Senate Bill 142 (2023) — Coverage for skin cancer screenings
SB 142
Florida Bills
Florida Senate - 2023 SB By Senator Harrell 31-00168A-23 2023142__ CODING: Words stricken are deletions; words underlined are additions. A bill to be entitled
An act relating to coverage for skin cancer screenings; creating ss. 627.64198, 627.66912, and 3 641.31091, F.S.; requiring individual health insurance policies; group, blanket, and franchise health insurance policies; and health maintenance contracts, 6 respectively, to provide coverage and payment for annual skin cancer screenings performed by a licensed dermatologist without imposing any cost-sharing requirement; specifying a requirement for and a restriction on payments for such screenings; providing an effective date. 12
Be It Enacted by the Legislature of the State of Florida: 14
Section
Section 627.64198, Florida Statutes, is created to read: 17 627.64198 Coverage for skin cancer screenings; required coverage and payment.— 19
(1) A health insurance policy issued or renewed on or after January 1, 2024, must provide coverage and payment, without imposing a deductible, copayment, coinsurance, or any other cost-sharing requirement, for annual skin cancer screenings performed by a dermatologist licensed pursuant to
chapter or
chapter 459. Payment for such screenings must be consistent with the insurer’s payments for other preventive screenings as defined by the Current Procedural Terminology code set of the American Medical Association. 28
(2) An insurer may not bundle a payment for skin cancer Florida Senate - 2023 SB 142 31-00168A-23 2023142__ CODING: Words stricken are deletions; words underlined are additions. screenings performed pursuant to subsection (1) with any other procedure or service, including an evaluation and management visit, which is performed during the same office visit or a subsequent office visit. 33
Section
Section 627.66912, Florida Statutes, is created to read: 35 627.66912 Coverage for skin cancer screenings; required coverage and payment.— 37
(1) A group, blanket, or franchise health insurance policy issued or renewed on or after January 1, 2024, must provide coverage and payment, without imposing a deductible, copayment, 40 coinsurance, or any other cost-sharing requirement, for annual skin cancer screenings performed by a dermatologist licensed pursuant to
chapter or
chapter 459. Payment for such screenings must be consistent with the insurer’s payments for other preventive screenings as defined by the Current Procedural Terminology code set of the American Medical Association. 46
(2) An insurer may not bundle a payment for skin cancer screenings performed pursuant to subsection (1) with any other procedure or service, including an evaluation and management visit, which is performed during the same office visit or a subsequent office visit. 51
Section
Section 641.31091, Florida Statutes, is created to read: 53 641.31091 Coverage for skin cancer screenings; required coverage and payment.— 55
(1) A health maintenance contract issued or renewed on or after January 1, 2024, must provide coverage and payment, 57 without imposing a deductible, copayment, coinsurance, or any Florida Senate - 2023 SB 142 31-00168A-23 2023142__ CODING: Words stricken are deletions; words underlined are additions. other cost-sharing requirement, for annual skin cancer screenings performed by a dermatologist licensed pursuant to
chapter or
chapter 459. Payment for such screenings must be consistent with the health maintenance organization’s payments for other preventive screenings as defined by the Current Procedural Terminology code set of the American Medical Association. 65
(2) A health maintenance organization may not bundle a payment for skin cancer screenings performed pursuant to subsection (1) with any other procedure or service, including an evaluation and management visit, which is performed during the same office visit or a subsequent office visit. 70