Florida Senate - 2020                                     SB 348
       
       
        
       By Senator Bean
       
       
       
       
       
       4-00472A-20                                            2020348__
    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.
    7          
    8  Be It Enacted by the Legislature of the State of Florida:
    9  
   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.
   19         (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.
   31  
   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.