FL S7026

Creates Section 110.12303, F.S., establishing requirements for health maintenance organizations (HMOs) to provide reasonable access to health services for state group insurance program members under age 21.

Defines "reasonable access" as health services initiated within national standards of medical care timeframes but no later than 3 months after the initial request.

Requires HMO contracts with the Department of Management Services to include network adequacy standards, timely referral procedures, financial consequences for non-compliance, and quarterly reporting on complaints and grievances regarding access to health services.

Permits members or subscribers denied reasonable access to file complaints through HMO grievance procedures under Section 641.511 and to request external reviews including expedited reviews under the federal Patient Protection and Affordable Care Act.

Specifies that HMOs must be fined for each failure to provide reasonable access to health services, in addition to any other financial penalties under the contract.