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.