FL
Florida House Bill H0499

Florida 2024 Regular Session

Florida House Bill H0499 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 congenital cytomegalovirus 2
1616 screenings; amending s. 383.145, F.S.; requiring 3
1717 certain hospitals to administer congenital 4
1818 cytomegalovirus screenings on newborns admitted to the 5
1919 hospital under specified circumstances; requiring that 6
2020 the screenings be initiated within a specified 7
2121 timeframe; providing construction; providing coverage 8
2222 under the Medicaid program for the screenings and any 9
2323 medically necessary follow-up reevaluations; requiring 10
2424 that newborns diagnosed with congenital 11
2525 cytomegalovirus be referred to a primary care 12
2626 physician for medical management, treatment, and 13
2727 follow-up services; requiring that children diagnosed 14
2828 with a congenital cytomegalovirus infection without 15
2929 hearing loss be referred to the Children's Medical 16
3030 Services Early Intervention Program and be deemed 17
3131 eligible for evaluation and any medically necessary 18
3232 follow-up reevaluations and monitoring under the 19
3333 program; providing an effective date. 20
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3535 Be It Enacted by the Legislature of the State of Florida: 22
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3737 Section 1. Paragraphs (a), (k), and (l) of subsection (3) 24
3838 of section 383.145, Florida Statutes, are amended to read: 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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5151 383.145 Newborn and infant hearing screening. — 26
5252 (3) REQUIREMENTS FOR SCREENING OF NEWBORNS; INSURANCE 27
5353 COVERAGE; REFERRAL FOR ONGOING SERVICES. — 28
5454 (a)1. Each hospital or other state -licensed birthing 29
5555 facility that provides maternity and newborn care services shall 30
5656 ensure that all newborns are, before discha rge, screened for the 31
5757 detection of hearing loss to prevent the consequences of 32
5858 unidentified disorders. If a newborn fails the screening for the 33
5959 detection of hearing loss, the hospital or other state -licensed 34
6060 birthing facility must administer a test approve d by the United 35
6161 States Food and Drug Administration or another diagnostically 36
6262 equivalent test on the newborn to screen for congenital 37
6363 cytomegalovirus before the newborn becomes 21 days of age or 38
6464 before discharge, whichever occurs earlier. 39
6565 2. Each hospital that provides neonatal intensive care 40
6666 services shall administer a test approved by the United States 41
6767 Food and Drug Administration or another diagnostically 42
6868 equivalent test to screen for congenital cytomegalovirus in each 43
6969 newborn admitted to the hospital as a result of a premature 44
70-birth occurring before 35 weeks' gestation, for cardiac care, or 45
71-for medical or surgical treatment requiring an anticipated stay 46
72-of 3 weeks or longer. Such screening must be initiated before 47
73-the newborn becomes 21 days of age. 48
74- 3. If a newborn requires transfer to another hospital for 49
75-a higher level of care, the receiving hospital must initiate the 50
70+birth occurring before 33 weeks' gestation, due to the newborn's 45
71+size being small for his or her gestational age, for cardiac 46
72+care, or for medical or postsurgical treatment requiring an 47
73+anticipated stay of 3 weeks or longer. Such screening must be 48
74+initiated before the newborn becomes 21 days of age. 49
75+ 3. If a newborn requires transfer to another hospital for 50
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8484 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-congenital cytomegalovirus screening if the screening has not 51
89-already been performed by the transferring hospital or the 52
90-birthing facility. For newborns transferred or admitted for 53
91-intensive and prolonged care, the congenital cytomegalovirus 54
92-screening must be initiated regardless of whether the newborn 55
93-failed a hearing screening. 56
94- (k) The initial procedures procedure for the congenital 57
95-cytomegalovirus screening and the hearing screening of the 58
96-newborn or infant and any medically necessary follow -up 59
97-reevaluations leading to diagnosis are shall be a covered 60
98-benefits benefit for Medicaid patients covered by a fee -for-61
99-service program. For M edicaid patients enrolled in HMOs, 62
100-providers must shall be reimbursed directly by the Medicaid 63
101-Program Office at the Medicaid rate. This service is may not be 64
102-considered a covered service for the purposes of establishing 65
103-the payment rate for Medicaid HMOs. All health insurance 66
104-policies and health maintenance organizations as provided under 67
105-ss. 627.6416, 627.6579, and 641.31(30), except for supplemental 68
106-policies that only provide coverage for specific diseases, 69
107-hospital indemnity, or Medicare supplement, or to the 70
108-supplemental policies, must shall compensate providers for the 71
109-covered benefit at the contracted rate. Nonhospital -based 72
110-providers are eligible to bill Medicaid for the professional and 73
111-technical component of each procedure code. 74
112- (l) A child who is diagnosed as having permanent hearing 75
88+higher level of care, the birthing hospital must initiate the 51
89+congenital cytomegalovirus screening before the transfer. For 52
90+newborns transferred or admitted for intensive and prolonged 53
91+care, the congenital cytomegalovirus screening must be initiated 54
92+regardless of whether the newborn failed a hearing screening. 55
93+ (k) The initial procedures procedure for the congenital 56
94+cytomegalovirus screening and the hearing screening of the 57
95+newborn or infant and any medically necessary follow -up 58
96+reevaluations leading to diagnosis are shall be a covered 59
97+benefits benefit for Medicaid patients covered by a fee -for-60
98+service program. For Medicaid pat ients enrolled in HMOs, 61
99+providers must shall be reimbursed directly by the Medicaid 62
100+Program Office at the Medicaid rate. This service is may not be 63
101+considered a covered service for the purposes of establishing 64
102+the payment rate for Medicaid HMOs. All health insurance 65
103+policies and health maintenance organizations as provided under 66
104+ss. 627.6416, 627.6579, and 641.31(30), except for supplemental 67
105+policies that only provide coverage for specific diseases, 68
106+hospital indemnity, or Medicare supplement, or to the 69
107+supplemental policies, must shall compensate providers for the 70
108+covered benefit at the contracted rate. Nonhospital -based 71
109+providers are eligible to bill Medicaid for the professional and 72
110+technical component of each procedure code. 73
111+ (l) A child who is diagnosed as having permanent hearing 74
112+loss or a congenital cytomegalovirus infection must be referred 75
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121121 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-loss or a congenital cytomegalovirus infection must be referred 76
126-to the primary care physician for medical management, treatment, 77
127-and follow-up services. Furthermore, in accordance with Part C 78
128-of the Individuals with Disabilities Education Act, Pub. L. No. 79
129-108-446, Infants and Toddlers with Disabilities, any child from 80
130-birth to 36 months of age who is diagnosed as having hearing 81
131-loss that requires ongoing special hearing services must be 82
132-referred to the Children's Medi cal Services Early Intervention 83
133-Program serving the geographical area in which the child 84
134-resides. A child diagnosed with a congenital cytomegalovirus 85
135-infection without hearing loss must be referred to the 86
136-Children's Medical Services Early Intervention Prog ram and be 87
137-deemed eligible for a baseline evaluation and any medically 88
138-necessary follow-up reevaluations and monitoring. 89
139- Section 2. This act shall take effect July 1, 2024. 90
125+to the primary care physician for medical management, treatment, 76
126+and follow-up services. Furthermore, in accordance with Part C 77
127+of the Individuals with Disabilitie s Education Act, Pub. L. No. 78
128+108-446, Infants and Toddlers with Disabilities, any child from 79
129+birth to 36 months of age who is diagnosed as having hearing 80
130+loss that requires ongoing special hearing services must be 81
131+referred to the Children's Medical Service s Early Intervention 82
132+Program serving the geographical area in which the child 83
133+resides. A child diagnosed with a congenital cytomegalovirus 84
134+infection without hearing loss must be referred to the 85
135+Children's Medical Services Early Intervention Program and be 86
136+deemed eligible for a baseline evaluation and any medically 87
137+necessary follow-up reevaluations and monitoring. 88
138+ Section 2. This act shall take effect July 1, 2024. 89