CS/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	for an exception to certain identification card
11	requirements for cards issued before a certain date;
12	providing an effective date.
13
14	Be It Enacted by the Legislature of the State of Florida:
15
16	Section 1.  Subsection (1) of section 627.4236, Florida
17	Statutes, is amended to read:
18	627.4236  Coverage for bone marrow transplant procedures.--
19	(1)  As used in this section, the term "bone marrow
20	transplant" means human blood precursor cells administered to a
21	patient to restore normal hematological and immunological
22	functions following ablative or nonablative therapy with
23	curative or life-prolonging intent. Human blood precursor cells
24	may be obtained from the patient in an autologous transplant or
25	from a medically acceptable related or unrelated donor, and may
26	be derived from bone marrow, circulating blood, or a combination
27	of bone marrow and circulating blood. If chemotherapy is an
28	integral part of the treatment involving bone marrow
29	transplantation, the term "bone marrow transplant" includes both
30	the transplantation and the chemotherapy.
31	Section 2.  Subsection (3) is added to section 627.642,
32	Florida Statutes, to read:
33	627.642  Outline of coverage.--
34	(3)  In addition to the outline of coverage, a policy as
35	specified in s. 627.6699(3)(k) must be accompanied by an
36	identification card that contains, at a minimum:
37	(a)  The name of the organization issuing the policy or the
38	name of the organization administering the policy, whichever
39	applies.
40	(b)  The name of the contract holder.
41	(c)  The type of plan only if the plan is filed in the
42	state, an indication that the plan is self-funded, or the name
43	of the network.
44	(d)  The member identification number, contract number, and
45	policy or group number, if applicable.
46	(e)  A contact phone number or electronic address for
47	authorizations and admission certifications.
48	(f)  A phone number or electronic address whereby the
49	covered person or hospital, physician, or other person rendering
50	services covered by the policy may obtain benefits verification
51	and information in order to estimate patient financial
52	responsibility, in compliance with privacy rules under the
53	Health Insurance Portability and Accountability Act.
54	(g)  The national plan identifier, in accordance with the
55	compliance date set forth by the federal Department of Health
56	and Human Services.
57
58	The identification card must present the information in a
59	readily identifiable manner or, alternatively, the information
60	may be embedded on the card and available through magnetic
61	stripe or smart card. The information may also be provided
62	through other electronic technology.
63	Section 3.  Present subsection (2) of section 627.657,
64	Florida Statutes, is renumbered as subsection (3), and a new
65	subsection (2) is added to that section to read:
66	627.657  Provisions of group health insurance policies.--
67	(2)  The medical policy as specified in s. 627.6699(3)(k)
68	must be accompanied by an identification card that contains, at
69	a minimum:
70	(a)  The name of the organization issuing the policy or
71	name of the organization administering the policy, whichever
72	applies.
73	(b)  The name of the certificateholder.
74	(c)  The type of plan only if the plan is filed in the
75	state, an indication that the plan is self-funded, or the name
76	of the network.
77	(d)  The member identification number, contract number, and
78	policy or group number, if applicable.
79	(e)  A contact phone number or electronic address for
80	authorizations and admission certifications.
81	(f)  A phone number or electronic address whereby the
82	covered person or hospital, physician, or other person rendering
83	services covered by the policy may obtain benefits verification
84	and information in order to estimate patient financial
85	responsibility, in compliance with privacy rules under the
86	Health Insurance Portability and 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 and admission certifications.
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 obtain benefits
117	verification and information in order to estimate patient
118	financial responsibility, in compliance with privacy rules under
119	the Health Insurance Portability and Accountability Act.
120	(g)  The national plan identifier, in accordance with the
121	compliance date set forth by the federal Department of Health
122	and Human Services.
123
124	The identification card must present the information in a
125	readily identifiable manner or, alternatively, the information
126	may be embedded on the card and available through magnetic
127	stripe or smart card. The information may also be provided
128	through other electronic technology.
129	Section 5.  Notwithstanding the provisions of this act,
130	companies that contract with this state, pursuant to s. 110.123,
131	Florida Statutes, to provide medical services to enrollees in
132	the state group insurance program are not required to update any
133	identification card issued to such enrollee prior to January 1,
134	2009, in order to conform with this act. Identification cards
135	for enrollees in the state group insurance program issued on or
136	after January 1, 2009, must contain all information required by
137	this act.
138	Section 6.  This act shall take effect January 1, 2009, and
139	shall apply to identification cards issued for policies or
140	certificates issued or renewed on or after that date.

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