Florida Senate - 2015                        COMMITTEE AMENDMENT
       Bill No. CS for CS for SB 252
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/09/2015           .                                

       The Committee on Rules (Montford) recommended the following:
    1         Senate Amendment (with title amendment)
    3         Before line 22
    4  insert:
    5         Section 1. Subsection (9) of section 408.909, Florida
    6  Statutes, is amended to read:
    7         408.909 Health flex plans.—
    8         (9) PROGRAM EVALUATION.—The agency and the office shall
    9  evaluate the pilot program and its effect on the entities that
   10  seek approval as health flex plans, on the number of enrollees,
   11  and on the scope of the health care coverage offered under a
   12  health flex plan; shall provide an assessment of the health flex
   13  plans and their potential applicability in other settings; shall
   14  use health flex plans to gather more information to evaluate
   15  low-income consumer driven benefit packages; and shall, by
   16  January 15, 2016 January 1, 2005, and annually thereafter,
   17  jointly submit a report to the Governor, the President of the
   18  Senate, and the Speaker of the House of Representatives.
   19         Section 2. Paragraph (e) of subsection (12) of section
   20  440.13, Florida Statutes, is amended to read:
   21         440.13 Medical services and supplies; penalty for
   22  violations; limitations.—
   25         (e) In addition to establishing the uniform schedule of
   26  maximum reimbursement allowances, the panel shall:
   27         1. Take testimony, receive records, and collect data to
   28  evaluate the adequacy of the workers’ compensation fee schedule,
   29  nationally recognized fee schedules and alternative methods of
   30  reimbursement to health care providers and health care
   31  facilities for inpatient and outpatient treatment and care.
   32         2. Survey health care providers and health care facilities
   33  to determine the availability and accessibility of workers’
   34  compensation health care delivery systems for injured workers.
   35         3. Survey carriers to determine the estimated impact on
   36  carrier costs and workers’ compensation premium rates by
   37  implementing changes to the carrier reimbursement schedule or
   38  implementing alternative reimbursement methods.
   39         4. Submit recommendations on or before January 15, 2017
   40  January 1, 2003, and biennially thereafter, to the President of
   41  the Senate and the Speaker of the House of Representatives on
   42  methods to improve the workers’ compensation health care
   43  delivery system.
   45  The department, as requested, shall provide data to the panel,
   46  including, but not limited to, utilization trends in the
   47  workers’ compensation health care delivery system. The
   48  department shall provide the panel with an annual report
   49  regarding the resolution of medical reimbursement disputes and
   50  any actions pursuant to subsection (8). The department shall
   51  provide administrative support and service to the panel to the
   52  extent requested by the panel. For prescription medication
   53  purchased under the requirements of this subsection, a
   54  dispensing practitioner shall not possess such medication unless
   55  payment has been made by the practitioner, the practitioner’s
   56  professional practice, or the practitioner’s practice management
   57  company or employer to the supplying manufacturer, wholesaler,
   58  distributor, or drug repackager within 60 days of the dispensing
   59  practitioner taking possession of that medication.
   60         Section 3. Paragraph (f) of subsection (1) of section
   61  624.413, Florida Statutes, is amended to read:
   62         624.413 Application for certificate of authority.—
   63         (1) To apply for a certificate of authority, an insurer
   64  shall file its application therefor with the office, upon a form
   65  adopted by the commission and furnished by the office, showing
   66  its name; location of its home office and, if an alien insurer,
   67  its principal office in the United States; kinds of insurance to
   68  be transacted; state or country of domicile; and such additional
   69  information as the commission reasonably requires, together with
   70  the following documents:
   71         (f) If a foreign or alien insurer, a copy of the report of
   72  the most recent examination of the insurer certified by the
   73  public official having supervision of insurance in its state of
   74  domicile or of entry into the United States. The end of the most
   75  recent year covered by the examination must be within the 5-year
   76  3-year period preceding the date of application. In lieu of the
   77  certified examination report, the office may accept an audited
   78  certified public accountant’s report prepared on a basis
   79  consistent with the insurance laws of the insurer’s state of
   80  domicile, certified by the public official having supervision of
   81  insurance in its state of domicile or of entry into the United
   82  States.
   83         Section 4. Subsection (6) of section 627.211, Florida
   84  Statutes, is amended to read
   85         627.211 Deviations; workers’ compensation and employer’s
   86  liability insurances.—
   87         (6) The office shall submit an annual report to the
   88  President of the Senate and the Speaker of the House of
   89  Representatives by January 15 1 of each year which evaluates
   90  competition in the workers’ compensation insurance market in
   91  this state. The report must contain an analysis of the
   92  availability and affordability of workers’ compensation coverage
   93  and whether the current market structure, conduct, and
   94  performance are conducive to competition, based upon economic
   95  analysis and tests. The purpose of this report is to aid the
   96  Legislature in determining whether changes to the workers’
   97  compensation rating laws are warranted. The report must also
   98  document that the office has complied with the provisions of s.
   99  627.096 which require the office to investigate and study all
  100  workers’ compensation insurers in the state and to study the
  101  data, statistics, schedules, or other information as it finds
  102  necessary to assist in its review of workers’ compensation rate
  103  filings.
  105  ================= T I T L E  A M E N D M E N T ================
  106  And the title is amended as follows:
  107         Delete line 2
  108  and insert:
  109         An act relating to insurance; amending s. 408.909,
  110         F.S.; revising the due date for an annual report
  111         relating to health flex plans, which must be submitted
  112         by the Office of Insurance Regulation and the Agency
  113         for Health Care Administration; amending s. 440.13,
  114         F.S.; revising the due date for a biennial report
  115         relating to methods to improve the workers’
  116         compensation health care delivery system, which must
  117         be submitted by a certain three-member panel; amending
  118         s. 624.413, F.S.; increasing the number of years that
  119         a specified examination report remains valid and may
  120         be considered for the purpose of applying for a
  121         certificate of authority; amending s.627.711, F.S.;
  122         revising the due date for an annual report relating to
  123         certain workers’ compensation issues which must be
  124         submitted by the office; amending s. 624.425,