Bill Amendment: FL S1626 | 2020 | Regular Session

NOTE: For additional amemendments please see the Bill Drafting List

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Bill Title: Price Transparency in Health Care Services

Status: 2020-03-14 - Died in Banking and Insurance [S1626 Detail]

Download: Florida-2020-S1626-Senate_Committee_Amendment_716996.html

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       Florida Senate - 2020                        COMMITTEE AMENDMENT
       Bill No. SB 1626
       
       
       
       
       
       
                                Ì716996eÎ716996                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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       The Committee on Banking and Insurance (Flores) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Section 627.4303, Florida Statutes, is created
    6  to read:
    7         627.4303 Price transparency in health care services.—
    8         (1) As used in this section, the term “health insurer”
    9  means a health insurer issuing major medical coverage through an
   10  individual or group policy.
   11         (2) In its contract with a health care provider, a health
   12  insurer may not limit the health care provider’s ability to
   13  disclose whether a patient’s cost-sharing obligation exceeds the
   14  cash price for a covered service in the absence of health
   15  insurance coverage or the availability of a more affordable
   16  service.
   17         (3) A health insurer may not require an insured to make a
   18  payment for a covered service in an amount that exceeds the cash
   19  price of the service in the absence of health insurance
   20  coverage.
   21         Section 2. Paragraph (g) is added to subsection (5) of
   22  section 627.6699, Florida Statutes, to read:
   23         627.6699 Employee Health Care Access Act.—
   24         (5) AVAILABILITY OF COVERAGE.—
   25         (g) A health benefit plan covering small employers must
   26  comply with s. 627.4303.
   27         Section 3. Section 641.514, Florida Statutes, is created to
   28  read:
   29         641.514 Price transparency in health care services.—
   30         (1) This section applies to a health maintenance
   31  organization issuing major medical coverage through an
   32  individual or a group contract.
   33         (2) In its contract with a health care provider, a health
   34  maintenance organization may not limit the health care
   35  provider’s ability to disclose whether a patient’s cost-sharing
   36  obligation exceeds the cash price for a covered service in the
   37  absence of coverage through the health maintenance organization
   38  or the availability of a more affordable service.
   39         (3) A health maintenance organization may not require a
   40  subscriber to make a payment for a covered service in an amount
   41  that exceeds the cash price of the service in the absence of
   42  coverage through the health maintenance organization.
   43         Section 4. This act shall take effect July 1, 2020.
   44  
   45  ================= T I T L E  A M E N D M E N T ================
   46  And the title is amended as follows:
   47         Delete everything before the enacting clause
   48  and insert:
   49                        A bill to be entitled                      
   50         An act relating to health care services pricing;
   51         creating s. 627.4303, F.S.; defining the term “health
   52         insurer”; prohibiting health insurers, in their
   53         contracts with health care providers, from limiting
   54         the provider’s ability to disclose certain information
   55         to patients; prohibiting a health insurer from
   56         requiring an insured to make a payment for a covered
   57         service in an amount that exceeds a certain price;
   58         amending s. 627.6699, F.S.; requiring health benefit
   59         plans covering small employers to comply with such
   60         restrictions; creating s. 641.514, F.S.; providing
   61         applicability; prohibiting health maintenance
   62         organizations, in their contracts with health care
   63         providers, from limiting the provider’s ability to
   64         disclose certain information to patients; prohibiting
   65         a health maintenance organization from requiring a
   66         subscriber to make a payment for a covered service in
   67         an amount that exceeds a certain price; providing an
   68         effective date.