| 1 | Representative(s) Homan offered the following: |
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| 3 | Amendment (with title amendment) |
| 4 | Between line(s) 197 and 198, insert: |
| 5 | Section 5. Subsection (2) of section 627.638, Florida |
| 6 | Statutes, is amended to read: |
| 7 | 627.638 Direct payment for hospital, medical services.-- |
| 8 | (2) Whenever, in any health insurance claim form, an |
| 9 | insured specifically authorizes payment of benefits directly to |
| 10 | any recognized hospital, or physician, or dentist, the insurer |
| 11 | shall make such payment to the designated provider of such |
| 12 | services, unless otherwise provided in the insurance contract. |
| 13 | The insurance contract may not prohibit, and claims forms must |
| 14 | provide option for, the payment of benefits directly to a |
| 15 | licensed hospital, physician, and dentist for care provided |
| 16 | pursuant to s. 395.1041. The insurer may require written |
| 17 | attestation of assignment of benefits. Payment to the provider |
| 18 | from the insurer shall be no more than the amount that the |
| 19 | insurer would otherwise have paid without the assignment. |
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| 22 | ================ T I T L E A M E N D M E N T ============= |
| 23 | Remove the entire title and insert: |
| 24 | A bill to be entitled |
| 25 | An act relating to health care; creating a commission to |
| 26 | study the effect of the 2004 hurricane season on certain |
| 27 | hospitals and identify hospitals unable to comply with the |
| 28 | Florida Building Code or located in flood-prone areas; |
| 29 | providing for membership, reimbursement, and duties of the |
| 30 | study commission; requiring the Department of Community |
| 31 | Affairs to provide staff for the study commission; |
| 32 | requiring the commission to submit a report and |
| 33 | recommendations to the Governor and the Legislature; |
| 34 | creating a health insurance plan study group; specifying |
| 35 | membership; requiring the Agency for Health Care |
| 36 | Administration and the Office of Insurance Regulation to |
| 37 | provide staff support; requiring the study group to |
| 38 | investigate certain issues relating to health insurance |
| 39 | plans; requiring the group to meet and submit |
| 40 | recommendations to the Governor and the Legislature; |
| 41 | directing the Office of Program Policy Analysis and |
| 42 | Government Accountability to conduct a study to evaluate |
| 43 | whether the State of Florida should join the Nurse |
| 44 | Licensure Compact and to submit a report to the |
| 45 | Legislature; providing that a licensee that failed to |
| 46 | renew its ambulatory surgical center license may meet the |
| 47 | requirements of the Florida Building Code under certain |
| 48 | specified circumstances; amending s. 627.638, F.S.; |
| 49 | proscribing insurance contracts from prohibiting payment |
| 50 | of benefits directly to licensed hospitals, physicians, |
| 51 | and dentists for certain care; providing a claims form |
| 52 | requirement; authorizing insurers to make certain |
| 53 | requirements; providing a limitation on certain payment to |
| 54 | providers; providing an effective date. |