CS/HB 1325 2022
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hb1325-01-c1
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
A bill to be entitled 1
An act relating to health care cost savings; amending 2
ss. 627.6387, 627.6648, and 641.31076, F.S.; revising 3
the definition of the term "shoppable health care 4
service" to include certain items and services 5
specified in federal regulation beginning with the 6
2023 plan year; providing an effective date. 7
8
Be It Enacted by the Legislature of the State of Florida: 9
10
Section 1. Paragraph (e) of subsection (2) of section 11
627.6387, Florida Statutes, is amended to read: 12
627.6387 Shared savings incentive program. — 13
(2) As used in this section, the term: 14
(e) "Shoppable health care service" means a lower -cost, 15
high-quality nonemergency health care service for whic h a shared 16
savings incentive is available for insureds under a health 17
insurer's shared savings incentive program. Shoppable health 18
care services may be provided within or outside this state and 19
include, but are not limited to: 20
1. Clinical laboratory serv ices. 21
2. Infusion therapy. 22
3. Inpatient and outpatient surgical procedures. 23
4. Obstetrical and gynecological services. 24
5. Inpatient and outpatient nonsurgical diagnostic tests 25
CS/HB 1325 2022
CODING: Words stricken are deletions; words underlined are additions.
hb1325-01-c1
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
and procedures. 26
6. Physical and occupational therapy services. 27
7. Radiology and imaging services. 28
8. Prescription drugs. 29
9. Services provided through telehealth. 30
10. Any additional services published by the Agency for 31
Health Care Administration that have the most significant price 32
variation pursuant to s. 408.05(3)(m). 33
11. Beginning with the 2023 plan year, the items and 34
services listed in Table 1 —500 Items and Services List as 35
published in Volume 85, No. 219 of the Federal Register, pages 36
72182-72190 (2020). 37
Section 2. Paragraph (e) of subsection (2) of section 38
627.6648, Florida Statutes, is amended to read: 39
627.6648 Shared savings incentive program. — 40
(2) As used in this section, the term: 41
(e) "Shoppable health care service" means a lower -cost, 42
high-quality nonemergency health care service for w hich a shared 43
savings incentive is available for insureds under a health 44
insurer's shared savings incentive program. Shoppable health 45
care services may be provided within or outside this state and 46
include, but are not limited to: 47
1. Clinical laboratory s ervices. 48
2. Infusion therapy. 49
3. Inpatient and outpatient surgical procedures. 50
CS/HB 1325 2022
CODING: Words stricken are deletions; words underlined are additions.
hb1325-01-c1
Page 3 of 4
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
4. Obstetrical and gynecological services. 51
5. Inpatient and outpatient nonsurgical diagnostic tests 52
and procedures. 53
6. Physical and occupational therapy services. 54
7. Radiology and imaging services. 55
8. Prescription drugs. 56
9. Services provided through telehealth. 57
10. Any additional services published by the Agency for 58
Health Care Administration that have the most significant price 59
variation pursuant to s. 408.05(3 )(m). 60
11. Beginning with the 2023 plan year, the items and 61
services listed in Table 1 —500 Items and Services List as 62
published in Volume 85, No. 219 of the Federal Register, pages 63
72182-72190 (2020). 64
Section 3. Paragraph (e) of subsection (2) of sect ion 65
641.31076, Florida Statutes, is amended to read: 66
641.31076 Shared savings incentive program. — 67
(2) As used in this section, the term: 68
(e) "Shoppable health care service" means a lower -cost, 69
high-quality nonemergency health care service for which a shared 70
savings incentive is available for subscribers under a health 71
maintenance organization's shared savings incentive program. 72
Shoppable health care services may be provided within or outside 73
this state and include, but are not limited to: 74
1. Clinical laboratory services. 75
CS/HB 1325 2022
CODING: Words stricken are deletions; words underlined are additions.
hb1325-01-c1
Page 4 of 4
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
2. Infusion therapy. 76
3. Inpatient and outpatient surgical procedures. 77
4. Obstetrical and gynecological services. 78
5. Inpatient and outpatient nonsurgical diagnostic tests 79
and procedures. 80
6. Physical and occupational therapy services. 81
7. Radiology and imaging services. 82
8. Prescription drugs. 83
9. Services provided through telehealth. 84
10. Any additional services published by the Agency for 85
Health Care Administration that have the most significant price 86
variation pursuant to s. 408.05(3)(m). 87
11. Beginning with the 2023 plan year, the items and 88
services listed in Table 1 —500 Items and Services List as 89
published in Volume 85, No. 219 of the Federal Register, pages 90
72182-72190 (2020). 91
Section 4. This act shall take effec t upon becoming a law. 92