Florida Senate - 2009                          SENATOR AMENDMENT
       Bill No. CS for CS for CS for SB 1986
       
       
       
       
       
       
                                Barcode 953014                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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                Floor: 8/AD/2R         .                                
             04/23/2009 05:39 PM       .                                
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       Senator Bennett moved the following:
       
    1         Senate Amendment (with directory and title amendments)
    2  
    3         Between lines 3473 and 3474
    4  insert:
    5         (4) ANNUAL REPORTS.—
    6         (a) Where coverage for routine patient care costs
    7  associated with care provided in a phase 1, phase 2, phase 3, or
    8  phase 4 cancer clinical trial is denied, a carrier shall, after
    9  consulting academic and community oncologists involved in cancer
   10  care and clinical research, submit to the Office of Insurance
   11  Regulation in a format prescribed by rule, an annual report that
   12  shall include:
   13         1. The number of denials for coverage of routine patient
   14  care cost as defined in paragraph (c) in cancer clinical trials;
   15  and
   16         2. A comparison of the costs of routine patient care
   17  provided in the trials in question compared to the costs of
   18  standard therapies for the same diagnosis.
   19         (b) The Office of Insurance Regulation shall provide annual
   20  reports required under paragraph (a) to the Governor, President
   21  of the Senate, the Speaker of the House of Representatives, and
   22  the Secretary for Health Care Administration no later than 30
   23  days before the regular legislative session.
   24         (c) For purposes of this section, the term “routine patient
   25  care cost” means physician fees, laboratory expenses, and
   26  expenses associated with the hospitalization, administration of
   27  treatment, and evaluation of a patient during the course of
   28  treatment which are consistent with usual and customary patterns
   29  and standards of care incurred whenever an enrollee, subscriber,
   30  or insured receives medical care associated with an approved
   31  cancer clinical trial, and which would be covered if such items
   32  and services were provided other than in connection with an
   33  approved cancer clinical trial but does not include the direct
   34  cost of the clinical trial.
   35  
   36  ====== D I R E C T O R Y  C L A U S E  A M E N D M E N T ======
   37         And the directory clause is amended as follows:
   38         Delete lines 3462 - 3463
   39  and insert:
   40         Section 66. Paragraph (b) of subsection (1) of section
   41  627.4239, Florida Statutes, is amended, present subsection (4)
   42  is renumbered as subsection (5), and a new subsection (4) is
   43  added to that section to read:
   44  
   45  ================= T I T L E  A M E N D M E N T ================
   46         And the title is amended as follows:
   47         Delete lines 284 - 286
   48  and insert:
   49         F.S.; conforming provisions; amending s. 627.4239,
   50         F.S.; revising the term “standard reference
   51         compendium” for purposes of regulating the insurance
   52         coverage of drugs used in the treatment of cancer;
   53         requiring a carrier to submit an annual report
   54         regarding the coverage of routine patient care costs
   55         to the Office of Insurance Regulation under certain
   56         circumstances; requiring the Office of Insurance
   57         Regulation to provide the annual report to the
   58         Governor, Legislature, and the Secretary of Health
   59         Care Administration; providing a definition; amending
   60         s. 651.118, F.S.; conforming a