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FL S2184
Bill
AI Summary
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Prohibits insurers offering dialysis coverage for end-stage renal disease patients from requiring travel exceeding 30 minutes from the insured's home or from requiring a change in 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 changes to covered services, network access, reimbursement, or patient liability for dialysis or related services.
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Limits prior authorization requirements for dialysis services 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 these protections to group health insurance, blanket health insurance, franchise health insurance, and health maintenance contracts, with violations subject to Chapter 624 (Insurance Code); effective October 1, 2010.
Legislative Description
Renal Disease/Insurance [CPSC]
Last Action
Died in Committee on Banking and Insurance
4/30/2010