Florida Senate - 2024                       CS for CS for SB 932
       
       
        
       By the Committee on Appropriations; the Appropriations Committee
       on Agriculture, Environment, and General Government; and
       Senators Berman, Davis, and Stewart
       
       
       
       576-03646-24                                           2024932c2
    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 imaging examination of the breast, as
   26  determined in accordance with the most recent applicable
   27  guidelines of the National Comprehensive Cancer Network,
   28  including, but not limited to, an examination using diagnostic
   29  mammography, breast magnetic resonance imaging, or breast
   30  ultrasound, which is used to evaluate an abnormality that is
   31  seen or suspected from a screening examination for breast
   32  cancer.
   33         (s) “Supplemental breast examination” means a medically
   34  necessary and appropriate imaging examination of the breast,
   35  conducted in accordance with the most recent applicable
   36  guidelines of the National Comprehensive Cancer Network,
   37  including, but not limited to, an examination using breast
   38  magnetic resonance imaging or breast ultrasound, which is:
   39         1. Used to screen for breast cancer when there is no
   40  abnormality seen or suspected; and
   41         2. Based on personal or family medical history or
   42  additional factors that may increase the person’s risk of breast
   43  cancer.
   44         (14) OTHER-PERSONAL-SERVICES EMPLOYEES (OPS).—
   45         (c) The initial measurement period used to determine
   46  whether an employee hired before April 1, 2013, and paid from
   47  OPS funds is a full-time employee described in subparagraph
   48  (2)(g)1. (2)(e)1. is the 6-month period from April 1, 2013,
   49  through September 30, 2013.
   50         (d) All other measurement periods used to determine whether
   51  an employee paid from OPS funds is a full-time employee
   52  described in paragraph (2)(g) (2)(e) must be for 12 consecutive
   53  months.
   54         Section 2. Subsection (5) is added to section 110.12303,
   55  Florida Statutes, to read:
   56         110.12303 State group insurance program; additional
   57  benefits; price transparency program; reporting.—
   58         (5) In any contract or plan for state employee health
   59  benefits which provides coverages for diagnostic breast
   60  examinations or supplemental breast examinations, the state
   61  group insurance program may not impose on an enrollee any cost
   62  sharing requirement. If, under federal law, the application of
   63  this subsection would result in health savings account
   64  ineligibility under s. 223 of the Internal Revenue Code, the
   65  prohibition under this subsection applies only to health savings
   66  account qualified high-deductible health plans with respect to
   67  the deductible of such a plan after the person has satisfied the
   68  minimum deductible under s. 223 of the Internal Revenue Code,
   69  except with respect to items or services that are preventive
   70  care pursuant to s. 223(c)(2)(C) of the Internal Revenue Code,
   71  in which case the requirements of s. 223(c)(2)(A) of the
   72  Internal Revenue Code apply regardless of whether the minimum
   73  deductible under s. 223 of the Internal Revenue Code has been
   74  satisfied.
   75         Section 3. This act shall take effect January 1, 2025.