Introduced in House Passed House Introduced in Senate Passed Senate Became Law
11/04/2019        

Coverage for Air Ambulance Services

Requiring health insurers and health maintenance organizations, respectively, to provide reasonable reimbursement to air ambulance services for certain covered services; providing that such reimbursement may be reduced only by certain amounts; providing that reasonable reimbursement must serve as full and final payment to the air ambulance service, etc.

Date Version PDF TXT
03/04/2020 S 736 c3 Open
02/12/2020 S 736 c2 Open
01/22/2020 S 736 c1 Open
11/04/2019 S 736 Filed Open

            
       Florida Senate - 2020                CS for CS for CS for SB 736
       
       
        
       By the Committees on Rules; Health Policy; and Banking and
       Insurance; and Senator Diaz
       
       
       
       
       595-04467-20                                           2020736c3
    1                        A bill to be entitled                      
    2         An act relating to coverage for air ambulance
    3         services; creating ss. 627.42397 and 641.514, F.S.;
    4         defining terms; requiring health insurers and health
    5         maintenance organizations, respectively, to provide
    6         reasonable reimbursement to air ambulance services for
    7         certain covered services; providing that such
    8         reimbursement may be reduced only by certain amounts;
    9         providing that full payment of an applicable
   10         copayment, coinsurance, or deductible constitutes an
   11         accord, satisfaction, and release of certain claims;
   12         providing that provisions of this act are not
   13         severable; providing construction; providing an
   14         effective date.
   15          
   16  Be It Enacted by the Legislature of the State of Florida:
   17  
   18         Section 1. Section 627.42397, Florida Statutes, is created
   19  to read:
   20         627.42397 Coverage for air ambulance services.—
   21         (1)As used in this section, the term:
   22         (a)“Air ambulance service” has the same meaning as
   23  provided in s. 401.23.
   24         (b)“Health insurer” means an authorized insurer offering
   25  health insurance as defined in s. 624.603.
   26         (c)“Reasonable reimbursement” means reimbursement that
   27  considers the direct cost to provide air ambulance
   28  transportation service to an insured, the operation of an air
   29  ambulance service by a county which operates entirely within a
   30  designated area of critical state concern as determined by the
   31  Department of Economic Opportunity, and in-network reimbursement
   32  established by the insurer for the specific policy. The term
   33  does not include the amount of billed charges for the cost of
   34  services rendered.
   35         (2)A health insurance policy must require a health insurer
   36  to provide reasonable reimbursement to an air ambulance service
   37  for covered nonemergency and emergency services provided to an
   38  insured in accordance with the coverage terms of the policy.
   39  Such reasonable reimbursement may be reduced only by applicable
   40  copayments, coinsurance, and deductibles. Payment in full by the
   41  insured of his or her applicable copayment, coinsurance, or
   42  deductible constitutes an accord and satisfaction of, and
   43  constitutes a release of, any claim for additional moneys owed
   44  by the insured to the health insurer or to any person or entity
   45  in connection with the air ambulance service.
   46         Section 2. Section 641.514, Florida Statutes, is created to
   47  read:
   48         641.514 Coverage for air ambulance services.
   49         (1)As used in this section, the term:
   50         (a)“Air ambulance service” has the same meaning as
   51  provided in s. 401.23.
   52         (b)“Reasonable reimbursement” means reimbursement that
   53  considers the direct cost to provide air ambulance
   54  transportation service to a subscriber, the operation of an air
   55  ambulance service by a county which operates entirely within a
   56  designated area of critical state concern as determined by the
   57  Department of Economic Opportunity, and in-network reimbursement
   58  established by the health maintenance organization for the
   59  specific health maintenance contract. The term does not include
   60  the amount of billed charges for the cost of services rendered.
   61         (2)A health maintenance contract must require a health
   62  maintenance organization to provide reasonable reimbursement to
   63  an air ambulance service for covered nonemergency and emergency
   64  services provided to a subscriber in accordance with the
   65  coverage terms of the policy. Such reasonable reimbursement may
   66  be reduced only by applicable copayments, coinsurance, and
   67  deductibles. Payment in full by the subscriber of his or her
   68  applicable copayment, coinsurance, or deductible constitutes an
   69  accord and satisfaction of, and constitutes a release of, any
   70  claim for additional moneys owed by the subscriber to the health
   71  maintenance organization or to any person or entity in
   72  connection with the air ambulance service.
   73         Section 3. If any provision of s. 627.42397 or s. 641.514,
   74  Florida Statutes, as created by this act is determined to be
   75  invalid or inoperative for any reason, the remaining provisions
   76  thereof shall be deemed to be void and of no effect. To this
   77  end, the Legislature declares that it would not have enacted any
   78  of the provisions of s. 627.42397 or s. 641.514, Florida
   79  Statutes, individually, and expressly finds them not to be
   80  severable.
   81         Section 4. Nothing in this act shall be construed to give
   82  retroactive application or to impair any contract existing
   83  before or on the effective date of this act, or to otherwise
   84  restrict the ability of an air ambulance service, as defined in
   85  s. 401.23, Florida Statutes, to contract to provide nonemergency
   86  and emergency services.
   87         Section 5. This act shall take effect upon becoming a law.

Picture Name From Date Type
Manny Diaz R-Tallahassee Sponsor
Date Branch Action
01/27/2020 Senate CS by Banking and Insurance read 1st time -SJ 195
01/23/2020 Senate Now in Health Policy
01/22/2020 Senate Pending reference review under Rule 4.7(2) - (Committee Substitute)
01/21/2020 Senate CS by Banking and Insurance; YEAS 8 NAYS 0 -SJ 155
01/16/2020 Senate On Committee agenda-- Banking and Insurance, 01/21/20, 12:00 pm, 412 Knott Building
01/14/2020 Senate Introduced -SJ 56
11/21/2019 Senate Referred to Banking and Insurance; Health Policy; Rules -SJ 56
11/04/2019 Senate Filed
Summary
Congress - Bill Number Major Title
Branch Vote Date Yes No Not Voting
Wiki





Start Description.
Requiring health insurers and health maintenance organizations, respectively, to provide reasonable reimbursement to air ambulance services for certain covered services; providing that such reimbursement may be reduced only by certain amounts; providing that reasonable reimbursement must serve as full and final payment to the air ambulance service, etc.
End Description.

Bill TEXT Points.
This Bill has been listed with the following Subjects from Texts:
Florida
Florida Senate - 2020 SB 736 By Senator Diaz 36-00958A-20 2020736__ 1 A bill to be entitled 2 An act relating to coverage for air ambulance 3 services; creating s

Health
21 (b) “Health insurer” means an authorized insurer offering 22 health insurance as defined in s

Insurance
43 (3) This section does not apply to a policy or contract 44 providing any health care benefit pursuant to Title XVIII 45 (Medicare), Title XIX (Medicaid), or Title XXI (the Childrens 46 Health Insurance Program) of the Social Security Act or any 47 regulations promulgated thereunder

Medicaid
43 (3) This section does not apply to a policy or contract 44 providing any health care benefit pursuant to Title XVIII 45 (Medicare), Title XIX (Medicaid), or Title XXI (the Childrens 46 Health Insurance Program) of the Social Security Act or any 47 regulations promulgated thereunder


End Bill TEXT Points.
Date Bill Major Title
Committee Name
Subject Type