Florida Senate - 2011 CS for SB 1414 By the Committee on Banking and Insurance; and Senator Wise 597-02874-11 20111414c1 1 A bill to be entitled 2 An act relating to health insurance; creating ss. 3 627.64995, 627.66995, and 641.31099, F.S.; prohibiting 4 certain health insurance policies and health 5 maintenance contracts from providing coverage for 6 abortions; providing exceptions; defining the term 7 “state”; amending s. 627.6515, F.S.; providing that 8 certain restrictions on coverage for abortions apply 9 to certain group health insurance policies issued or 10 delivered outside the state which provide coverage to 11 residents of the state; amending s. 627.6699, F.S.; 12 providing that certain restrictions on coverage for 13 abortions apply to plans under the Employee Health 14 Care Access Act; providing an effective date. 15 16 Be It Enacted by the Legislature of the State of Florida: 17 18 Section 1. Section 627.64995, Florida Statutes, is created 19 to read: 20 627.64995 Restrictions on use of state and federal funds 21 for state exchanges.— 22 (1) A health insurance policy under which coverage is 23 purchased in whole or in part with any state or federal funds 24 through an exchange created pursuant to the federal Patient 25 Protection and Affordable Care Act, Pub. L. No. 111-148, may not 26 provide coverage for an abortion as defined in s. 390.011(1), 27 except if the physician certifies in writing that an abortion is 28 necessary to save the life of the mother or if the pregnancy is 29 the result of an act of rape or incest. Coverage is deemed to be 30 purchased with state or federal funds if any tax credit or cost 31 sharing credit is applied toward the health insurance policy. 32 (2) This section does not prohibit a health insurance 33 policy from offering separate coverage for an abortion if such 34 coverage is not purchased in whole or in part with state or 35 federal funds. 36 (3) As used in this section, the term “state” means this 37 state or any political subdivision of the state. 38 Section 2. Section 627.66995, Florida Statutes, is created 39 to read: 40 627.66995 Restrictions on use of state and federal funds 41 for state exchanges.— 42 (1) A group, franchise, or blanket health insurance policy 43 under which coverage is purchased in whole or in part with any 44 state or federal funds through an exchange created pursuant to 45 the federal Patient Protection and Affordable Care Act, Pub. L. 46 No. 111-148, may not provide coverage for an abortion as defined 47 in s. 390.011(1), except if the physician certifies in writing 48 that an abortion is necessary to save the life of the mother or 49 if the pregnancy is the result of an act of rape or incest. 50 Coverage is deemed to be purchased with state or federal funds 51 if any tax credit or cost-sharing credit is applied toward the 52 group, franchise, or blanket health insurance policy. 53 (2) This section does not prohibit a group, franchise, or 54 blanket health insurance policy from offering separate coverage 55 for an abortion if such coverage is not purchased in whole or in 56 part with state or federal funds. 57 (3) As used in this section, the term “state” means this 58 state or any political subdivision of the state. 59 Section 3. Section 641.31099, Florida Statutes, is created 60 to read: 61 641.31099 Restrictions on use of state and federal funds 62 for state exchanges.— 63 (1) A health maintenance contract under which coverage is 64 purchased in whole or in part with any state or federal funds 65 through an exchange created pursuant to the federal Patient 66 Protection and Affordable Care Act, Pub. L. No. 111-148, may not 67 provide coverage for an abortion as defined in s. 390.011(1), 68 except if the physician certifies in writing that an abortion is 69 necessary to save the life of the mother or if the pregnancy is 70 the result of an act of rape or incest. Coverage is deemed to be 71 purchased with state or federal funds if any tax credit or cost 72 sharing credit is applied toward the health maintenance 73 contract. 74 (2) This section does not prohibit a health maintenance 75 contract from offering separate coverage for an abortion if such 76 coverage is not purchased in whole or in part with state or 77 federal funds. 78 (3) As used in this section, the term “state” means this 79 state or any political subdivision of the state. 80 Section 4. Paragraph (c) of subsection (2) of section 81 627.6515, Florida Statutes, is amended to read: 82 627.6515 Out-of-state groups.— 83 (2) Except as otherwise provided in this part, this part 84 does not apply to a group health insurance policy issued or 85 delivered outside this state under which a resident of this 86 state is provided coverage if: 87 (c) The policy provides the benefits specified in ss. 88 627.419, 627.6574, 627.6575, 627.6579, 627.6612, 627.66121, 89 627.66122, 627.6613, 627.667, 627.6675, 627.6691, and 627.66911, 90 and complies with the requirements of 627.66995. 91 Section 5. Present subsection (17) of section 627.6699, 92 Florida Statutes, is renumbered as subsection (18), and a new 93 subsection (17) is added to that section, to read: 94 627.6699 Employee Health Care Access Act.— 95 (17) RESTRICTIONS ON COVERAGE.— 96 (a) A plan under which coverage is purchased in whole or in 97 part with any state or federal funds through an exchange created 98 pursuant to the federal Patient Protection and Affordable Care 99 Act, Pub. L. No. 111-148, may not provide coverage for an 100 abortion, as defined in s. 390.011(1), unless the physician 101 certifies in writing that an abortion is necessary to save the 102 life of the mother or if the pregnancy is the result of an act 103 of rape or incest. Coverage is deemed to be purchased with state 104 or federal funds if any tax credit or cost-sharing credit is 105 applied toward the plan. 106 (b) This subsection does not prohibit a plan from providing 107 any person or entity with separate coverage for an abortion if 108 such coverage is not purchased in whole or in part with state or 109 federal funds. 110 (c) As used in this section, the term “state” means this 111 state or any political subdivision of the state. 112 Section 6. This act shall take effect July 1, 2011.