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group number, if applicable.
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(e) A contact phone number or electronic address for
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authorizations and admission certifications.
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(f) A phone number or electronic address whereby the
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covered person or hospital, physician, or other person rendering
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services covered by the contract may obtain benefits verification
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and information in order to estimate patient financial
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responsibility, in compliance with privacy rules under the Health
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Insurance Portability and Accountability Act.
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(g) The national plan identifier, in accordance with the
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compliance date set forth by the federal Department of Health and
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Human Services.
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The identification card must present the information in a readily
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identifiable manner or, alternatively, the information may be
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embedded on the card and available through magnetic stripe or
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smart card. The information may also be provided through other
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electronic technology.
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Section 5. Notwithstanding the provisions of this act, a
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company that contracts with the State of Florida pursuant to s.
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110.123, Florida Statutes, to provide medical services to
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enrollees in the state group insurance program is not required to
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update any identification card issued to such enrollees before
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January 1, 2009, in order to conform with this act.
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Identification cards for enrollees in the state group insurance
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program issued on or after January 1, 2009, must contain all
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information required by this act.
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Section 6. This act shall take effect January 1, 2009, and
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shall apply to identification cards issued for policies or
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certificates issued or renewed on or after that date.
CODING: Words stricken are deletions; words underlined are additions.