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3 | 3 | | HB 1545 2023 |
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9 | 9 | | Page 1 of 7 |
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10 | 10 | | 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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13 | 13 | | |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to health insurance identification 2 |
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16 | 16 | | cards; amending s. 627.4302, F.S.; requiring certain 3 |
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17 | 17 | | prescription drug benefits -identification cards to 4 |
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18 | 18 | | include specified information in a certain manner; 5 |
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19 | 19 | | providing applicability; authorizing the Department of 6 |
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20 | 20 | | Financial Services to adopt certain rules; amending 7 |
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21 | 21 | | ss. 627.642, 627.657, and 641.31, F.S.; requiring 8 |
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22 | 22 | | certain health insurance and health maintenance 9 |
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23 | 23 | | organization identification cards to include specified 10 |
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24 | 24 | | information in a certain manner; providing 11 |
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25 | 25 | | applicability; authorizing the department to adopt 12 |
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26 | 26 | | certain rules; providing an effective date. 13 |
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27 | 27 | | 14 |
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28 | 28 | | Be It Enacted by the Legislature of the State of Florida: 15 |
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29 | 29 | | 16 |
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30 | 30 | | Section 1. Paragraph (h) of subsection (2) of section 17 |
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31 | 31 | | 627.4302, Florida Statutes, is redesignated as paragraph (i), 18 |
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32 | 32 | | and a new paragraph (h) is added to that subsection, to read: 19 |
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33 | 33 | | 627.4302 Identification cards for processing prescription 20 |
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34 | 34 | | drug claims.— 21 |
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35 | 35 | | (2) Any health insurer or health maintenance organization 22 |
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36 | 36 | | and all state and local government entities entering into an 23 |
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37 | 37 | | agreement to provide coverage for prescription drugs on an 24 |
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38 | 38 | | outpatient basis shall provide a benefits -identification card 25 |
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40 | 40 | | HB 1545 2023 |
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44 | 44 | | CODING: Words stricken are deletions; words underlined are additions. |
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46 | 46 | | Page 2 of 7 |
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47 | 47 | | 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 | 51 | | containing the following information: 26 |
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52 | 52 | | (h) The type of plan, only if the plan is filed in this 27 |
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53 | 53 | | state; an indication that the plan is self -funded; or the name 28 |
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54 | 54 | | of the network. 29 |
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55 | 55 | | 1. If the plan is subject to state regulation, the 30 |
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56 | 56 | | identification card must include the lett ers "FL" on the back 31 |
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57 | 57 | | left-hand corner of the card, under which a quick response (QR) 32 |
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58 | 58 | | code must be displayed directing the insured or the subscriber 33 |
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59 | 59 | | to the consumer complaint website of the Division of Consumer 34 |
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60 | 60 | | Services of the department. 35 |
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61 | 61 | | 2. If the plan is exclusively federally regulated, the 36 |
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62 | 62 | | identification card must include the letters "FED" on the back 37 |
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63 | 63 | | left-hand corner of the card, under which a QR code must be 38 |
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64 | 64 | | displayed directing the insured or the subscriber to the 39 |
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65 | 65 | | consumer complaint website of the Cen ters for Medicare and 40 |
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66 | 66 | | Medicaid Services. 41 |
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67 | 67 | | 3. This paragraph applies to benefits -identification cards 42 |
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68 | 68 | | issued or reissued on or after January 1, 2024. 43 |
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69 | 69 | | 4. The department may adopt rules to implement necessary 44 |
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70 | 70 | | changes to the consumer complaint website and h otline of the 45 |
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71 | 71 | | Division of Consumer Services to best assist insureds or 46 |
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72 | 72 | | subscribers who are at an impasse with their insurers or health 47 |
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73 | 73 | | maintenance organizations, respectively. 48 |
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74 | 74 | | 49 |
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75 | 75 | | The information required in paragraphs (a), (b), (g), and (i) 50 |
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81 | 81 | | CODING: Words stricken are deletions; words underlined are additions. |
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84 | 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 | 88 | | (h) must be provided on the card, unless instruction is provided 51 |
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89 | 89 | | on the card for ready access to such information by electronic 52 |
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90 | 90 | | means. 53 |
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91 | 91 | | Section 2. Paragraph (c) of subsection (3) of section 54 |
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92 | 92 | | 627.642, Florida Statutes, is amended to read: 55 |
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93 | 93 | | 627.642 Outline of coverage. — 56 |
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94 | 94 | | (3) In addition to the outline of coverage, a policy as 57 |
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95 | 95 | | specified in s. 627.6699(3)(k) must be accompanied by an 58 |
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96 | 96 | | identification card that contains, at a minimum: 59 |
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97 | 97 | | (c) The type of plan , only if the plan is filed in this 60 |
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98 | 98 | | the state;, an indication that the plan is self -funded;, or the 61 |
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99 | 99 | | name of the network. 62 |
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100 | 100 | | 1. If the plan is subject to state regulation, the 63 |
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101 | 101 | | identification card must include the letters "FL" on the back 64 |
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102 | 102 | | left-hand corner of the card, under which a quick response (QR) 65 |
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103 | 103 | | code must be displayed directing the insured to the consumer 66 |
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104 | 104 | | complaint website of the Division of Consumer Services of the 67 |
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105 | 105 | | department. 68 |
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106 | 106 | | 2. If the plan is exclusively federally regulated, the 69 |
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107 | 107 | | identification card must include the letters "FED" on the back 70 |
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108 | 108 | | left-hand corner of the card, under which a QR code must be 71 |
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109 | 109 | | displayed directing the insured to the consumer complaint 72 |
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110 | 110 | | website of the Centers for Medicare and Medicaid Services. 73 |
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111 | 111 | | 3. Subparagraphs 1. and 2. apply to identification cards 74 |
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112 | 112 | | issued or reissued on or after January 1, 2024. 75 |
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121 | 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 |
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125 | 125 | | 4. The department may adopt rules to implement necessary 76 |
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126 | 126 | | changes to the consumer complaint website and hotline of the 77 |
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127 | 127 | | Division of Consumer Services to best assist insureds who are at 78 |
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128 | 128 | | an impasse with their insurers. 79 |
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129 | 129 | | 80 |
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130 | 130 | | The identification card must present the information in a 81 |
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131 | 131 | | readily identifiable manner or, alternatively, the information 82 |
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132 | 132 | | may be embedded on the card and available through magnetic 83 |
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133 | 133 | | stripe or smart card. The information may also be provided 84 |
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134 | 134 | | through other electronic techno logy. 85 |
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135 | 135 | | Section 3. Paragraph (c) of subsection (2) of section 86 |
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136 | 136 | | 627.657, Florida Statutes, is amended to read: 87 |
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137 | 137 | | 627.657 Provisions of group health insurance policies. — 88 |
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138 | 138 | | (2) The medical policy as specified in s. 627.6699(3)(k) 89 |
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139 | 139 | | must be accompanied by an id entification card that contains, at 90 |
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140 | 140 | | a minimum: 91 |
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141 | 141 | | (c) The type of plan , only if the plan is filed in this 92 |
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142 | 142 | | the state;, an indication that the plan is self -funded;, or the 93 |
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143 | 143 | | name of the network. 94 |
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144 | 144 | | 1. If the plan is subject to state regulation, the 95 |
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145 | 145 | | identification card must include the letters "FL" on the back 96 |
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146 | 146 | | left-hand corner of the card, under which a quick response (QR) 97 |
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147 | 147 | | code must be displayed directing the insured to the consumer 98 |
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148 | 148 | | complaint website of the Division of Consumer Services of the 99 |
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149 | 149 | | department. 100 |
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151 | 151 | | HB 1545 2023 |
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155 | 155 | | CODING: Words stricken are deletions; words underlined are additions. |
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157 | 157 | | Page 5 of 7 |
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158 | 158 | | 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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162 | 162 | | 2. If the plan is exclusively federally regulated, the 101 |
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163 | 163 | | identification card must include the letters "FED" on the back 102 |
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164 | 164 | | left-hand corner of the card, under which a QR code must be 103 |
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165 | 165 | | displayed directing the insured to the consumer complaint 104 |
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166 | 166 | | website of the Centers for Medicare and Medicaid Services. 105 |
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167 | 167 | | 3. Subparagraphs 1. and 2. apply to identification cards 106 |
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168 | 168 | | issued or reissued on or after January 1, 2024. 107 |
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169 | 169 | | 4. The department may adopt rules to implement necessary 108 |
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170 | 170 | | changes to the consumer complaint website an d hotline of the 109 |
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171 | 171 | | Division of Consumer Services to best assist insureds who are at 110 |
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172 | 172 | | an impasse with their insurers. 111 |
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173 | 173 | | 112 |
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174 | 174 | | The identification card must present the information in a 113 |
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175 | 175 | | readily identifiable manner or, alternatively, the information 114 |
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176 | 176 | | may be embedded on t he card and available through magnetic 115 |
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177 | 177 | | stripe or smart card. The information may also be provided 116 |
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178 | 178 | | through other electronic technology. 117 |
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179 | 179 | | Section 4. Paragraph (c) of subsection (42) of section 118 |
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180 | 180 | | 641.31, Florida Statutes, is amended to read: 119 |
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181 | 181 | | 641.31 Health maintenance contracts. — 120 |
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182 | 182 | | (42) The contract, certificate, or member handbook must be 121 |
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183 | 183 | | accompanied by an identification card that contains, at a 122 |
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184 | 184 | | minimum: 123 |
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185 | 185 | | (c) A statement that the health plan is a health 124 |
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186 | 186 | | maintenance organization. Only a health plan with a c ertificate 125 |
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195 | 195 | | 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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199 | 199 | | of authority issued under this chapter may be identified as a 126 |
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200 | 200 | | health maintenance organization. 127 |
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201 | 201 | | 1. If the health plan is subject to state regulation, the 128 |
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202 | 202 | | identification card must include the letters "FL" on the back 129 |
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203 | 203 | | left-hand corner of the card , under which a quick response (QR) 130 |
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204 | 204 | | code must be displayed directing the subscriber to the consumer 131 |
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205 | 205 | | complaint website of the Division of Consumer Services of the 132 |
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206 | 206 | | department. 133 |
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207 | 207 | | 2. If the health plan is exclusively federally regulated, 134 |
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208 | 208 | | the identification car d must include the letters "FED" on the 135 |
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209 | 209 | | back left-hand corner of the card, under which a QR code must be 136 |
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210 | 210 | | displayed directing the subscriber to the consumer complaint 137 |
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211 | 211 | | website of the Centers for Medicare and Medicaid Services. 138 |
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212 | 212 | | 3. Subparagraphs 1. and 2. ap ply to identification cards 139 |
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213 | 213 | | issued or reissued on or after January 1, 2024. 140 |
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214 | 214 | | 4. The department may adopt rules to implement necessary 141 |
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215 | 215 | | changes to the consumer complaint website and hotline of the 142 |
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216 | 216 | | Division of Consumer Services to best assist subscribers who are 143 |
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217 | 217 | | at an impasse with their health maintenance organizations. 144 |
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218 | 218 | | 145 |
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219 | 219 | | The identification card must present the information in a 146 |
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220 | 220 | | readily identifiable manner or, alternatively, the information 147 |
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221 | 221 | | may be embedded on the card and available through magnetic 148 |
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222 | 222 | | stripe or smart card. The information may also be provided 149 |
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223 | 223 | | through other electronic technology. 150 |
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236 | 236 | | Section 5. This act shall take effect January 1, 2024. 151 |
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