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Bill > H1113


FL H1113

Health Insurance


summary

Introduced
02/26/2019
In Committee
04/18/2019
Crossed Over
04/18/2019
Passed
05/03/2019
Dead
Signed/Enacted/Adopted
06/12/2019

Introduced Session

2019 Regular Session

Bill Summary

Requiring health maintenance organization to be cost-effective and to offer high value; authorizing the Department of Management Services to limit the number of HMOs that it contracts with in each region; authorizing the Department of Management Services to limit the number of HMOs that it contracts with in each region; requiring the department to offer, as a voluntary supplemental benefit option, certain international prescription services; authorizing individual and group health insurers and health maintenance organizations to offer shared savings incentive programs to insureds and subscribers, etc.

AI Summary

This bill: - Requires health maintenance organizations (HMOs) contracted with the state to be cost-effective and offer high value to enrollees. It allows the Department of Management Services (DMS) to limit the number of HMOs it contracts with in each region. - Authorizes DMS to offer international prescription services as a voluntary supplemental benefit option for state employee health insurance enrollees. - Requires DMS to implement formulary management for the state employee prescription drug program, including a process to exclude certain drugs and a requirement to submit an annual list of excluded drugs. - Requires coverage for medically necessary enteral and elemental formulas for state employee health insurance. - Authorizes individual and group health insurers, as well as HMOs, to offer shared savings incentive programs that reward enrollees for choosing lower-cost, high-quality healthcare services. - Requires DMS to analyze procurement timelines and contract terms for state employee health benefits to develop an implementation plan for simultaneous procurement beginning in plan year 2023.

Committee Categories

Budget and Finance, Business and Industry, Health and Social Services

Sponsors (4)

Other Sponsors (1)

Health Market Reform Subcommittee (H)

Last Action

Chapter No. 2019-100 (on 06/12/2019)

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