Senate Bill sb1412c2

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    Florida Senate - 2002                    CS for CS for SB 1412

    By the Committees on Health, Aging and Long-Term Care; Banking
    and Insurance; and Senators Posey and Peaden




    317-2227-02

  1                      A bill to be entitled

  2         An act relating to prescription drug claim

  3         identification cards; creating s. 627.4302,

  4         F.S.; providing intent; requiring certain

  5         entities to provide a benefits identification

  6         card by a date certain for specified purposes

  7         under certain circumstances; providing an

  8         exception; specifying required information;

  9         providing for temporary stickers for annual

10         renewal cards; providing an effective date.

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

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14         Section 1.  Section 627.4302, Florida Statutes, is

15  created to read:

16         627.4302  Identification cards for processing

17  prescription drug claims.--

18         (1)  The purpose of this section is to improve patient

19  care by minimizing confusion, eliminating unnecessary work,

20  decreasing patient wait time, and improving business

21  efficiencies.

22         (2)  Any health insurer or health maintenance

23  organization and all state and local government entities

24  entering into an agreement to provide coverage for

25  prescription drugs on an outpatient basis shall provide a

26  benefits-identification card containing the following

27  information:

28         (a)  The name of the claim processor.

29         (b)  The electronic-claims payor identification number

30  or the issuer identification number, also referred to as the

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    Florida Senate - 2002                    CS for CS for SB 1412
    317-2227-02




  1  Banking Identification Number or "BIN," assigned by the

  2  American National Standards Institute.

  3         (c)  The insured's prescription group number.

  4         (d)  The insured's identification number.

  5         (e)  The insured's name.

  6         (f)  The claims submission name and address.

  7         (g)  The help desk telephone number.

  8         (h)  Any other information that the entity finds will

  9  assist in the processing of the claim.

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11  The information required in paragraphs (a), (b), (g), and (h)

12  must be provided on the card, unless instruction is provided

13  on the card for ready access to such information by electronic

14  means.

15         (3)  The benefits-identification card must present the

16  information in a manner readily identifiable or,

17  alternatively, the information may be embedded in the card and

18  available through magnetic stripe or smart card. The

19  information may also be provided through other electronic

20  technology.

21         (4)  Any entity providing a

22  health-benefits-identification card containing all of the

23  information required by this section shall not be required to

24  provide a separate identification card for prescription drug

25  benefits.

26         (5)  A benefits-identification card required under

27  subsection (2) shall be issued no later than 60 days after any

28  change in the information contained on the card becomes

29  effective. An entity may issue a temporary sticker containing

30  the new information in lieu of issuing a new card prior to the

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    Florida Senate - 2002                    CS for CS for SB 1412
    317-2227-02




  1  annual renewal date.  Such sticker must be designed so that it

  2  can be attached to the existing card.

  3         Section 2.  This act shall take effect October 1, 2002,

  4  and shall apply to policies or contracts issued or renewed on

  5  or after that date.

  6

  7          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
  8                     CS for Senate Bill 1412

  9

10  CS/CS/1412 allows use of the electronic claims payor
    identification number on the benefits-identification card;
11  allows some of the required information to be omitted from the
    card if instruction is provided for ready access to such
12  information by electronic means; and allows all entities to
    issue temporary stickers containing the required information
13  if a change occurs prior to the annual renewal date.

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