Senate Bill 416 (2020) — Insurance coverage for breast cancer tests and procedures
SB 416
Florida Bills
Florida Senate - 2020 SB By Senator Berman 31-00618-20 2020416__ CODING: Words stricken are deletions; words underlined are additions. A bill to be entitled
An act relating to insurance coverage for breast cancer tests and procedures; creating ss. 627.42394 and 641.3133, F.S.; providing
definitions; prohibiting cost-sharing requirements for specified breast cancer tests and procedures under individual health insurance policies, group, blanket, and franchise health insurance policies, and health maintenance contracts; 8 authorizing the Financial Services Commission to adopt rules; providing an effective date. 10
Be It Enacted by the Legislature of the State of Florida: 12
Section
Section 627.42394, Florida Statutes, is created to read: 15 627.42394 Coverage for diagnostic mammograms, breast magnetic resonance imaging scans, and breast ultrasounds.— 17
(1) As used in this section, the term: 18
(a) “Cost sharing” has the same meaning as provided in s. 19 627.42391. 20
(b) “Health care provider” means a physician licensed under
chapter or
chapter 459, a physician assistant licensed under
chapter or
chapter 459, and an advanced practice registered nurse licensed under
chapter 464. 24
(2) An individual or group, blanket, or franchise health insurance policy delivered, issued for delivery, renewed, 26 amended, or continued in this state that provides coverage for diagnostic mammograms, breast magnetic resonance imaging scans, 28 or breast ultrasounds may not apply cost-sharing requirements Florida Senate - 2020 SB 416 31-00618-20 2020416__ CODING: Words stricken are deletions; words underlined are additions. for a diagnostic mammogram, breast magnetic resonance imaging scan, or breast ultrasound, respectively, that is ordered by a health care provider. 32
(3) The commission may adopt rules to administer this section. 34
Section
Section 641.3133, Florida Statutes, is created to read: 36 641.3133 Coverage for diagnostic mammograms, breast magnetic resonance imaging scans, and breast ultrasounds.— 38
(1) As used in this section, the term: 39
(a) “Cost sharing” has the same meaning as provided in s. 40 641.313. 41
(b) “Health care provider” means a physician licensed under
chapter or
chapter 459, a physician assistant licensed under
chapter or
chapter 459, and an advanced practice registered nurse licensed under
chapter 464. 45
(2) A health maintenance contract delivered, issued for delivery, renewed, amended, or continued in this state that provides coverage for diagnostic mammograms, breast magnetic resonance imaging scans, or breast ultrasounds may not apply cost-sharing requirements for a diagnostic mammogram, breast magnetic resonance imaging scan, or breast ultrasound, 51 respectively, that is ordered by a health care provider. 52