HB 535

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 and admission certifications.
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 obtain benefits verification
49	and information in order to estimate patient financial
50	responsibility, in compliance with privacy rules under the
51	Health Insurance Portability and Accountability Act.
52	(g)  The national plan identifier, in accordance with the
53	compliance date set forth by the federal Department of Health
54	and Human Services.
55
56	The identification card must present the information in a
57	readily identifiable manner or, alternatively, the information
58	may be embedded on the card and available through magnetic
59	stripe or smart card. The information may also be provided
60	through other electronic technology.
61	Section 3.  Present subsection (2) of section 627.657,
62	Florida Statutes, is renumbered as subsection (3), and a new
63	subsection (2) is added to that section to read:
64	627.657  Provisions of group health insurance policies.--
65	(2)  The medical policy as specified in s. 627.6699(3)(k)
66	must be accompanied by an identification card that contains, at
67	a minimum:
68	(a)  The name of the organization issuing the policy or
69	name of the organization administering the policy, whichever
70	applies.
71	(b)  The name of the certificateholder.
72	(c)  The type of plan only if the plan is filed in the
73	state, an indication that the plan is self-funded, or the name
74	of the network.
75	(d)  The member identification number, contract number, and
76	policy or group number, if applicable.
77	(e)  A contact phone number or electronic address for
78	authorizations and admission certifications.
79	(f)  A phone number or electronic address whereby the
80	covered person or hospital, physician, or other person rendering
81	services covered by the policy may obtain benefits verification
82	and information in order to estimate patient financial
83	responsibility, in compliance with privacy rules under the
84	Health Insurance Portability and Accountability Act.
85	(g)  The national plan identifier, in accordance with the
86	compliance date set forth by the federal Department of Health
87	and Human Services.
88
89	The identification card must present the information in a
90	readily identifiable manner or, alternatively, the information
91	may be embedded on the card and available through magnetic
92	stripe or smart card. The information may also be provided
93	through other electronic technology.
94	Section 4.  Subsection (41) is added to section 641.31,
95	Florida Statutes, to read:
96	641.31  Health maintenance contracts.--
97	(41)  The contract, certificate, or member handbook must be
98	accompanied by an identification card that contains, at a
99	minimum:
100	(a)  The name of the organization offering the contract or
101	name of the organization administering the contract, whichever
102	applies.
103	(b)  The name of the subscriber.
104	(c)  A statement that the health plan is a health
105	maintenance organization. Only a health plan with a certificate
106	of authority issued under this chapter may be identified as a
107	health maintenance organization.
108	(d)  The member identification number, contract number, and
109	group number, if applicable.
110	(e)  A contact phone number or electronic address for
111	authorizations and admission certifications.
112	(f)  A phone number or electronic address whereby the
113	covered person or hospital, physician, or other person rendering
114	services covered by the contract may obtain benefits
115	verification and information in order to estimate patient
116	financial responsibility, in compliance with privacy rules under
117	the Health Insurance Portability and Accountability Act.
118	(g)  The national plan identifier, in accordance with the
119	compliance date set forth by the federal Department of Health
120	and Human Services.
121
122	The identification card must present the information in a
123	readily identifiable manner or, alternatively, the information
124	may be embedded on the card and available through magnetic
125	stripe or smart card. The information may also be provided
126	through other electronic technology.
127	Section 5.  This act shall take effect January 1, 2009, and
128	shall apply to identification cards issued for policies or
129	certificates issued or renewed on or after that date.

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