Bill Text: FL S1836 | 2020 | Regular Session | Comm Sub
Bill Title: Health Insurance Benefits
Spectrum: Bipartisan Bill
Status: (Failed) 2020-03-14 - Died in Appropriations Subcommittee on Agriculture, Environment, and General Government [S1836 Detail]
Download: Florida-2020-S1836-Comm_Sub.html
Florida Senate - 2020 CS for SB 1836 By the Committee on Governmental Oversight and Accountability; and Senator Bean 585-03764-20 20201836c1 1 A bill to be entitled 2 An act relating to health insurance benefits; amending 3 s. 408.05, F.S.; requiring the Agency for Health Care 4 Administration to publish by a specified date an 5 annual report identifying certain health care 6 services; amending ss. 627.6387, 627.6648, and 7 641.31076, F.S.; revising the definition of the term 8 “shoppable health care service”; revising duties of 9 certain health insurers and health maintenance 10 organizations; providing an effective date. 11 12 Be It Enacted by the Legislature of the State of Florida: 13 14 Section 1. Paragraph (l) is added to subsection (3) of 15 section 408.05, Florida Statutes, to read: 16 408.05 Florida Center for Health Information and 17 Transparency.— 18 (3) HEALTH INFORMATION TRANSPARENCY.—In order to 19 disseminate and facilitate the availability of comparable and 20 uniform health information, the agency shall perform the 21 following functions: 22 (l) By July 1 of each year, publish a report identifying 23 the health care services with the most significant price 24 variation both statewide and regionally. 25 Section 2. Paragraph (e) of subsection (2) and paragraph 26 (e) of subsection (3) of section 627.6387, Florida Statutes, are 27 amended to read: 28 627.6387 Shared savings incentive program.— 29 (2) As used in this section, the term: 30 (e) “Shoppable health care service” means a lower-cost, 31 high-quality nonemergency health care service for which a shared 32 savings incentive is available for insureds under a health 33 insurer’s shared savings incentive program. Shoppable health 34 care services may be provided within or outside this state and 35 include, but are not limited to: 36 1. Clinical laboratory services. 37 2. Infusion therapy. 38 3. Inpatient and outpatient surgical procedures. 39 4. Obstetrical and gynecological services. 40 5. Inpatient and outpatient nonsurgical diagnostic tests 41 and procedures. 42 6. Physical and occupational therapy services. 43 7. Radiology and imaging services. 44 8. Prescription drugs. 45 9. Services provided through telehealth. 46 10. Any additional services published by the Agency for 47 Health Care Administration that have the most significant price 48 variation pursuant to s. 408.05(3)(l). 49 (3) A health insurer may offer a shared savings incentive 50 program to provide incentives to an insured when the insured 51 obtains a shoppable health care service from the health 52 insurer’s shared savings list. An insured may not be required to 53 participate in a shared savings incentive program. A health 54 insurer that offers a shared savings incentive program must: 55 (e) At least quarterly, credit or deposit the shared 56 savings incentive amount to the insured’s account as a return or 57 reduction in premium,orcredit the shared savings incentive 58 amount to the insured’s flexible spending account, health 59 savings account, or health reimbursement account, or reward the 60 insured directly with cash or a cash equivalentsuch that the61amount does not constitute income to the insured. 62 Section 3. Paragraph (e) of subsection (2) and paragraph 63 (e) of subsection (3) of section 627.6648, Florida Statutes, are 64 amended to read: 65 627.6648 Shared savings incentive program.— 66 (2) As used in this section, the term: 67 (e) “Shoppable health care service” means a lower-cost, 68 high-quality nonemergency health care service for which a shared 69 savings incentive is available for insureds under a health 70 insurer’s shared savings incentive program. Shoppable health 71 care services may be provided within or outside this state and 72 include, but are not limited to: 73 1. Clinical laboratory services. 74 2. Infusion therapy. 75 3. Inpatient and outpatient surgical procedures. 76 4. Obstetrical and gynecological services. 77 5. Inpatient and outpatient nonsurgical diagnostic tests 78 and procedures. 79 6. Physical and occupational therapy services. 80 7. Radiology and imaging services. 81 8. Prescription drugs. 82 9. Services provided through telehealth. 83 10. Any additional services published by the Agency for 84 Health Care Administration that have the most significant price 85 variation pursuant to s. 408.05(3)(l). 86 (3) A health insurer may offer a shared savings incentive 87 program to provide incentives to an insured when the insured 88 obtains a shoppable health care service from the health 89 insurer’s shared savings list. An insured may not be required to 90 participate in a shared savings incentive program. A health 91 insurer that offers a shared savings incentive program must: 92 (e) At least quarterly, credit or deposit the shared 93 savings incentive amount to the insured’s account as a return or 94 reduction in premium,orcredit the shared savings incentive 95 amount to the insured’s flexible spending account, health 96 savings account, or health reimbursement account, or reward the 97 insured directly with cash or a cash equivalentsuch that the98amount does not constitute income to the insured. 99 Section 4. Paragraph (e) of subsection (2) and paragraph 100 (e) of subsection (3) of section 641.31076, Florida Statutes, 101 are amended to read: 102 641.31076 Shared savings incentive program.— 103 (2) As used in this section, the term: 104 (e) “Shoppable health care service” means a lower-cost, 105 high-quality nonemergency health care service for which a shared 106 savings incentive is available for subscribers under a health 107 maintenance organization’s shared savings incentive program. 108 Shoppable health care services may be provided within or outside 109 this state and include, but are not limited to: 110 1. Clinical laboratory services. 111 2. Infusion therapy. 112 3. Inpatient and outpatient surgical procedures. 113 4. Obstetrical and gynecological services. 114 5. Inpatient and outpatient nonsurgical diagnostic tests 115 and procedures. 116 6. Physical and occupational therapy services. 117 7. Radiology and imaging services. 118 8. Prescription drugs. 119 9. Services provided through telehealth. 120 10. Any additional services published by the Agency for 121 Health Care Administration that have the most significant price 122 variation pursuant to s. 408.05(3)(l). 123 (3) A health maintenance organization may offer a shared 124 savings incentive program to provide incentives to a subscriber 125 when the subscriber obtains a shoppable health care service from 126 the health maintenance organization’s shared savings list. A 127 subscriber may not be required to participate in a shared 128 savings incentive program. A health maintenance organization 129 that offers a shared savings incentive program must: 130 (e) At least quarterly, credit or deposit the shared 131 savings incentive amount to the subscriber’s account as a return 132 or reduction in premium,orcredit the shared savings incentive 133 amount to the subscriber’s flexible spending account, health 134 savings account, or health reimbursement account, or reward the 135 subscriber directly with cash or a cash equivalentsuch that the136amount does not constitute income to the subscriber. 137 Section 5. This act shall take effect January 1, 2021.