Florida Senate - 2020                                    SB 1196
       
       
        
       By Senator Cruz
       
       
       
       
       
       18-01521-20                                           20201196__
    1                        A bill to be entitled                      
    2         An act relating to coverage for epinephrine injectors
    3         for children; creating ss. 627.64161 and 627.65791,
    4         F.S.; defining the term “epinephrine injector”;
    5         requiring certain individual and group health
    6         insurance policies, respectively, to provide coverage
    7         for epinephrine injectors prescribed by the treating
    8         physician as medically necessary for an insured’s
    9         family member 18 years of age or younger; amending s.
   10         641.31, F.S.; defining the term “epinephrine
   11         injector”; requiring certain health maintenance
   12         contracts to provide coverage for epinephrine
   13         injectors prescribed by the treating physician as
   14         medically necessary for a subscriber’s family member
   15         18 years of age or younger; providing an effective
   16         date.
   17          
   18  Be It Enacted by the Legislature of the State of Florida:
   19  
   20         Section 1. Section 627.64161, Florida Statutes, is created
   21  to read:
   22         627.64161 Coverage for epinephrine injectors for children.—
   23         (1) As used in this section, the term “epinephrine
   24  injector” includes:
   25         (a) An epinephrine auto-injector, as defined in s.
   26  381.88(2), which is approved by the United States Food and Drug
   27  Administration for the administration of epinephrine into the
   28  human body; and
   29         (b) A single-use, prefilled syringe that contains a
   30  premeasured dose of epinephrine equivalent to the dosage used in
   31  an epinephrine auto-injector and that is approved by the United
   32  States Food and Drug Administration for the administration of
   33  epinephrine into the human body.
   34         (2) A health insurance policy that provides major medical
   35  coverage for a family member of the insured must provide
   36  coverage for epinephrine injectors prescribed by the treating
   37  physician as medically necessary for an insured’s family member
   38  18 years of age or younger.
   39         Section 2. Section 627.65791, Florida Statutes, is created
   40  to read:
   41         627.65791 Coverage for epinephrine injectors for children.—
   42         (1) As used in this section, the term “epinephrine
   43  injector” has the same meaning as in s. 627.64161.
   44         (2) A group health insurance policy that provides major
   45  medical coverage for a family member of the insured must provide
   46  coverage for epinephrine injectors prescribed by the treating
   47  physician as medically necessary for an insured’s family member
   48  18 years of age or younger.
   49         Section 3. Subsection (48) is added to section 641.31,
   50  Florida Statutes, to read:
   51         641.31 Health maintenance contracts.—
   52         (48)(a) As used in this subsection, the term “epinephrine
   53  injector” has the same meaning as in s. 627.64161.
   54         (b) A health maintenance contract that provides major
   55  medical coverage for a family member of the subscriber must
   56  provide coverage for epinephrine injectors prescribed by the
   57  treating physician as medically necessary for a subscriber’s
   58  family member 18 years of age or younger.
   59         Section 4. This act shall take effect January 1, 2021.