Florida Senate - 2017                                    SB 1376
       
       
        
       By Senator Stewart
       
       
       
       
       
       13-01068-17                                           20171376__
    1                        A bill to be entitled                      
    2         An act relating to health insurance coverage for
    3         prescription eye drop refills; creating s. 627.6411,
    4         F.S.; requiring a health insurance policy that
    5         provides coverage for prescription eye drops to
    6         provide coverage for renewal eye drops if certain
    7         conditions are met; requiring such a policy to provide
    8         coverage for one additional bottle of prescription eye
    9         drops under certain circumstances; providing that
   10         covered prescription eye drop benefits are subject to
   11         the same annual deductibles, copayments, or
   12         coinsurance established for all other prescription
   13         drug benefits under the policy; amending s. 627.662,
   14         F.S.; providing applicability of s. 627.6411, F.S., to
   15         group health insurance, blanket health insurance, and
   16         franchise health insurance; providing an effective
   17         date.
   18          
   19  Be It Enacted by the Legislature of the State of Florida:
   20  
   21         Section 1. Section 627.6411, Florida Statutes, is created
   22  to read:
   23         627.6411 Coverage for prescription eye drop refills.—
   24         (1) A health insurance policy that provides coverage for
   25  prescription eye drops must provide coverage for a renewal of
   26  prescription eye drops if all of the following conditions are
   27  met:
   28         (a) The renewal is requested by the insured:
   29         1. For a 30-day supply of eye drops, at least 21 days after
   30  the date the original prescription was distributed to the
   31  insured or the date the last prescription renewal was
   32  distributed to the insured, whichever is later.
   33         2. For a 60-day supply of eye drops, at least 42 days after
   34  the date the original prescription was distributed to the
   35  insured or the date the last prescription renewal was
   36  distributed to the insured, whichever is later.
   37         3. For a 90-day supply of eye drops, at least 63 days after
   38  the date the original prescription was distributed to the
   39  insured or the date the last prescription renewal was
   40  distributed to the insured, whichever is later.
   41         (b) The original prescription states that additional
   42  quantities are needed, and the renewal requested by the insured
   43  does not exceed such quantities.
   44         (2) A health insurance policy that provides coverage for
   45  prescription eye drops must provide coverage for one additional
   46  bottle of prescription eye drops, limited to every 3 months, if:
   47         (a) One additional bottle is requested by the insured or
   48  the health care provider at the time the original prescription
   49  is filled; and
   50         (b) The original prescription states that one additional
   51  bottle is needed by the insured for use in a day care center or
   52  a school.
   53         (3) The prescription eye drop benefits covered under this
   54  section are subject to the same annual deductibles, copayments,
   55  or coinsurance established for all other prescription drug
   56  benefits under the health insurance policy.
   57         Section 2. Subsection (16) is added to section 627.662,
   58  Florida Statutes, to read:
   59         627.662 Other provisions applicable.—The following
   60  provisions apply to group health insurance, blanket health
   61  insurance, and franchise health insurance:
   62         (16) Section 627.6411, relating to coverage for
   63  prescription eye drop refills.
   64         Section 3. This act shall take effect July 1, 2017.