Florida Senate - 2013                             CS for SB 1258
       By the Committee on Appropriations; and Senator Grimsley
       576-03540-13                                          20131258c1
    1                        A bill to be entitled                      
    2         An act relating to a comprehensive health information
    3         system; amending s. 408.05, F.S.; renaming the Florida
    4         Center for Health Information and Policy Analysis as
    5         the Florida Health Information Transparency
    6         Initiative; providing a statement of purpose for the
    7         initiative; providing the duties of the Agency for
    8         Health Care Administration; revising the data and
    9         information required to be included in the health
   10         information system; revising the functions that the
   11         agency must perform in order to collect and
   12         disseminate health information and statistics;
   13         deleting provisions that require the center to provide
   14         technical assistance to persons and organizations
   15         engaged in health planning activities; deleting
   16         provisions that require the center to provide
   17         widespread dissemination of data; requiring the agency
   18         to implement the transparency initiative in a manner
   19         that recognizes state-collected data as an asset and
   20         rewards taxpayer investment in information collection
   21         and management; authorizing the agency to apply for,
   22         receive, and accept grants, gifts, and other payments,
   23         including property and services, from a governmental
   24         or other public or private entity or person; requiring
   25         the agency to ensure that certain vendors do not
   26         inhibit or impede consumer access to state-collected
   27         health data and information; abolishing the State
   28         Consumer Health Information and Policy Advisory
   29         Council; amending ss. 381.026, 395.301, 465.0244,
   30         627.6499, and 641.54, F.S.; conforming provisions to
   31         changes made by the act; providing an effective date.
   33  Be It Enacted by the Legislature of the State of Florida:
   35         Section 1. Section 408.05, Florida Statutes, is amended to
   36  read:
   37         408.05 Florida Center for Health Information Transparency
   38  Initiative and Policy Analysis.—
   39         (1) PURPOSE ESTABLISHMENT.—The agency shall coordinate
   40  establish a Florida Center for Health Information and Policy
   41  Analysis. The center shall establish a comprehensive health
   42  information system to promote accessibility, transparency, and
   43  utility of state-collected data and information about health
   44  providers, facilities, services, and payment sources provide for
   45  the collection, compilation, coordination, analysis, indexing,
   46  dissemination, and utilization of both purposefully collected
   47  and extant health-related data and statistics. The agency center
   48  shall be responsible for making data available in a manner that
   49  allows for and encourages multiple and innovative uses of data
   50  sets collected under the auspices of the state. Subject to the
   51  General Appropriations Act, the agency shall contract with one
   52  or more vendors to develop new methods of dissemination and to
   53  convert data into easily usable electronic formats staffed with
   54  public health experts, biostatisticians, information system
   55  analysts, health policy experts, economists, and other staff
   56  necessary to carry out its functions.
   57         (2) HEALTH-RELATED DATA.—The comprehensive health
   58  information system operated by the Florida Center for Health
   59  Information and Policy Analysis shall include the following data
   60  and information identify the best available data sources and
   61  coordinate the compilation of extant health-related data and
   62  statistics and purposefully collect data on:
   63         (a) The extent and nature of illness and disability of the
   64  state population, including life expectancy, the incidence of
   65  various acute and chronic illnesses, and infant and maternal
   66  morbidity and mortality.
   67         (b) The impact of illness and disability of the state
   68  population on the state economy and on other aspects of the
   69  well-being of the people in this state.
   70         (c) Environmental, social, and other health hazards.
   71         (d) Health knowledge and practices of the people in this
   72  state and determinants of health and nutritional practices and
   73  status.
   74         (a)(e) Health resources, including licensed physicians,
   75  dentists, nurses, and other health professionals, licensed by
   76  specialty and type of practice and acute, long-term care and
   77  other institutional care facility supplies and specific services
   78  provided by hospitals, nursing homes, home health agencies, and
   79  other health care facilities, managed care organizations, and
   80  other health services regulated or funded by the state.
   81         (b)(f) Utilization of health resources care by type of
   82  provider.
   83         (c)(g) Health care costs and financing, including Medicaid
   84  claims and encounter data and data from other public and private
   85  payors trends in health care prices and costs, the sources of
   86  payment for health care services, and federal, state, and local
   87  expenditures for health care.
   88         (h) Family formation, growth, and dissolution.
   89         (d)(i) The extent, source, and type of public and private
   90  health insurance coverage in this state.
   91         (e)(j) The data necessary for measuring value and quality
   92  of care provided by various health care providers, including
   93  applicable credentials, accreditation status, utilization,
   94  revenues and expenses, outcomes, site visits, and other
   95  regulatory reports, and the results of administrative and civil
   96  litigation.
   98  In order to collect and disseminate comprehensive produce
   99  comparable and uniform health information and statistics for the
  100  public as well as for the development of policy recommendations,
  101  the agency shall perform the following functions:
  102         (a) Collect and compile data from all state agencies and
  103  programs involved in providing, regulating, and paying for
  104  health services Coordinate the activities of state agencies
  105  involved in the design and implementation of the comprehensive
  106  health information system.
  107         (b) Promote data sharing through the Undertake research,
  108  development, dissemination, and evaluation of state-collected
  109  health data and by making such data available, transferable, and
  110  readily usable respecting the comprehensive health information
  111  system.
  112         (c) Review the statistical activities of state agencies to
  113  ensure that they are consistent with the comprehensive health
  114  information system.
  115         (c)(d) Develop written agreements with local, state, and
  116  federal agencies for the sharing of health-care-related data or
  117  using the facilities and services of such agencies. State
  118  agencies, local health councils, and other agencies under state
  119  contract shall assist the agency center in obtaining, compiling,
  120  and transferring health-care-related data maintained by state
  121  and local agencies. Written agreements must specify the types,
  122  methods, and periodicity of data exchanges and specify the types
  123  of data that will be transferred to the center.
  124         (d)(e)Enable and facilitate the sharing and use of all
  125  state-collected health data to the maximum extent allowed by law
  126  Establish by rule the types of data collected, compiled,
  127  processed, used, or shared. Decisions regarding center data sets
  128  should be made based on consultation with the State Consumer
  129  Health Information and Policy Advisory Council and other public
  130  and private users regarding the types of data which should be
  131  collected and their uses. The center shall establish
  132  standardized means for collecting health information and
  133  statistics under laws and rules administered by the agency.
  134         (f) Establish minimum health-care-related data sets which
  135  are necessary on a continuing basis to fulfill the collection
  136  requirements of the center and which shall be used by state
  137  agencies in collecting and compiling health-care-related data.
  138  The agency shall periodically review ongoing health care data
  139  collections of the Department of Health and other state agencies
  140  to determine if the collections are being conducted in
  141  accordance with the established minimum sets of data.
  142         (g) Establish advisory standards to ensure the quality of
  143  health statistical and epidemiological data collection,
  144  processing, and analysis by local, state, and private
  145  organizations.
  146         (e)(h)Monitor data collection procedures, test data
  147  quality, and take such corrective actions as may be necessary to
  148  ensure that data and information disseminated under the
  149  initiative are accurate, valid, reliable, and complete Prescribe
  150  standards for the publication of health-care-related data
  151  reported pursuant to this section which ensure the reporting of
  152  accurate, valid, reliable, complete, and comparable data. Such
  153  standards should include advisory warnings to users of the data
  154  regarding the status and quality of any data reported by or
  155  available from the center.
  156         (f)(i)Initiate and maintain activities necessary to
  157  collect, edit, verify, archive, and retrieve Prescribe standards
  158  for the maintenance and preservation of the center’s data. This
  159  should include methods for archiving data, retrieval of archived
  160  data, and data compiled pursuant to this section editing and
  161  verification.
  162         (j) Ensure that strict quality control measures are
  163  maintained for the dissemination of data through publications,
  164  studies, or user requests.
  165         (k) Develop, in conjunction with the State Consumer Health
  166  Information and Policy Advisory Council, and implement a long
  167  range plan for making available health care quality measures and
  168  financial data that will allow consumers to compare health care
  169  services. The health care quality measures and financial data
  170  the agency must make available shall include, but is not limited
  171  to, pharmaceuticals, physicians, health care facilities, and
  172  health plans and managed care entities. The agency shall update
  173  the plan and report on the status of its implementation
  174  annually. The agency shall also make the plan and status report
  175  available to the public on its Internet website. As part of the
  176  plan, the agency shall identify the process and timeframes for
  177  implementation, any barriers to implementation, and
  178  recommendations of changes in the law that may be enacted by the
  179  Legislature to eliminate the barriers. As preliminary elements
  180  of the plan, the agency shall:
  181         1. Make available patient-safety indicators, inpatient
  182  quality indicators, and performance outcome and patient charge
  183  data collected from health care facilities pursuant to s.
  184  408.061(1)(a) and (2). The terms “patient-safety indicators” and
  185  “inpatient quality indicators” shall be as defined by the
  186  Centers for Medicare and Medicaid Services, the National Quality
  187  Forum, the Joint Commission on Accreditation of Healthcare
  188  Organizations, the Agency for Healthcare Research and Quality,
  189  the Centers for Disease Control and Prevention, or a similar
  190  national entity that establishes standards to measure the
  191  performance of health care providers, or by other states. The
  192  agency shall determine which conditions, procedures, health care
  193  quality measures, and patient charge data to disclose based upon
  194  input from the council. When determining which conditions and
  195  procedures are to be disclosed, the council and the agency shall
  196  consider variation in costs, variation in outcomes, and
  197  magnitude of variations and other relevant information. When
  198  determining which health care quality measures to disclose, the
  199  agency:
  200         a. Shall consider such factors as volume of cases; average
  201  patient charges; average length of stay; complication rates;
  202  mortality rates; and infection rates, among others, which shall
  203  be adjusted for case mix and severity, if applicable.
  204         b. May consider such additional measures that are adopted
  205  by the Centers for Medicare and Medicaid Studies, National
  206  Quality Forum, the Joint Commission on Accreditation of
  207  Healthcare Organizations, the Agency for Healthcare Research and
  208  Quality, Centers for Disease Control and Prevention, or a
  209  similar national entity that establishes standards to measure
  210  the performance of health care providers, or by other states.
  212  When determining which patient charge data to disclose, the
  213  agency shall include such measures as the average of
  214  undiscounted charges on frequently performed procedures and
  215  preventive diagnostic procedures, the range of procedure charges
  216  from highest to lowest, average net revenue per adjusted patient
  217  day, average cost per adjusted patient day, and average cost per
  218  admission, among others.
  219         2. Make available performance measures, benefit design, and
  220  premium cost data from health plans licensed pursuant to chapter
  221  627 or chapter 641. The agency shall determine which health care
  222  quality measures and member and subscriber cost data to
  223  disclose, based upon input from the council. When determining
  224  which data to disclose, the agency shall consider information
  225  that may be required by either individual or group purchasers to
  226  assess the value of the product, which may include membership
  227  satisfaction, quality of care, current enrollment or membership,
  228  coverage areas, accreditation status, premium costs, plan costs,
  229  premium increases, range of benefits, copayments and
  230  deductibles, accuracy and speed of claims payment, credentials
  231  of physicians, number of providers, names of network providers,
  232  and hospitals in the network. Health plans shall make available
  233  to the agency any such data or information that is not currently
  234  reported to the agency or the office.
  235         3. Determine the method and format for public disclosure of
  236  data reported pursuant to this paragraph. The agency shall make
  237  its determination based upon input from the State Consumer
  238  Health Information and Policy Advisory Council. At a minimum,
  239  the data shall be made available on the agency’s Internet
  240  website in a manner that allows consumers to conduct an
  241  interactive search that allows them to view and compare the
  242  information for specific providers. The website must include
  243  such additional information as is determined necessary to ensure
  244  that the website enhances informed decisionmaking among
  245  consumers and health care purchasers, which shall include, at a
  246  minimum, appropriate guidance on how to use the data and an
  247  explanation of why the data may vary from provider to provider.
  248         4. Publish on its website undiscounted charges for no fewer
  249  than 150 of the most commonly performed adult and pediatric
  250  procedures, including outpatient, inpatient, diagnostic, and
  251  preventative procedures.
  252         (4) TECHNICAL ASSISTANCE.—
  253         (a) The center shall provide technical assistance to
  254  persons or organizations engaged in health planning activities
  255  in the effective use of statistics collected and compiled by the
  256  center. The center shall also provide the following additional
  257  technical assistance services:
  258         1. Establish procedures identifying the circumstances under
  259  which, the places at which, the persons from whom, and the
  260  methods by which a person may secure data from the center,
  261  including procedures governing requests, the ordering of
  262  requests, timeframes for handling requests, and other procedures
  263  necessary to facilitate the use of the center’s data. To the
  264  extent possible, the center should provide current data timely
  265  in response to requests from public or private agencies.
  266         2. Provide assistance to data sources and users in the
  267  areas of database design, survey design, sampling procedures,
  268  statistical interpretation, and data access to promote improved
  269  health-care-related data sets.
  270         3. Identify health care data gaps and provide technical
  271  assistance to other public or private organizations for meeting
  272  documented health care data needs.
  273         4. Assist other organizations in developing statistical
  274  abstracts of their data sets that could be used by the center.
  275         5. Provide statistical support to state agencies with
  276  regard to the use of databases maintained by the center.
  277         6. To the extent possible, respond to multiple requests for
  278  information not currently collected by the center or available
  279  from other sources by initiating data collection.
  280         7. Maintain detailed information on data maintained by
  281  other local, state, federal, and private agencies in order to
  282  advise those who use the center of potential sources of data
  283  which are requested but which are not available from the center.
  284         8. Respond to requests for data which are not available in
  285  published form by initiating special computer runs on data sets
  286  available to the center.
  287         9. Monitor innovations in health information technology,
  288  informatics, and the exchange of health information and maintain
  289  a repository of technical resources to support the development
  290  of a health information network.
  291         (b) The agency shall administer, manage, and monitor grants
  292  to not-for-profit organizations, regional health information
  293  organizations, public health departments, or state agencies that
  294  submit proposals for planning, implementation, or training
  295  projects to advance the development of a health information
  296  network. Any grant contract shall be evaluated to ensure the
  297  effective outcome of the health information project.
  298         (c) The agency shall initiate, oversee, manage, and
  299  evaluate the integration of health care data from each state
  300  agency that collects, stores, and reports on health care issues
  301  and make that data available to any health care practitioner
  302  through a state health information network.
  303         (5) PUBLICATIONS; REPORTS; SPECIAL STUDIES.—The center
  304  shall provide for the widespread dissemination of data which it
  305  collects and analyzes. The center shall have the following
  306  publication, reporting, and special study functions:
  307         (a) The center shall publish and make available
  308  periodically to agencies and individuals health statistics
  309  publications of general interest, including health plan consumer
  310  reports and health maintenance organization member satisfaction
  311  surveys; publications providing health statistics on topical
  312  health policy issues; publications that provide health status
  313  profiles of the people in this state; and other topical health
  314  statistics publications.
  315         (b) The center shall publish, make available, and
  316  disseminate, promptly and as widely as practicable, the results
  317  of special health surveys, health care research, and health care
  318  evaluations conducted or supported under this section. Any
  319  publication by the center must include a statement of the
  320  limitations on the quality, accuracy, and completeness of the
  321  data.
  322         (c) The center shall provide indexing, abstracting,
  323  translation, publication, and other services leading to a more
  324  effective and timely dissemination of health care statistics.
  325         (d) The center shall be responsible for publishing and
  326  disseminating an annual report on the center’s activities.
  327         (e) The center shall be responsible, to the extent
  328  resources are available, for conducting a variety of special
  329  studies and surveys to expand the health care information and
  330  statistics available for health policy analyses, particularly
  331  for the review of public policy issues. The center shall develop
  332  a process by which users of the center’s data are periodically
  333  surveyed regarding critical data needs and the results of the
  334  survey considered in determining which special surveys or
  335  studies will be conducted. The center shall select problems in
  336  health care for research, policy analyses, or special data
  337  collections on the basis of their local, regional, or state
  338  importance; the unique potential for definitive research on the
  339  problem; and opportunities for application of the study
  340  findings.
  341         (4)(6) PROVIDER DATA REPORTING.—This section does not
  342  confer on the agency the power to demand or require that a
  343  health care provider or professional furnish information,
  344  records of interviews, written reports, statements, notes,
  345  memoranda, or data other than as expressly required by law.
  347         (a) The agency shall implement the transparency initiative
  348  in a manner that recognizes state-collected data as an asset and
  349  rewards taxpayer investment in information collection and
  350  management Legislature intends that funding for the Florida
  351  Center for Health Information and Policy Analysis be
  352  appropriated from the General Revenue Fund.
  353         (b) The agency Florida Center for Health Information and
  354  Policy Analysis may apply for, and receive, and accept grants,
  355  gifts, and other payments, including property and services, from
  356  a any governmental or other public or private entity or person
  357  and make arrangements for as to the use of such funds same,
  358  including the undertaking of special studies and other projects
  359  relating to health-care-related topics. Funds obtained pursuant
  360  to this paragraph may not be used to offset annual
  361  appropriations from the General Revenue Fund.
  362         (c) The agency shall ensure that a vendor who enters into a
  363  contract with the state under this section does not inhibit or
  364  impede consumer access to state-collected health data and
  365  information center may charge such reasonable fees for services
  366  as the agency prescribes by rule. The established fees may not
  367  exceed the reasonable cost for such services. Fees collected may
  368  not be used to offset annual appropriations from the General
  369  Revenue Fund.
  371  COUNCIL.—
  372         (a) There is established in the agency the State Consumer
  373  Health Information and Policy Advisory Council to assist the
  374  center in reviewing the comprehensive health information system,
  375  including the identification, collection, standardization,
  376  sharing, and coordination of health-related data, fraud and
  377  abuse data, and professional and facility licensing data among
  378  federal, state, local, and private entities and to recommend
  379  improvements for purposes of public health, policy analysis, and
  380  transparency of consumer health care information. The council
  381  shall consist of the following members:
  382         1. An employee of the Executive Office of the Governor, to
  383  be appointed by the Governor.
  384         2. An employee of the Office of Insurance Regulation, to be
  385  appointed by the director of the office.
  386         3. An employee of the Department of Education, to be
  387  appointed by the Commissioner of Education.
  388         4. Ten persons, to be appointed by the Secretary of Health
  389  Care Administration, representing other state and local
  390  agencies, state universities, business and health coalitions,
  391  local health councils, professional health-care-related
  392  associations, consumers, and purchasers.
  393         (b) Each member of the council shall be appointed to serve
  394  for a term of 2 years following the date of appointment, except
  395  the term of appointment shall end 3 years following the date of
  396  appointment for members appointed in 2003, 2004, and 2005. A
  397  vacancy shall be filled by appointment for the remainder of the
  398  term, and each appointing authority retains the right to
  399  reappoint members whose terms of appointment have expired.
  400         (c) The council may meet at the call of its chair, at the
  401  request of the agency, or at the request of a majority of its
  402  membership, but the council must meet at least quarterly.
  403         (d) Members shall elect a chair and vice chair annually.
  404         (e) A majority of the members constitutes a quorum, and the
  405  affirmative vote of a majority of a quorum is necessary to take
  406  action.
  407         (f) The council shall maintain minutes of each meeting and
  408  shall make such minutes available to any person.
  409         (g) Members of the council shall serve without compensation
  410  but shall be entitled to receive reimbursement for per diem and
  411  travel expenses as provided in s. 112.061.
  412         (h) The council’s duties and responsibilities include, but
  413  are not limited to, the following:
  414         1. To develop a mission statement, goals, and a plan of
  415  action for the identification, collection, standardization,
  416  sharing, and coordination of health-related data across federal,
  417  state, and local government and private sector entities.
  418         2. To develop a review process to ensure cooperative
  419  planning among agencies that collect or maintain health-related
  420  data.
  421         3. To create ad hoc issue-oriented technical workgroups on
  422  an as-needed basis to make recommendations to the council.
  423         (9) APPLICATION TO OTHER AGENCIES.—Nothing in this section
  424  shall limit, restrict, affect, or control the collection,
  425  analysis, release, or publication of data by any state agency
  426  pursuant to its statutory authority, duties, or
  427  responsibilities.
  428         Section 2. Paragraph (c) of subsection (4) of section
  429  381.026, Florida Statutes, is amended to read:
  430         381.026 Florida Patient’s Bill of Rights and
  431  Responsibilities.—
  432         (4) RIGHTS OF PATIENTS.—Each health care facility or
  433  provider shall observe the following standards:
  434         (c) Financial information and disclosure.—
  435         1. A patient has the right to be given, upon request, by
  436  the responsible provider, his or her designee, or a
  437  representative of the health care facility full information and
  438  necessary counseling on the availability of known financial
  439  resources for the patient’s health care.
  440         2. A health care provider or a health care facility shall,
  441  upon request, disclose to each patient who is eligible for
  442  Medicare, before treatment, whether the health care provider or
  443  the health care facility in which the patient is receiving
  444  medical services accepts assignment under Medicare reimbursement
  445  as payment in full for medical services and treatment rendered
  446  in the health care provider’s office or health care facility.
  447         3. A primary care provider may publish a schedule of
  448  charges for the medical services that the provider offers to
  449  patients. The schedule must include the prices charged to an
  450  uninsured person paying for such services by cash, check, credit
  451  card, or debit card. The schedule must be posted in a
  452  conspicuous place in the reception area of the provider’s office
  453  and must include, but is not limited to, the 50 services most
  454  frequently provided by the primary care provider. The schedule
  455  may group services by three price levels, listing services in
  456  each price level. The posting must be at least 15 square feet in
  457  size. A primary care provider who publishes and maintains a
  458  schedule of charges for medical services is exempt from the
  459  license fee requirements for a single period of renewal of a
  460  professional license under chapter 456 for that licensure term
  461  and is exempt from the continuing education requirements of
  462  chapter 456 and the rules implementing those requirements for a
  463  single 2-year period.
  464         4. If a primary care provider publishes a schedule of
  465  charges pursuant to subparagraph 3., he or she must continually
  466  post it at all times for the duration of active licensure in
  467  this state when primary care services are provided to patients.
  468  If a primary care provider fails to post the schedule of charges
  469  in accordance with this subparagraph, the provider must shall be
  470  required to pay any license fee and comply with any continuing
  471  education requirements for which an exemption was received.
  472         5. A health care provider or a health care facility shall,
  473  upon request, furnish a person, before the provision of medical
  474  services, a reasonable estimate of charges for such services.
  475  The health care provider or the health care facility shall
  476  provide an uninsured person, before the provision of a planned
  477  nonemergency medical service, a reasonable estimate of charges
  478  for such service and information regarding the provider’s or
  479  facility’s discount or charity policies for which the uninsured
  480  person may be eligible. Such estimates by a primary care
  481  provider must be consistent with the schedule posted under
  482  subparagraph 3. To the extent possible, estimates shall, to the
  483  extent possible, be written in language comprehensible to an
  484  ordinary layperson. Such reasonable estimate does not preclude
  485  the health care provider or health care facility from exceeding
  486  the estimate or making additional charges based on changes in
  487  the patient’s condition or treatment needs.
  488         6. Each licensed facility not operated by the state shall
  489  make available to the public on its Internet website or by other
  490  electronic means a description of and a link to the performance
  491  outcome and financial data that is published by the agency
  492  pursuant to s. 408.05(3)(k). The facility shall place a notice
  493  in the reception area that such information is available
  494  electronically and the website address. The licensed facility
  495  may indicate that the pricing information is based on a
  496  compilation of charges for the average patient and that each
  497  patient’s bill may vary from the average depending upon the
  498  severity of illness and individual resources consumed. The
  499  licensed facility may also indicate that the price of service is
  500  negotiable for eligible patients based upon the patient’s
  501  ability to pay.
  502         7. A patient has the right to receive a copy of an itemized
  503  bill upon request. A patient has a right to be given an
  504  explanation of charges upon request.
  505         Section 3. Subsection (11) of section 395.301, Florida
  506  Statutes, is amended to read:
  507         395.301 Itemized patient bill; form and content prescribed
  508  by the agency.—
  509         (11) Each licensed facility shall make available on its
  510  Internet website a link to the performance outcome and financial
  511  data that is published by the Agency for Health Care
  512  Administration pursuant to s. 408.05(3)(k). The facility shall
  513  place a notice in the reception area that the information is
  514  available electronically and the facility’s Internet website
  515  address.
  516         Section 4. Section 465.0244, Florida Statutes, is amended
  517  to read:
  518         465.0244 Information disclosure.—Every pharmacy shall make
  519  available on its Internet website a link to the performance
  520  outcome and financial data that is published by the Agency for
  521  Health Care Administration pursuant to s. 408.05(3)(k) and shall
  522  place in the area where customers receive filled prescriptions
  523  notice that such information is available electronically and the
  524  address of its Internet website.
  525         Section 5. Subsection (2) of section 627.6499, Florida
  526  Statutes, is amended to read:
  527         627.6499 Reporting by insurers and third-party
  528  administrators.—
  529         (2) Each health insurance issuer shall make available on
  530  its Internet website a link to the performance outcome and
  531  financial data that is published by the Agency for Health Care
  532  Administration pursuant to s. 408.05(3)(k) and shall include in
  533  every policy delivered or issued for delivery to any person in
  534  the state or any materials provided as required by s. 627.64725
  535  notice that such information is available electronically and the
  536  address of its Internet website.
  537         Section 6. Subsection (7) of section 641.54, Florida
  538  Statutes, is amended to read:
  539         641.54 Information disclosure.—
  540         (7) Each health maintenance organization shall make
  541  available on its Internet website a link to the performance
  542  outcome and financial data that is published by the Agency for
  543  Health Care Administration pursuant to s. 408.05(3)(k) and shall
  544  include in every policy delivered or issued for delivery to any
  545  person in the state or any materials provided as required by s.
  546  627.64725 notice that such information is available
  547  electronically and the address of its Internet website.
  548         Section 7. This act shall take effect July 1, 2013.