FL
Florida House Bill H1325

Florida 2022 Regular Session

Florida House Bill H1325 Compare Versions

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1010 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
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1414 A bill to be entitled 1
1515 An act relating to health care cost savings; amending 2
16-ss. 627.6387, 627.6648, and 641.31076, F.S.; revising 3
17-the definition of the term "shoppable health care 4
18-service" to include certain items and services 5
19-specified in federal regulation beginning with the 6
20-2023 plan year; providing an effective date. 7
21- 8
22-Be It Enacted by the Legislature of the State of Florida: 9
23- 10
24- Section 1. Paragraph (e) of subsection (2) of section 11
25-627.6387, Florida Statutes, is amended to read: 12
26- 627.6387 Shared savings incentive program. — 13
27- (2) As used in this section, the term: 14
28- (e) "Shoppable health care service" means a lower -cost, 15
29-high-quality nonemergency health care service for whic h a shared 16
30-savings incentive is available for insureds under a health 17
31-insurer's shared savings incentive program. Shoppable health 18
32-care services may be provided within or outside this state and 19
33-include, but are not limited to: 20
34- 1. Clinical laboratory serv ices. 21
35- 2. Infusion therapy. 22
36- 3. Inpatient and outpatient surgical procedures. 23
37- 4. Obstetrical and gynecological services. 24
38- 5. Inpatient and outpatient nonsurgical diagnostic tests 25
16+s. 627.6387, F.S.; revising the definition of the term 3
17+"shoppable health care service" to include certain 4
18+items and services specified in federal regulation; 5
19+providing an effective date. 6
20+ 7
21+Be It Enacted by the Legislature of the State of Florida: 8
22+ 9
23+ Section 1. Paragraph (e) of subsection (2) of section 10
24+627.6387, Florida Statutes, is amended to read: 11
25+ 627.6387 Shared savings incentive program. — 12
26+ (2) As used in this section, the term: 13
27+ (e) "Shoppable health care service" means a lower -cost, 14
28+high-quality nonemergency health care service for which a shared 15
29+savings incentive is available for insureds under a health 16
30+insurer's shared savings incentive program. Shoppable health 17
31+care services may be provided within or outside this state and 18
32+include, but are not limited to: 19
33+ 1. Clinical laboratory services. 20
34+ 2. Infusion therapy. 21
35+ 3. Inpatient and outpatient sur gical procedures. 22
36+ 4. Obstetrical and gynecological services. 23
37+ 5. Inpatient and outpatient nonsurgical diagnostic tests 24
38+and procedures. 25
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4747 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
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51-and procedures. 26
52- 6. Physical and occupational therapy services. 27
53- 7. Radiology and imaging services. 28
54- 8. Prescription drugs. 29
55- 9. Services provided through telehealth. 30
56- 10. Any additional services published by the Agency for 31
57-Health Care Administration that have the most significant price 32
58-variation pursuant to s. 408.05(3)(m). 33
59- 11. Beginning with the 2023 plan year, the items and 34
60-services listed in Table 1 —500 Items and Services List as 35
61-published in Volume 85, No. 219 of the Federal Register, pages 36
62-72182-72190 (2020). 37
63- Section 2. Paragraph (e) of subsection (2) of section 38
64-627.6648, Florida Statutes, is amended to read: 39
65- 627.6648 Shared savings incentive program. — 40
66- (2) As used in this section, the term: 41
67- (e) "Shoppable health care service" means a lower -cost, 42
68-high-quality nonemergency health care service for w hich a shared 43
69-savings incentive is available for insureds under a health 44
70-insurer's shared savings incentive program. Shoppable health 45
71-care services may be provided within or outside this state and 46
72-include, but are not limited to: 47
73- 1. Clinical laboratory s ervices. 48
74- 2. Infusion therapy. 49
75- 3. Inpatient and outpatient surgical procedures. 50
76-
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84-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
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88- 4. Obstetrical and gynecological services. 51
89- 5. Inpatient and outpatient nonsurgical diagnostic tests 52
90-and procedures. 53
91- 6. Physical and occupational therapy services. 54
92- 7. Radiology and imaging services. 55
93- 8. Prescription drugs. 56
94- 9. Services provided through telehealth. 57
95- 10. Any additional services published by the Agency for 58
96-Health Care Administration that have the most significant price 59
97-variation pursuant to s. 408.05(3 )(m). 60
98- 11. Beginning with the 2023 plan year, the items and 61
99-services listed in Table 1 —500 Items and Services List as 62
100-published in Volume 85, No. 219 of the Federal Register, pages 63
101-72182-72190 (2020). 64
102- Section 3. Paragraph (e) of subsection (2) of sect ion 65
103-641.31076, Florida Statutes, is amended to read: 66
104- 641.31076 Shared savings incentive program. — 67
105- (2) As used in this section, the term: 68
106- (e) "Shoppable health care service" means a lower -cost, 69
107-high-quality nonemergency health care service for which a shared 70
108-savings incentive is available for subscribers under a health 71
109-maintenance organization's shared savings incentive program. 72
110-Shoppable health care services may be provided within or outside 73
111-this state and include, but are not limited to: 74
112- 1. Clinical laboratory services. 75
113-
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118-CODING: Words stricken are deletions; words underlined are additions.
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121-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
122-
123-
124-
125- 2. Infusion therapy. 76
126- 3. Inpatient and outpatient surgical procedures. 77
127- 4. Obstetrical and gynecological services. 78
128- 5. Inpatient and outpatient nonsurgical diagnostic tests 79
129-and procedures. 80
130- 6. Physical and occupational therapy services. 81
131- 7. Radiology and imaging services. 82
132- 8. Prescription drugs. 83
133- 9. Services provided through telehealth. 84
134- 10. Any additional services published by the Agency for 85
135-Health Care Administration that have the most significant price 86
136-variation pursuant to s. 408.05(3)(m). 87
137- 11. Beginning with the 2023 plan year, the items and 88
138-services listed in Table 1 —500 Items and Services List as 89
139-published in Volume 85, No. 219 of the Federal Register, pages 90
140-72182-72190 (2020). 91
141- Section 4. This act shall take effec t upon becoming a law. 92
51+ 6. Physical and occupational therapy services. 26
52+ 7. Radiology and imaging services. 27
53+ 8. Prescription drugs. 28
54+ 9. Services provided through telehealth. 29
55+ 10. Any additional services published by the Agency for 30
56+Health Care Administration that have the most significant price 31
57+variation pursuant to s. 408.05(3)(m). 32
58+ 11. The items and services listed in Table 1 —500 Items and 33
59+Services List as published in Volume 85, No. 219 of the Federal 34
60+Register, pages 72182 -72190 (2020). 35
61+ Section 2. This act shall take effect July 1, 2022. 36