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FL H1167
Bill
Status
4/30/2010
Primary Sponsor
Anitere Flores
Click for details
AI Summary
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Prohibits insurers offering dialysis coverage for end-stage renal disease patients from requiring travel more than 30 minutes from home or from forcing patients to switch dialysis providers.
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Prevents insurers from shifting primary reimbursement responsibility to other payers (Medicare, Medicaid, or governmental programs) during the coordination-of-benefits period.
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Requires insurers to provide written notice by certified mail at least 12 months before implementing any changes to covered services, network access, reimbursement, or patient liability for dialysis treatment.
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Limits prior authorization requirements to no more than twice per year, with each authorization covering all necessary clinical treatment components prescribed by the patient's physician.
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Applies provisions to group health insurance, blanket health insurance, franchise health insurance, and health maintenance contracts, while excluding Medicaid and other governmental programs; effective October 1, 2010.
Legislative Description
Renal Disease
Last Action
Died in Committee on Health Care Regulation Policy (HFPC)
4/30/2010