Florida Senate - 2020                        COMMITTEE AMENDMENT
       Bill No. SB 736
       
       
       
       
       
       
                                Ì198296YÎ198296                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  01/21/2020           .                                
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       The Committee on Banking and Insurance (Diaz) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 23 - 48
    4  and insert:
    5         (c) “Reasonable reimbursement” means reimbursement that
    6  considers the actual cost of services rendered, the operation of
    7  an air ambulance service by a county which operates entirely
    8  within a designated area of critical state concern as determined
    9  by the Department of Economic Opportunity, and in-network
   10  reimbursement established by the insurer for the specific
   11  policy. The term does not include billed charges for the cost of
   12  services rendered.
   13         (2) A health insurance policy must require a health insurer
   14  to provide reasonable reimbursement to an air ambulance service
   15  for covered nonemergency and emergency services provided to an
   16  insured in accordance with the coverage terms of the policy.
   17  Such reasonable reimbursement may be reduced only by applicable
   18  copayments, coinsurance, and deductibles. The reasonable
   19  reimbursement must serve as full and final payment to the air
   20  ambulance service.
   21         Section 2. Section 641.514, Florida Statutes, is created to
   22  read:
   23         641.514 Coverage for air ambulance services.—
   24         (1) As used in this section, the term:
   25         (a) “Air ambulance service” has the same meaning as
   26  provided in s. 401.23.
   27         (b) “Reasonable reimbursement” means reimbursement that
   28  considers the actual cost of services rendered, the operation of
   29  an air ambulance service by a county which operates entirely
   30  within a designated area of critical state concern as determined
   31  by the Department of Economic Opportunity, and in-network
   32  reimbursement established by the health maintenance organization
   33  for the specific health maintenance contract. The term does not
   34  include billed charges for the cost of services rendered.
   35         (2) A health maintenance contract must require a health
   36  maintenance organization to provide reasonable reimbursement to
   37  an air ambulance service for covered nonemergency and emergency
   38  services provided to a subscriber in accordance with the
   39  coverage terms of the contract. Such reasonable reimbursement
   40  may be reduced only by applicable copayments, coinsurance, and
   41  deductibles. The reasonable reimbursement must serve as full and
   42  final payment to the air ambulance service.
   43         Section 3. If any provision of s. 627.42397 or s. 641.514,
   44  Florida Statutes, as created by this act is determined to be
   45  invalid or inoperative for any reason, the remaining provisions
   46  thereof shall be deemed to be void and of no effect. To this
   47  end, the Legislature declares that it would not have enacted any
   48  of the provisions of s. 627.42397 or s. 641.514, Florida
   49  Statutes, individually, and expressly finds them not to be
   50  severable.
   51         Section 4. This act shall take effect upon becoming a law.
   52  
   53  ================= T I T L E  A M E N D M E N T ================
   54  And the title is amended as follows:
   55         Delete lines 3 - 10
   56  and insert:
   57         services; creating ss. 627.42397 and 641.514, F.S.;
   58         defining terms; requiring health insurers and health
   59         maintenance organizations, respectively, to provide
   60         reasonable reimbursement to air ambulance services for
   61         certain covered services; providing that such
   62         reimbursement may be reduced only by certain amounts;
   63         providing that reasonable reimbursement must serve as
   64         full and final payment to the air ambulance service;
   65         providing that provisions of this act are not
   66         severable;