Florida Senate - 2012                                    SB 1418
       
       
       
       By Senator Bogdanoff
       
       
       
       
       25-00536B-12                                          20121418__
    1                        A bill to be entitled                      
    2         An act relating to health insurance providers;
    3         amending s. 627.6471, F.S.; requiring an insurer to
    4         provide 6 months’ notice to a policyholder if a
    5         preferred provider is terminated from a preferred
    6         provider network; providing exceptions; amending s.
    7         641.31, F.S.; requiring a health maintenance
    8         organization to provide 6 months’ notice to a
    9         subscriber if a network provider is terminated from a
   10         provider network; providing exceptions; providing an
   11         effective date.
   12  
   13  Be It Enacted by the Legislature of the State of Florida:
   14  
   15         Section 1. Subsection (7) is added to section 627.6471,
   16  Florida Statutes, to read:
   17         627.6471 Contracts for reduced rates of payment;
   18  limitations; coinsurance and deductibles.—
   19         (7) An insurer must provide a policyholder or
   20  certificateholder with 6 months’ written notice before requiring
   21  a policyholder to discontinue services with a preferred provider
   22  whose contract has not been renewed or who has been terminated
   23  from the preferred provider network and to select a new
   24  preferred provider from the insurer’s list. This requirement
   25  does not apply to a preferred provider providing oncology or
   26  psychotherapeutic services until such services have been
   27  concluded. The insurer shall make payments to the provider in
   28  accordance with the terms of the preferred provider contract in
   29  effect at the time the provider was not renewed or terminated
   30  for the duration of the 6 months’ notice period or, in the case
   31  of oncology or psychotherapeutic services, until such services
   32  are concluded.
   33         Section 2. Subsection (44) is added to section 641.31,
   34  Florida Statutes, to read:
   35         641.31 Health maintenance contracts.—
   36         (44) The health maintenance organization must provide a
   37  subscriber with 6 months’ written notice before requiring a
   38  subscriber to discontinue services with a network provider whose
   39  contract has not been renewed or who has been terminated from
   40  the network and to select a new network provider. This
   41  requirement does not apply to a network provider providing
   42  oncology or psychotherapeutic services until such services have
   43  been concluded. The insurer shall make payments to the provider
   44  in accordance with the terms of the provider contract in effect
   45  at the time the provider was not renewed or terminated for the
   46  duration of the 6 months’ notice period or, in the case of
   47  oncology or psychotherapeutic services, until such services are
   48  concluded.
   49         Section 3. This act shall take effect July 1, 2012.