Florida Senate - 2021                                    SB 1038
       
       
        
       By Senator Berman
       
       
       
       
       
       31-00075A-21                                          20211038__
    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.; defining terms; prohibiting
    5         certain health insurance policies and health
    6         maintenance contracts from applying cost-sharing
    7         requirements to certain breast cancer tests and
    8         procedures; authorizing the Financial Services
    9         Commission to adopt rules; providing an effective
   10         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 in s. 627.42391.
   20         (b) “Health care provider” means a physician licensed under
   21  chapter 458 or chapter 459, a physician assistant licensed under
   22  chapter 458 or chapter 459, or an advanced practice registered
   23  nurse licensed under chapter 464.
   24         (2) An individual or group, blanket, or franchise health
   25  insurance policy delivered, issued for delivery, renewed,
   26  amended, or continued in this state which provides coverage for
   27  diagnostic mammograms, breast magnetic resonance imaging scans,
   28  or breast ultrasounds may not apply cost-sharing requirements
   29  for a diagnostic mammogram, breast magnetic resonance imaging
   30  scan, or breast ultrasound, respectively, which is ordered by an
   31  insured’s health care provider.
   32         (3) The commission may adopt rules to administer this
   33  section.
   34         Section 2. Section 641.3133, Florida Statutes, is created
   35  to read:
   36         641.3133 Coverage for diagnostic mammograms, breast
   37  magnetic resonance imaging scans, and breast ultrasounds.—
   38         (1) As used in this section, the term:
   39         (a) “Cost sharing” has the same meaning as in s. 641.313.
   40         (b) “Health care provider” means a physician licensed under
   41  chapter 458 or chapter 459, a physician assistant licensed under
   42  chapter 458 or chapter 459, or an advanced practice registered
   43  nurse licensed under chapter 464.
   44         (2) A health maintenance contract delivered, issued for
   45  delivery, renewed, amended, or continued in this state which
   46  provides coverage for diagnostic mammograms, breast magnetic
   47  resonance imaging scans, or breast ultrasounds may not apply
   48  cost-sharing requirements for a diagnostic mammogram, breast
   49  magnetic resonance imaging scan, or breast ultrasound,
   50  respectively, which is ordered by a subscriber’s health care
   51  provider.
   52         (3) The commission may adopt rules to administer this
   53  section.
   54         Section 3. This act shall take effect January 1, 2022.