summary
Introduced
03/21/2014
03/21/2014
In Committee
04/25/2014
04/25/2014
Crossed Over
04/25/2014
04/25/2014
Passed
Dead
05/02/2014
05/02/2014
Introduced Session
2014 Regular Session
Bill Summary
Revises applicability of certain definitions regarding state group insurance program; defines term "plan year"; authorizes program to include additional benefits; authorizes employee to use certain portion of state's contribution to purchase additional & supplemental benefits; provides for program to offer health plans in specified benefit coverage levels; provides for DMS to develop plan for implementation of benefit levels; provides reporting requirements; provides for expiration of implementation plan; authorizes additional benefits to be included in program; provides that DMS shall contract with at least one entity that provides comprehensive pricing & inclusive services for surgery & other medical procedures; provides contract & reporting requirements; provides for DMS to establish 3-year price transparency pilot project in certain areas of state; provides project & reporting requirements; directs DMS to contract with independent benefits consultant; provides requirements for & duties of consultant; provides reporting requirement; deletes requirement that DMS base decision as to whether to implement certain 90-day supply limit on determination that it would be in best financial interest of state; revises pharmacy dispensing fee; authorizes retail pharmacy to fill 90-day supply of certain drugs; repeals reversion of provisions relating to state employees' prescription drug program; directs DMS to provide premium alternatives to Governor & Legislature by specified date; provides criteria for calculating premium alternatives; provides that GAA shall establish premiums for enrollees that reflect differences in benefit design & value among plan options; provides appropriation & authorizes positions.
AI Summary
This bill revises the State Group Insurance Program, managed by the Department of Management Services (DMS), to offer more flexibility and transparency for state employees. Key changes include defining "plan year" as a calendar year, allowing employees to use a portion of the state's contribution to purchase additional or supplemental benefits, and requiring health plans to be offered in different benefit coverage levels (Platinum, Gold, Silver, Bronze) with specified actuarial values. DMS will develop a plan to implement these benefit levels and contract with entities that provide comprehensive pricing for surgeries and other medical procedures, aiming for cost savings for both the state and employees. A 3-year pilot program will be established in certain areas to promote price transparency for diagnostic and elective procedures, rewarding enrollees who choose providers with lower costs. The bill also mandates DMS to contract with an independent benefits consultant to assess the program, identify trends, and recommend modifications. It modifies pharmacy dispensing fees, allows retail pharmacies to fill 90-day supplies of certain drugs, and repeals a previous provision related to the expiration of prescription drug program rules. Additionally, DMS is directed to provide premium alternatives to the Governor and Legislature by a specific date, and the General Appropriations Act will set premiums reflecting differences in benefit design and value among plan options. The bill also includes appropriations and authorizes new positions for implementation.
Committee Categories
Budget and Finance, Government Affairs
Sponsors (1)
Other Sponsors (2)
Appropriations Committee (House), Health and Human Services Committee (House)
Last Action
Died in Governmental Oversight and Accountability, companion bill(s) passed, see HB 5003 (Ch. 2014-53) (on 05/02/2014)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | http://www.flsenate.gov/Session/Bill/2014/7157 | 03/22/2014 |
| Bill | http://www.flsenate.gov/Session/Bill/2014/7157/BillText/c1/PDF | 04/12/2014 |
| House Committee Amendment #422703 | http://www.flsenate.gov/Session/Bill/2014/7157/Amendment/422703/PDF | 04/10/2014 |
| House Committee Amendment #533757 | http://www.flsenate.gov/Session/Bill/2014/7157/Amendment/533757/PDF | 04/10/2014 |
| House Committee Amendment #658191 | http://www.flsenate.gov/Session/Bill/2014/7157/Amendment/658191/PDF | 04/10/2014 |
| Bill | http://www.flsenate.gov/Session/Bill/2014/7157/BillText/Filed/PDF | 03/22/2014 |
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