December 13, 2019
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Amendment CaShTmL-803424.HTM
                                                  SENATE AMENDMENT
    Bill No. CS for CS for CS for SB 2910
    Amendment No. ___   Barcode 803424
                            CHAMBER ACTION
              Senate                               House
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       04/26/2004 04:50 PM         .                    
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 4  ______________________________________________________________
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11  Senator Peaden moved the following amendment:
12  
13         Senate Amendment (with title amendment) 
14         On page 123, between lines 11 and 12,
15  
16  insert:  
17         Section 38.  Section 641.31097, Florida Statutes, is
18  created to read:
19         641.31097  Decreasing inappropriate utilization of
20  emergency care.--
21         (1)  The Legislature finds and declares it to be of
22  vital importance that emergency services and care be provided
23  by hospitals and physicians to every person in need of such
24  care, but with the double-digit increases in health insurance
25  premiums, health care providers and insurers should encourage
26  patients and the insured to assume responsibility for their
27  treatment, including emergency care. The Legislature finds
28  that inappropriate utilization of emergency department
29  services increases the overall cost of providing health care
30  and these costs are ultimately borne by the hospital, by the
31  insured patients, and, many times, by the taxpayers of this
                                  1
    10:40 PM   04/23/04                             s2910c3c-02s22

SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 803424 1 state. Finally, the Legislature declares that the providers 2 and insurers must share the responsibility of providing 3 alternative treatment options to urgent care patients outside 4 of the emergency department. Therefore, it is the intent of 5 the Legislature to place the obligation for educating 6 consumers and creating mechanisms for delivery of care that 7 will decrease the overutilization of emergency service on 8 health maintenance organizations and providers. 9 (2) Health maintenance organizations shall provide on 10 their Internet websites information regarding appropriate 11 utilization of emergency care services, which shall include, 12 but not be limited to, a list of alternative urgent care 13 contracted providers, the types of services offered by these 14 providers, and what to do in the event of a true emergency. 15 (3) Health maintenance organizations shall develop 16 community emergency department diversion programs. Such 17 programs may include at the discretion of the health 18 maintenance organization, but not be limited to, enlisting 19 providers to be on call to subscribers after hours, 20 coordinating care through local community resources, and 21 providing incentives to providers for case management. 22 (4) As a disincentive for subscribers to 23 inappropriately use emergency department services for 24 nonemergency care, health maintenance organizations may 25 require higher copayments for urgent care or primary care 26 provided in an emergency department and higher copayments for 27 use of out-of-network emergency departments. Higher copayments 28 may not be charged for the utilization of the emergency 29 department for emergency care. For the purposes of this 30 section, the term "emergency care" has the same meaning as 31 provided in s. 395.002 and shall include services provided to 2 10:40 PM 04/23/04 s2910c3c-02s22
SENATE AMENDMENT Bill No. CS for CS for CS for SB 2910 Amendment No. ___ Barcode 803424 1 rule out an emergency medical condition. 2 3 (Redesignate subsequent sections.) 4 5 6 ================ T I T L E A M E N D M E N T =============== 7 And the title is amended as follows: 8 On page 11, line 20, after the semicolon, 9 10 and insert: 11 creating s. 641.31097, F.S.; providing for 12 decreasing inappropriate use of emergency care; 13 providing legislative findings and intent; 14 requiring health maintenance organizations and 15 providers to provide certain information 16 electronically and develop community emergency 17 department diversion programs; authorizing 18 health maintenance organizations to require 19 higher copayments for certain uses of emergency 20 departments; 21 22 23 24 25 26 27 28 29 30 31 3 10:40 PM 04/23/04 s2910c3c-02s22
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