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FL S0418

FL S0418
Essential Health Benefits Under Health Plans


summary

Introduced
01/22/2019
In Committee
02/01/2019
Crossed Over
Passed
Dead
05/04/2019

Introduced Session

2019 Regular Session

Bill Summary

Requiring the Office of Insurance Regulation to conduct a study evaluating this state's current benchmark plan for essential health benefits under the federal Patient Protection and Affordable Care Act (PPACA) and options for changing the benchmark plan for future plan years; requiring the office, in conducting the study, to consider plans and certain benefits used by other states and to compare costs with those of this state, etc.

AI Summary

This bill requires the Office of Insurance Regulation to conduct a study evaluating Florida's current essential health benefits (EHB) benchmark plan under the federal Patient Protection and Affordable Care Act (PPACA) and to consider options for changing the benchmark plan for future plan years. The study must consider EHB benchmark plans and benefits used by other states, compare costs, and solicit and evaluate proposed individual and group health plans from insurers. The office must submit a report with recommendations for changing the current EHB benchmark plan to provide comprehensive care at a lower cost. Additionally, the bill allows insurers and health maintenance organizations to create new health insurance policies or contracts that include at least one service or coverage from each of the 10 essential health benefit categories required under PPACA, which may be selected from any state's requirements, and submit them for consideration as part of the study or as equivalent to the current or future EHB benchmark plan.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (1)

Other Sponsors (2)

Banking and Insurance (Senate), Rules (Senate)

Last Action

Died on Calendar, companion bill(s) passed, see CS/CS/SB 322 (Ch. 2019-129) (on 05/03/2019)

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