Florida Senate - 2024 CS for SB 932
By the Appropriations Committee on Agriculture, Environment, and
General Government; and Senators Berman, Davis, and Stewart
601-03257-24 2024932c1
1 A bill to be entitled
2 An act relating to coverage for diagnostic and
3 supplemental breast examinations; amending s. 110.123,
4 F.S.; defining terms; amending s. 110.12303, F.S.;
5 prohibiting the state group insurance program from
6 imposing on an enrollee any cost-sharing requirement
7 with respect to coverage for diagnostic breast
8 examinations and supplemental breast examinations;
9 providing applicability; providing an effective date.
10
11 Be It Enacted by the Legislature of the State of Florida:
12
13 Section 1. Present paragraphs (a), (b) through (p), (q),
14 and (r) of subsection (2) of section 110.123, Florida Statutes,
15 are redesignated as paragraphs (b), (d) through (r), (t), and
16 (u), respectively, new paragraphs (a) and (c) and paragraph (s)
17 are added to that subsection, and paragraphs (c) and (d) of
18 subsection (14) of that section are amended, to read:
19 110.123 State group insurance program.—
20 (2) DEFINITIONS.—As used in ss. 110.123-110.1239, the term:
21 (a) “Cost-sharing requirement” means an insured’s
22 deductible, coinsurance, copayment, or similar out-of-pocket
23 expense.
24 (c) “Diagnostic breast examination” means a medically
25 necessary and appropriate examination of the breast, including,
26 but not limited to, an examination using diagnostic mammography,
27 breast magnetic resonance imaging, or breast ultrasound, which
28 is used to evaluate an abnormality that is seen or suspected
29 from a screening examination for breast cancer.
30 (s) “Supplemental breast examination” means a medically
31 necessary and appropriate examination of the breast, including,
32 but not limited to, an examination using breast magnetic
33 resonance imaging or breast ultrasound, which is:
34 1. Used to screen for breast cancer when there is no
35 abnormality seen or suspected; and
36 2. Based on personal or family medical history or
37 additional factors that may increase the person’s risk of breast
38 cancer.
39 (14) OTHER-PERSONAL-SERVICES EMPLOYEES (OPS).—
40 (c) The initial measurement period used to determine
41 whether an employee hired before April 1, 2013, and paid from
42 OPS funds is a full-time employee described in subparagraph
43 (2)(g)1. (2)(e)1. is the 6-month period from April 1, 2013,
44 through September 30, 2013.
45 (d) All other measurement periods used to determine whether
46 an employee paid from OPS funds is a full-time employee
47 described in paragraph (2)(g) (2)(e) must be for 12 consecutive
48 months.
49 Section 2. Subsection (5) is added to section 110.12303,
50 Florida Statutes, to read:
51 110.12303 State group insurance program; additional
52 benefits; price transparency program; reporting.—
53 (5) In any contract or plan for state employee health
54 benefits which provides coverages for diagnostic breast
55 examinations or supplemental breast examinations, the state
56 group insurance program may not impose on an enrollee any cost
57 sharing requirement. If, under federal law, the application of
58 this subsection would result in health savings account
59 ineligibility under s. 223 of the Internal Revenue Code, the
60 prohibition under this subsection applies only to health savings
61 account qualified high-deductible health plans with respect to
62 the deductible of such a plan after the person has satisfied the
63 minimum deductible under s. 223 of the Internal Revenue Code,
64 except with respect to items or services that are preventive
65 care pursuant to s. 223(c)(2)(C) of the Internal Revenue Code,
66 in which case the requirements of s. 223(c)(2)(A) of the
67 Internal Revenue Code apply regardless of whether the minimum
68 deductible under s. 223 of the Internal Revenue Code has been
69 satisfied.
70 Section 3. This act shall take effect January 1, 2025.