Florida Senate - 2022                   (PROPOSED BILL) SPB 7022
       FOR CONSIDERATION By the Committee on Governmental Oversight and
       585-01869-22                                          20227022pb
    1                        A bill to be entitled                      
    2         An act relating to the state group health insurance
    3         program; amending s. 110.123, F.S.; requiring the
    4         Department of Management Services to provide an online
    5         education component relating to all health insurance
    6         plans in the State Group Insurance Program; requiring
    7         the department to contract with the State Board of
    8         Administration to provide retirement and health
    9         insurance planning education to members of the state
   10         group insurance program; setting a minimum monthly
   11         employer contribution to health savings accounts for
   12         certain employees; establishing new preventive care
   13         benefits to be covered by high deductible health
   14         insurance plans in the state group insurance program
   15         without the member meeting the required deductible,
   16         beginning with a specified plan year; providing an
   17         effective date.
   19  Be It Enacted by the Legislature of the State of Florida:
   21         Section 1. Paragraph (a) of subsection (12) of section
   22  110.123, Florida Statutes, is amended, and paragraphs (j) and
   23  (k) of subsection (5) and subsection (14) are added to that
   24  section, to read:
   25         110.123 State group insurance program.—
   26         (5) DEPARTMENT POWERS AND DUTIES.—The department is
   27  responsible for the administration of the state group insurance
   28  program. The department shall initiate and supervise the program
   29  as established by this section and shall adopt such rules as are
   30  necessary to perform its responsibilities. To implement this
   31  program, the department shall, with prior approval by the
   32  Legislature:
   33         (j) Provide to employees eligible to participate in the
   34  state group insurance program an online education component with
   35  impartial and balanced information about plan choices, including
   36  high deductible health plans and associated health savings
   37  accounts.
   38         (k) Contract with the State Board of Administration and its
   39  financial advisors to provide, as an elective benefit at no cost
   40  to the enrollees, at least 2 hours per plan year of tax and
   41  financial education relating to retirement and health care
   42  planning.
   44  Final decisions concerning enrollment, the existence of
   45  coverage, or covered benefits under the state group insurance
   46  program shall not be delegated or deemed to have been delegated
   47  by the department.
   48         (12) HEALTH SAVINGS ACCOUNTS.—The department is authorized
   49  to establish health savings accounts for full-time and part-time
   50  state employees in association with a health insurance plan
   51  option authorized by the Legislature and conforming to the
   52  requirements and limitations of federal provisions relating to
   53  the Medicare Prescription Drug, Improvement, and Modernization
   54  Act of 2003.
   55         (a) A member participating in this health insurance plan
   56  option is eligible to:
   57         1. Receive an employer contribution into the employee’s
   58  health savings account from the State Employees Health Insurance
   59  Trust Fund in an amount to be determined by the Legislature. A
   60  member is not eligible for an employer contribution upon
   61  termination of employment. For the 2013-2014 fiscal year, the
   62  state’s monthly contribution for employees having individual
   63  coverage shall be $41.66 and the monthly contribution for
   64  employees having family coverage shall be $83.33. For the 2014
   65  2015 fiscal year and thereafter, the state’s contribution from
   66  the trust fund into the member’s health savings account shall be
   67  set in the annual General Appropriations Act. However, in the
   68  2023 plan year and thereafter, for a member whose annual rate of
   69  pay is $38,000 or less, the state’s monthly contribution from
   70  the trust fund into a member’s health savings account shall be
   71  no less than $55 for an employee having individual coverage and
   72  $110 for an employee having family coverage.
   73         2. Deposit the member’s own funds into a health savings
   74  account.
   75         (14)Beginning with the 2023 plan year, a high deductible
   76  health plan offered under the state group insurance program must
   77  provide coverage for preventive care benefits relating to
   78  specific chronic conditions before the member fully meets the
   79  deductible otherwise required for coverage by the plan. For
   80  purposes of this subsection, the following services and items,
   81  when prescribed to treat diagnoses of specified chronic
   82  conditions, will be covered as preventive care:
   83         (a) Angiotensin-converting enzyme inhibitors for a member
   84  diagnosed with congestive heart failure, diabetes, or coronary
   85  artery disease.
   86         (b) Anti-resorptive therapy for a member diagnosed with
   87  osteoporosis or osteopenia.
   88         (c)Beta-blockers for a member diagnosed with congestive
   89  heart failure or coronary artery disease.
   90         (d)Blood pressure monitors for a member diagnosed with
   91  hypertension.
   92         (e)Inhaled corticosteroids and peak flow meters for a
   93  member diagnosed with asthma.
   94         (f)Insulin, other glucose-lowering agents, retinopathy
   95  screening, glucometers, and hemoglobin A1C testing for a member
   96  diagnosed with diabetes.
   97         (g)International normalized ratio testing for a member
   98  diagnosed with liver disease or a bleeding disorder.
   99         (h)Low-density lipoprotein testing for a member diagnosed
  100  with heart disease.
  101         (i)Selective serotonin reuptake inhibitors for a member
  102  diagnosed with depression.
  103         (j)Statins for a member diagnosed with heart disease or
  104  diabetes.
  105         Section 2. This act shall take effect July 1, 2022.