Florida Senate - 2020 SB 348
By Senator Bean
1 A bill to be entitled
2 An act relating to the Florida Kidcare program;
3 amending s. 409.815, F.S.; removing the lifetime
4 maximum cap on covered expenses for a child enrolled
5 in the Florida Healthy Kids program; conforming a
6 cross-reference; providing an effective date.
8 Be It Enacted by the Legislature of the State of Florida:
10 Section 1. Paragraph (r) and present paragraph (u) of
11 subsection (2) of section 409.815, Florida Statutes, are amended
12 to read:
13 409.815 Health benefits coverage; limitations.—
14 (2) BENCHMARK BENEFITS.—In order for health benefits
15 coverage to qualify for premium assistance payments for an
16 eligible child under ss. 409.810-409.821, the health benefits
17 coverage, except for coverage under Medicaid and Medikids, must
18 include the following minimum benefits, as medically necessary.
(r) Lifetime maximum. —Health benefits coverage obtained
20 under ss. 409.810-409.820 shall pay an enrollee’s covered
21 expenses at a lifetime maximum of $1 million per covered child.
22 (t) (u) Enhancements to minimum requirements.—
23 1. This section sets the minimum benefits that must be
24 included in any health benefits coverage, other than Medicaid or
25 Medikids coverage, offered under ss. 409.810-409.821. Health
26 benefits coverage may include additional benefits not included
27 under this subsection, but may not include benefits excluded
28 under paragraph (r) (s).
29 2. Health benefits coverage may extend any limitations
30 beyond the minimum benefits described in this section.
32 Except for the Children’s Medical Services Network, the agency
33 may not increase the premium assistance payment for either
34 additional benefits provided beyond the minimum benefits
35 described in this section or the imposition of less restrictive
36 service limitations.
37 Section 2. This act shall take effect upon becoming a law.