Florida Senate - 2024                              CS for SB 932
       By the Appropriations Committee on Agriculture, Environment, and
       General Government; and Senators Berman, Davis, and Stewart
       601-03257-24                                           2024932c1
    1                        A bill to be entitled                      
    2         An act relating to coverage for diagnostic and
    3         supplemental breast examinations; amending s. 110.123,
    4         F.S.; defining terms; amending s. 110.12303, F.S.;
    5         prohibiting the state group insurance program from
    6         imposing on an enrollee any cost-sharing requirement
    7         with respect to coverage for diagnostic breast
    8         examinations and supplemental breast examinations;
    9         providing applicability; providing an effective date.
   11  Be It Enacted by the Legislature of the State of Florida:
   13         Section 1. Present paragraphs (a), (b) through (p), (q),
   14  and (r) of subsection (2) of section 110.123, Florida Statutes,
   15  are redesignated as paragraphs (b), (d) through (r), (t), and
   16  (u), respectively, new paragraphs (a) and (c) and paragraph (s)
   17  are added to that subsection, and paragraphs (c) and (d) of
   18  subsection (14) of that section are amended, to read:
   19         110.123 State group insurance program.—
   20         (2) DEFINITIONS.—As used in ss. 110.123-110.1239, the term:
   21         (a)“Cost-sharing requirement” means an insured’s
   22  deductible, coinsurance, copayment, or similar out-of-pocket
   23  expense.
   24         (c)“Diagnostic breast examination” means a medically
   25  necessary and appropriate examination of the breast, including,
   26  but not limited to, an examination using diagnostic mammography,
   27  breast magnetic resonance imaging, or breast ultrasound, which
   28  is used to evaluate an abnormality that is seen or suspected
   29  from a screening examination for breast cancer.
   30         (s)“Supplemental breast examination” means a medically
   31  necessary and appropriate examination of the breast, including,
   32  but not limited to, an examination using breast magnetic
   33  resonance imaging or breast ultrasound, which is:
   34         1.Used to screen for breast cancer when there is no
   35  abnormality seen or suspected; and
   36         2.Based on personal or family medical history or
   37  additional factors that may increase the person’s risk of breast
   38  cancer.
   40         (c) The initial measurement period used to determine
   41  whether an employee hired before April 1, 2013, and paid from
   42  OPS funds is a full-time employee described in subparagraph
   43  (2)(g)1. (2)(e)1. is the 6-month period from April 1, 2013,
   44  through September 30, 2013.
   45         (d) All other measurement periods used to determine whether
   46  an employee paid from OPS funds is a full-time employee
   47  described in paragraph (2)(g) (2)(e) must be for 12 consecutive
   48  months.
   49         Section 2. Subsection (5) is added to section 110.12303,
   50  Florida Statutes, to read:
   51         110.12303 State group insurance program; additional
   52  benefits; price transparency program; reporting.—
   53         (5)In any contract or plan for state employee health
   54  benefits which provides coverages for diagnostic breast
   55  examinations or supplemental breast examinations, the state
   56  group insurance program may not impose on an enrollee any cost
   57  sharing requirement. If, under federal law, the application of
   58  this subsection would result in health savings account
   59  ineligibility under s. 223 of the Internal Revenue Code, the
   60  prohibition under this subsection applies only to health savings
   61  account qualified high-deductible health plans with respect to
   62  the deductible of such a plan after the person has satisfied the
   63  minimum deductible under s. 223 of the Internal Revenue Code,
   64  except with respect to items or services that are preventive
   65  care pursuant to s. 223(c)(2)(C) of the Internal Revenue Code,
   66  in which case the requirements of s. 223(c)(2)(A) of the
   67  Internal Revenue Code apply regardless of whether the minimum
   68  deductible under s. 223 of the Internal Revenue Code has been
   69  satisfied.
   70         Section 3. This act shall take effect January 1, 2025.