Bill Text: FL S0552 | 2018 | Regular Session | Introduced

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Bill Title: Health Benefit Coverage for Prescription Eye Drop Refills

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2017-10-20 - Withdrawn prior to introduction [S0552 Detail]

Download: Florida-2018-S0552-Introduced.html

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       Florida Senate - 2018                                     SB 552
       
       
        
       By Senator Stewart
       
       
       
       
       
       13-00215A-18                                           2018552__
    1                        A bill to be entitled                      
    2         An act relating to health benefit coverage for
    3         prescription eye drop refills; creating s. 627.6411,
    4         F.S.; requiring health insurance policies providing
    5         coverage for certain prescription eye drops to provide
    6         coverage for eye drop prescription refills under
    7         certain circumstances; providing that such benefits
    8         are subject to the same cost-sharing provisions
    9         established for other prescription drug benefits under
   10         such policies; amending s. 627.662, F.S.; providing
   11         applicability of prescription eye drop refill coverage
   12         requirements to group health insurance, blanket health
   13         insurance, and franchise health insurance; amending s.
   14         641.31, F.S.; requiring health maintenance contracts
   15         providing coverage for certain prescription eye drops
   16         to provide coverage for eye drop prescription refills
   17         under certain circumstances; providing that such
   18         benefits are subject to the same cost-sharing
   19         provisions established for other prescription drug
   20         benefits under such contracts; providing an effective
   21         date.
   22          
   23  Be It Enacted by the Legislature of the State of Florida:
   24  
   25         Section 1. Section 627.6411, Florida Statutes, is created
   26  to read:
   27         627.6411 Coverage for prescription eye drop refills.—
   28         (1) A health insurance policy that provides coverage for
   29  prescription eye drops to treat a chronic eye disease or
   30  condition must provide coverage for a refill of prescription eye
   31  drops if all of the following conditions are met:
   32         (a) The refill is dispensed on or before the last day of
   33  the prescribed dosage period and not earlier than:
   34         1. The 21st day after the date a prescription for a 30-day
   35  supply of eye drops is dispensed;
   36         2. The 42nd day after the date a prescription for a 60-day
   37  supply of eye drops is dispensed; or
   38         3. The 63rd day after the date a prescription for a 90-day
   39  supply of eye drops is dispensed.
   40         (b) The original prescription states that additional
   41  quantities are needed and the refill requested by the insured
   42  does not exceed such quantities.
   43         (2) The prescription eye drop benefits covered under this
   44  section are subject to the same annual deductibles, copayments,
   45  coinsurance, or other cost-sharing provisions established for
   46  all other prescription drug benefits under the health insurance
   47  policy.
   48         Section 2. Present subsection (15) of section 627.662,
   49  Florida Statutes, is redesignated as subsection (16), and a new
   50  subsection (15) is added to that section, to read:
   51         627.662 Other provisions applicable.—The following
   52  provisions apply to group health insurance, blanket health
   53  insurance, and franchise health insurance:
   54         (15) Section 627.6411, relating to coverage for
   55  prescription eye drop refills.
   56         Section 3. Subsection (45) is added to section 641.31,
   57  Florida Statutes, to read:
   58         641.31 Health maintenance contracts.—
   59         (45)(a) A health maintenance contract that provides
   60  coverage for prescription eye drops to treat a chronic eye
   61  disease or condition must provide coverage for a refill of
   62  prescription eye drops if all of the following conditions are
   63  met:
   64         1. The refill is dispensed on or before the last day of the
   65  prescribed dosage period and not earlier than:
   66         a. The 21st day after the date a prescription for a 30-day
   67  supply of eye drops is dispensed;
   68         b. The 42nd day after the date a prescription for a 60-day
   69  supply of eye drops is dispensed; or
   70         c. The 63rd day after the date a prescription for a 90-day
   71  supply of eye drops is dispensed.
   72         2. The original prescription states that additional
   73  quantities are needed and the refill requested by the subscriber
   74  does not exceed such quantities.
   75         (b) The prescription eye drop benefits covered under this
   76  subsection are subject to the same annual deductibles,
   77  copayments, coinsurance, or other cost-sharing provisions
   78  established for all other prescription drug benefits under the
   79  health maintenance contract.
   80         Section 4. This act shall take effect July 1, 2018.