Florida Senate - 2017 SB 452
By Senator Powell
30-00805-17 2017452__
1 A bill to be entitled
2 An act relating to health insurance coverage for
3 enteral formulas; amending s. 627.42395, F.S.;
4 deleting the annual coverage limit and age limit for
5 coverage of certain food products for the treatment of
6 certain diseases; providing an effective date.
7
8 Be It Enacted by the Legislature of the State of Florida:
9
10 Section 1. Section 627.42395, Florida Statutes, is amended
11 to read:
12 627.42395 Coverage for certain prescription and
13 nonprescription enteral formulas.—Notwithstanding any other
14 provision of law, a any health insurance policy delivered or
15 issued for delivery, to a any person in this state or a any
16 group, blanket, or franchise health insurance policy delivered
17 or issued for delivery in this state must shall make available
18 to the policyholder as part of the application, for an
19 appropriate additional premium, coverage for prescription and
20 nonprescription enteral formulas for home use which are
21 physician prescribed as medically necessary for the treatment of
22 inherited diseases of amino acid, organic acid, carbohydrate, or
23 fat metabolism as well as malabsorption originating from
24 congenital defects present at birth or acquired during the
25 neonatal period. Coverage for inherited diseases of amino acids
26 and organic acids must shall include food products modified to
27 be low protein, in an amount not to exceed $2,500 annually for
28 any insured individual, through the age of 24. This section
29 applies to any person or family notwithstanding the existence of
30 any preexisting condition.
31 Section 2. This act shall take effect July 1, 2017.