House Bill hb0321c2

    Florida House of Representatives - 2002           CS/CS/HB 321

        By the Council for Healthy Communities and Committee on
    Insurance and Representatives Brown, Berfield, Negron and
    Evers




  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 certain 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.

11

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

13

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

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

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CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 2002           CS/CS/HB 321

    404-124A-02






  1  American National Standards Institute, unless instruction is

  2  provided on the card for ready access to such number by

  3  electronic means.

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

  5         (d)  The insured's identification number.

  6         (e)  The insured's name.

  7         (f)  The claims submission name and address.

  8         (g)  The help desk telephone number.

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

10  assist in the processing of the claim.

11         (3)  The benefits identification card shall present the

12  information in a manner readily identifiable or,

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

14  available through magnetic stripe or smart card.  The

15  information may also be provided through other electronic

16  technology.

17         (4)  Any entity providing a health benefits

18  identification card containing all of the information required

19  by this section shall not be required to provide a separate

20  identification card for prescription drug benefits.

21         (5)  A benefits identification card required under

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

23  change in the information contained on the card becomes

24  effective. If any entity subject to this section issues annual

25  renewal cards, it may issue a temporary sticker containing the

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

27  annual renewal date.  Such sticker shall be designed so that

28  it can be attached to the existing card.

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

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

31  or after that date.

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CODING: Words stricken are deletions; words underlined are additions.