Florida Senate - 2019                          SENATOR AMENDMENT
       Bill No. CS for SB 7078
       
       
       
       
       
       
                                Ì646092.Î646092                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                                       .                                
                                       .                                
                                       .                                
                 Floor: WD/2R          .                                
             04/26/2019 11:44 AM       .                                
       —————————————————————————————————————————————————————————————————




       —————————————————————————————————————————————————————————————————
       Senator Bean moved the following:
       
    1         Senate Amendment to Amendment (424690) (with title
    2  amendment)
    3  
    4         Between lines 584 and 585
    5  insert:
    6         Section 10. Paragraph (r) and present paragraph (u) of
    7  subsection (2) of section 409.815, Florida Statutes, are amended
    8  to read:
    9         409.815 Health benefits coverage; limitations.—
   10         (2) BENCHMARK BENEFITS.—In order for health benefits
   11  coverage to qualify for premium assistance payments for an
   12  eligible child under ss. 409.810-409.821, the health benefits
   13  coverage, except for coverage under Medicaid and Medikids, must
   14  include the following minimum benefits, as medically necessary.
   15         (r) Lifetime maximum.—Health benefits coverage obtained
   16  under ss. 409.810-409.820 shall pay an enrollee’s covered
   17  expenses at a lifetime maximum of $1 million per covered child.
   18         (t)(u) Enhancements to minimum requirements.—
   19         1. This section sets the minimum benefits that must be
   20  included in any health benefits coverage, other than Medicaid or
   21  Medikids coverage, offered under ss. 409.810-409.821. Health
   22  benefits coverage may include additional benefits not included
   23  under this subsection, but may not include benefits excluded
   24  under paragraph (r) (s).
   25         2. Health benefits coverage may extend any limitations
   26  beyond the minimum benefits described in this section.
   27  
   28         Except for the Children’s Medical Services Network, the
   29  agency may not increase the premium assistance payment for
   30  either additional benefits provided beyond the minimum benefits
   31  described in this section or the imposition of less restrictive
   32  service limitations.
   33  
   34  ================= T I T L E  A M E N D M E N T ================
   35  And the title is amended as follows:
   36         Delete line 823
   37  and insert:
   38         “clinic” to exclude certain entities; amending s.
   39         409.815, F.S.; removing the lifetime maximum cap on
   40         covered expenses for a child who is enrolled in the
   41         Florida Kidcare program; conforming a cross-reference;
   42         creating s.