Florida Senate - 2020 SB 1006 By Senator Baxley 12-00626B-20 20201006__ 1 A bill to be entitled 2 An act relating to coverage for hearing aids for 3 children; creating s. 627.6413, F.S.; requiring 4 certain individual health insurance policies to 5 provide coverage for hearing aids for children 21 6 years of age or younger; specifying health care 7 providers who may prescribe, fit, and dispense the 8 hearing aids; specifying a minimum coverage limit 9 within a certain timeframe; providing an exception; 10 providing that an insured is responsible for certain 11 costs that exceed the policy limit; providing 12 applicability; providing an effective date. 13 14 Be It Enacted by the Legislature of the State of Florida: 15 16 Section 1. Section 627.6413, Florida Statutes, is created 17 to read: 18 627.6413 Coverage for hearing aids for children.— 19 (1) A health insurance policy that provides coverage on an 20 expense-incurred basis for a family member of the insured must 21 provide coverage for hearing aids for children diagnosed with 22 hearing loss from birth through 21 years of age. If the child is 23 under 18 years of age, a hearing aid must be prescribed, fitted, 24 and dispensed by a licensed audiologist. For a child who is 18 25 to 21 years of age, a hearing aid may be fitted and dispensed by 26 a licensed audiologist or licensed hearing aid specialist. 27 (2) The policy must provide a minimum coverage limit of 28 $3,500 per ear within a 24-month period. However, if a child 29 experiences a significant and unexpected change in his or her 30 hearing or a medical condition requiring an unexpected change in 31 the hearing aid before the existing 24-month period expires, and 32 alterations to the existing hearing aid do not or cannot meet 33 the needs of the child, a new 24-month period must begin with 34 full benefits and coverage. 35 (3) An insured is responsible for the cost of hearing aids 36 and related services that exceed the coverage limit provided by 37 his or her policy. 38 (4) This section applies to a policy that is issued or 39 renewed on or after January 1, 2021. 40 Section 2. This act shall take effect January 1, 2021.