Florida Senate - 2016                        COMMITTEE AMENDMENT
       Bill No. PCS (899852) for CS for SB 1170
       
       
       
       
       
       
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                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  02/25/2016           .                                
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       The Committee on Appropriations (Richter) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Before line 69
    4  insert:
    5         Section 1. Paragraph (a) of subsection (2) of section
    6  112.08, Florida Statutes, is amended to read:
    7         112.08 Group insurance for public officers, employees, and
    8  certain volunteers; physical examinations.—
    9         (2)(a) Notwithstanding any general law or special act to
   10  the contrary, every local governmental unit is authorized to
   11  provide and pay out of its available funds for all or part of
   12  the premium for life, health, accident, hospitalization, legal
   13  expense, or annuity insurance, or all or any kinds of such
   14  insurance, for the officers and employees of the local
   15  governmental unit and for health, accident, hospitalization, and
   16  legal expense insurance for the dependents of such officers and
   17  employees upon a group insurance plan and, to that end, to enter
   18  into contracts with insurance companies or professional
   19  administrators to provide such insurance or with a corporation
   20  not for profit whose membership consists entirely of local
   21  governmental units authorized to enter into risk management
   22  consortiums under this subsection. Before entering any contract
   23  for insurance, the local governmental unit shall advertise for
   24  competitive bids; and such contract shall be let upon the basis
   25  of such bids. If a contracting health insurance provider becomes
   26  financially impaired as determined by the Office of Insurance
   27  Regulation of the Financial Services Commission or otherwise
   28  fails or refuses to provide the contracted-for coverage or
   29  coverages, the local government may purchase insurance, enter
   30  into risk management programs, or contract with third-party
   31  administrators and may make such acquisitions by advertising for
   32  competitive bids or by direct negotiations and contract. The
   33  local governmental unit may undertake simultaneous negotiations
   34  with those companies which have submitted reasonable and timely
   35  bids and are found by the local governmental unit to be fully
   36  qualified and capable of meeting all servicing requirements.
   37  Each local governmental unit may self-insure any plan for
   38  health, accident, and hospitalization coverage or enter into a
   39  risk management consortium to provide such coverage, subject to
   40  approval based on actuarial soundness by the Office of Insurance
   41  Regulation; and each shall contract with an insurance company or
   42  professional administrator qualified and approved by the office
   43  or with a corporation not for profit whose membership consists
   44  entirely of local governmental units authorized to enter into a
   45  risk management consortium under this subsection to administer
   46  such a plan.
   47         Between lines 118 and 119
   48  insert:
   49         Section 5. Paragraph (t) is added to subsection (1) of
   50  section 626.88, Florida Statutes, to read:
   51         626.88 Definitions.—For the purposes of this part, the
   52  term:
   53         (1) “Administrator” is any person who directly or
   54  indirectly solicits or effects coverage of, collects charges or
   55  premiums from, or adjusts or settles claims on residents of this
   56  state in connection with authorized commercial self-insurance
   57  funds or with insured or self-insured programs which provide
   58  life or health insurance coverage or coverage of any other
   59  expenses described in s. 624.33(1) or any person who, through a
   60  health care risk contract as defined in s. 641.234 with an
   61  insurer or health maintenance organization, provides billing and
   62  collection services to health insurers and health maintenance
   63  organizations on behalf of health care providers, other than any
   64  of the following persons:
   65         (t) A corporation not for profit whose membership consists
   66  entirely of local governmental units authorized to enter into
   67  risk management consortiums under s. 112.08.
   68  
   69  A person who provides billing and collection services to health
   70  insurers and health maintenance organizations on behalf of
   71  health care providers shall comply with the provisions of ss.
   72  627.6131, 641.3155, and 641.51(4).
   73  
   74  ================= T I T L E  A M E N D M E N T ================
   75  And the title is amended as follows:
   76         Delete lines 3 - 8
   77  and insert:
   78         administration; amending s. 112.08, F.S.; authorizing
   79         local governmental units to contract for certain group
   80         insurance with a corporation not for profit whose
   81         membership consists of specified local governmental
   82         units; adding such a corporation not for profit as an
   83         alternative entity that a local governmental unit must
   84         contract with to administer certain insurance plans;
   85         amending s. 408.909, F.S.; redefining the terms
   86         “health care coverage” and “health flex plan
   87         coverage”; amending s. 409.817, F.S.; deleting a
   88         provision authorizing group insurance plans to impose
   89         a certain preexisting condition exclusion; amending s.
   90         624.123, F.S.; conforming a cross-reference; amending
   91         s. 626.88, F.S.; revising the definition of the term
   92         “administrator”; amending