Senate Bill sb1788e1

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    CS for SB 1788                                 First Engrossed



  1                      A bill to be entitled

  2         An act relating to dentistry; amending s.

  3         627.419, F.S.; providing for appeals from

  4         certain adverse determinations relating to

  5         dental service claims; amending s. 456.031,

  6         F.S.; providing an alternative by which

  7         licensees under ch. 466, F.S., may comply with

  8         a general requirement that they take

  9         domestic-violence education courses; amending

10         s. 456.033, F.S.; providing an alternative by

11         which such licensees may comply with a general

12         requirement that they take AIDS/HIV education

13         courses; providing an effective date.

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15  Be It Enacted by the Legislature of the State of Florida:

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17         Section 1.  Subsection (3) of section 456.031, Florida

18  Statutes, is amended to read:

19         456.031  Requirement for instruction on domestic

20  violence.--

21         (3)

22         (a)  In lieu of completing a course as required in

23  subsection (1), a licensee or certificateholder may complete a

24  course in end-of-life care and palliative health care, if the

25  licensee or certificateholder has completed an approved

26  domestic violence course in the immediately preceding

27  biennium.

28         (b)  In lieu of completing a course as required by

29  subsection (1), a person licensed under chapter 466, who has

30  completed an approved domestic-violence education course in

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    CS for SB 1788                                 First Engrossed



  1  the immediately preceding 2 years may complete a course

  2  approved by the Board of Dentistry.

  3         Section 2.  Subsection (9) of section 456.033, Florida

  4  Statutes, is amended to read:

  5         456.033  Requirement for instruction for certain

  6  licensees on human immunodeficiency virus and acquired immune

  7  deficiency syndrome.--

  8         (9)(a)  In lieu of completing a course as required in

  9  subsection (1), the licensee may complete a course in

10  end-of-life care and palliative health care, so long as the

11  licensee completed an approved AIDS/HIV course in the

12  immediately preceding biennium.

13         (b)  In lieu of completing a course as required by

14  subsection (1), a person licensed under chapter 466 who has

15  completed an approved AIDS/HIV course in the immediately

16  preceding 2 years may complete a course approved by the Board

17  of Dentistry.

18         Section 3.  Subsection (9) is added to section 627.419,

19  Florida Statutes, to read:

20         627.419  Construction of policies.--

21         (9)  With respect to any group or individual insurer

22  covering dental services, each claimant, or dentist acting for

23  a claimant, who has had a claim denied as not medically or

24  dentally necessary or who has had a claim payment based on an

25  alternate dental service in accordance with accepted dental

26  standards for adequate and appropriate care must be provided

27  an opportunity for an appeal to the insurer's licensed dentist

28  who is responsible for the medical necessity reviews under the

29  plan or is a member of the plan's peer review group. The

30  appeal may be by telephone, and the insurer's dentist must

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    CS for SB 1788                                 First Engrossed



  1  respond within a reasonable time, not to exceed 15 business

  2  days.

  3         Section 4.  This act shall take effect July 1, 2001,

  4  and section 3 of this act, amending section 627.419, Florida

  5  Statutes, shall apply to policies issued or renewed after that

  6  date.

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