| 1 | A bill to be entitled |
| 2 | An act relating to optional coverage for health-related |
| 3 | disorders; amending s. 627.42395, F.S.; including certain |
| 4 | amino-acid-based formulas within requirements concerning |
| 5 | optional coverage for enteral formulas; providing an |
| 6 | effective date. |
| 7 |
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| 8 | Be It Enacted by the Legislature of the State of Florida: |
| 9 |
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| 10 | Section 1. Section 627.42395, Florida Statutes, is amended |
| 11 | to read: |
| 12 | 627.42395 Coverage for certain prescription and |
| 13 | nonprescription enteral or amino acid formulas.-- |
| 14 | (1) Notwithstanding any other provision of law, any health |
| 15 | insurance policy delivered or issued for delivery, to any person |
| 16 | in this state or any group, blanket, or franchise health |
| 17 | insurance policy delivered or issued for delivery in this state |
| 18 | shall make available to the policyholder as part of the |
| 19 | application, for an appropriate additional premium, coverage |
| 20 | for: |
| 21 | (a) Prescription and nonprescription enteral formulas for |
| 22 | home use which are physician prescribed as medically necessary |
| 23 | for the treatment of inherited diseases of amino acid, organic |
| 24 | acid, carbohydrate, or fat metabolism as well as malabsorption |
| 25 | originating from congenital defects present at birth or acquired |
| 26 | during the neonatal period. Such coverage for inherited diseases |
| 27 | of amino acids and organic acids shall include food products |
| 28 | modified to be low protein, in an amount not to exceed $2,500 |
| 29 | annually for any insured individual, through the age of 24. |
| 30 | (b) Amino-acid-based elemental formulas, regardless of the |
| 31 | method of intake, for the medically necessary treatment of |
| 32 | medically diagnosed conditions such as severe multiple food |
| 33 | protein allergies, gastroesophageal reflux, eosinophilic |
| 34 | disorders, and short bowel syndrome when ordered by a licensed |
| 35 | physician. |
| 36 | (2) This section applies to any person or family |
| 37 | notwithstanding the existence of any preexisting condition. |
| 38 | Section 2. This act shall take effect October 1, 2008. |