Florida Senate - 2022 (PROPOSED BILL) SPB 7022 FOR CONSIDERATION By the Committee on Governmental Oversight and Accountability 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. 18 19 Be It Enacted by the Legislature of the State of Florida: 20 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. 43 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.