Florida Senate - 2020                                     SB 416
       
       
        
       By Senator Berman
       
       
       
       
       
       31-00618-20                                            2020416__
    1                        A bill to be entitled                      
    2         An act relating to insurance coverage for breast
    3         cancer tests and procedures; creating ss. 627.42394
    4         and 641.3133, F.S.; providing definitions; prohibiting
    5         cost-sharing requirements for specified breast cancer
    6         tests and procedures under individual health insurance
    7         policies, group, blanket, and franchise health
    8         insurance policies, and health maintenance contracts;
    9         authorizing the Financial Services Commission to adopt
   10         rules; providing an effective date.
   11          
   12  Be It Enacted by the Legislature of the State of Florida:
   13  
   14         Section 1. Section 627.42394, Florida Statutes, is created
   15  to read:
   16         627.42394 Coverage for diagnostic mammograms, breast
   17  magnetic resonance imaging scans, and breast ultrasounds.—
   18         (1) As used in this section, the term:
   19         (a) “Cost sharing” has the same meaning as provided in s.
   20  627.42391.
   21         (b) “Health care provider” means a physician licensed under
   22  chapter 458 or chapter 459, a physician assistant licensed under
   23  chapter 458 or chapter 459, and an advanced practice registered
   24  nurse licensed under chapter 464.
   25         (2) An individual or group, blanket, or franchise health
   26  insurance policy delivered, issued for delivery, renewed,
   27  amended, or continued in this state that provides coverage for
   28  diagnostic mammograms, breast magnetic resonance imaging scans,
   29  or breast ultrasounds may not apply cost-sharing requirements
   30  for a diagnostic mammogram, breast magnetic resonance imaging
   31  scan, or breast ultrasound, respectively, that is ordered by a
   32  health care provider.
   33         (3) The commission may adopt rules to administer this
   34  section.
   35         Section 2. Section 641.3133, Florida Statutes, is created
   36  to read:
   37         641.3133 Coverage for diagnostic mammograms, breast
   38  magnetic resonance imaging scans, and breast ultrasounds.—
   39         (1) As used in this section, the term:
   40         (a) “Cost sharing” has the same meaning as provided in s.
   41  641.313.
   42         (b) “Health care provider” means a physician licensed under
   43  chapter 458 or chapter 459, a physician assistant licensed under
   44  chapter 458 or chapter 459, and an advanced practice registered
   45  nurse licensed under chapter 464.
   46         (2) A health maintenance contract delivered, issued for
   47  delivery, renewed, amended, or continued in this state that
   48  provides coverage for diagnostic mammograms, breast magnetic
   49  resonance imaging scans, or breast ultrasounds may not apply
   50  cost-sharing requirements for a diagnostic mammogram, breast
   51  magnetic resonance imaging scan, or breast ultrasound,
   52  respectively, that is ordered by a health care provider.
   53         Section 3. This act shall take effect January 1, 2021.