Bill Text: FL S0408 | 2010 | Regular Session | Introduced

---

Bill Title: Congenital Craniofacial Anomalies [CPSC]

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2010-04-30 - Died in Committee on Banking and Insurance [S0408 Detail]

Download: Florida-2010-S0408-Introduced.html

---

 
Florida Senate - 2010                                     SB 408 
 
By Senator Bullard 
39-00183-10                                            2010408__ 
1                        A bill to be entitled 
2         An act relating to congenital craniofacial anomalies; 
3         requiring that the Agency for Health Care 
4         Administration, in consultation with the Office of 
5         Insurance Regulation, conduct a study concerning the 
6         medical necessity, costs, and efficacy of mandating 
7         coverage for certain treatments and therapies; 
8         requiring that the agency report its findings and 
9         recommendations to the Legislature; providing an 
10         appropriation; providing an effective date. 
11 
12  Be It Enacted by the Legislature of the State of Florida: 
13 
14         Section 1. (1) The Agency for Health Care Administration, 
15  in consultation with the Office of Insurance Regulation, shall 
16  conduct a study evaluating the medical necessity, efficacy, and 
17  costs of requiring health insurers and health maintenance 
18  organizations to provide coverage for cranial-skull-molding 
19  orthotics and other therapies used in the treatment of 
20  deformational or positional plagiocephaly. The agency and office 
21  shall evaluate whether gaps in coverage currently exist in the 
22  small and large group insurance markets for medically necessary 
23  care and treatment of plagiocephaly. The agency shall provide 
24  information concerning the types of benefits, including the cost 
25  of such benefits, provided to Medicaid recipients for the 
26  treatment of plagiocephaly, and the demographic characteristics 
27  of such Medicaid recipients. The Department of Health shall 
28  coordinate with the agency to provide such information 
29  concerning coverage and the costs of providing such coverage to 
30  children having plagiocephaly who are enrolled in the Children’s 
31  Medical Services Program. 
32         (2) The agency, in consultation with the office, may 
33  contract with an actuary who is a member of the American Academy 
34  of Actuaries and other persons who have an extensive background 
35  in health insurance for the purpose of assisting the agency in 
36  evaluating the medical necessity, efficacy, and costs of such 
37  coverage. The agency shall report its findings and 
38  recommendations related to mandating insurance coverage for the 
39  treatment of plagiocephaly to the President of the Senate and 
40  the Speaker of the House of Representatives by January 1, 2011. 
41         Section 2. For the 2010-2011 fiscal year, the sum of 
42  $25,000 is appropriated in nonrecurring funds from the Insurance 
43  Regulatory Trust Fund to the Office of Insurance Regulation for 
44  the purpose of funding the study conducted by the Agency for 
45  Health Care Administration as provided in this act. 
46         Section 3. This act shall take effect July 1, 2010.