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. 10 11 Be It Enacted by the Legislature of the State of Florida: 12 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. 39 (14) OTHER-PERSONAL-SERVICES EMPLOYEES (OPS).— 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.