SB 56 — Coverage for Skin Cancer Screenings

Florida Senate - 2024 CS for SB 56 By Senatorthe HarrellCommittee 31-00178-24on 202456__Banking Aand billInsurance; to be entitled An act relating to coverage for skin cancer screenings;

creatingand ss.Senator Harrell 597-02368-24 202456c1 A bill to be entitled An act relating to coverage for skin cancer screenings;

627.64198,amending 627.66912,s. and 641.31091, F.S.;

requiring110.12303, healthF.S.; insurance policies;

group,requiring blanket,the Department of Management Services to provide coverage and franchisepayment through state employee group health insurance policies;contracts for certain annual skin cancer screenings, without imposing a cost-sharing requirement;

and health maintenance contracts, respectively, to provide coverage and payment for annual skin cancer screenings performed by a licensed dermatologist without imposing any cost-sharing requirement;

SectionSubsection 627.64198,(5) Floridais Statutes,added isto createdsection 110.12303, Florida Statutes, to read:

627.64198110.12303 CoverageState forgroup skininsurance cancerprogram; screenings;

requiredadditional coveragebenefits; and payment.— (1) A health insurance policy issued or renewed on or after January 1, 2025, must provide coverage and payment, without imposing a deductible, copayment, coinsurance, or any other cost-sharing requirement, for annual skin cancer screenings performed by a dermatologist licensed pursuant to chapter 458 or chapter 459.

Paymentprice fortransparency suchprogram; screenings must be consistent with the insurer’s payments for other preventive screenings as defined by the Current Procedural Terminology code set of the American Medical Association.

(2)reporting.— An(5)(a) insurerEffective mayJanuary not1, bundle2025, the department shall require all contracted state group health insurance plans and HMOs to provide coverage and payment, without imposing a paymentdeductible, a copayment, coinsurance, or any other cost-sharing requirement on the covered individual, for annual skin cancer Pagescreenings 1performed by a dermatologist licensed under chapter 458 or chapter 459, or by a physician assistant licensed under chapter 458 or chapter 459 or an advanced practice registered nurse licensed under chapter 464 who is under the supervision of 3a CODING:dermatologist licensed under chapter 458 or chapter 459.

Payment for such screenings must be consistent with the manner in which the state group health insurance plan or HMO pays for Page 1 of 2 CODING:

Florida Senate - 2024 CS for SB 56 31-00178-24597-02368-24 202456__202456c1 screenings performed pursuant to subsection (1) with any other procedurepreventive orscreenings service,as includingprovided anby evaluation and management visit, that is performed during the sameAmerican officeMedical visitAssociation’s orCurrent aProcedural subsequentTerminology officecode visit.set.

(b) A state group health insurance plan or HMO participating under this section may not bundle a payment for skin cancer screenings performed under this subsection with any other procedure or service, including, but not limited to, an evaluation and management visit that is performed during the same office visit or a subsequent office visit.

Section 627.66912, Florida Statutes, is created to read:

627.66912 Coverage for skin cancer screenings;

required coverage and payment.— (1) A group, blanket, or franchise health insurance policy issued or renewed on or after January 1, 2025, must provide coverage and payment, without imposing a deductible, copayment, coinsurance, or any other cost-sharing requirement, for annual skin cancer screenings performed by a dermatologist licensed pursuant to chapter 458 or chapter 459.

Payment for such screenings must be consistent with the insurer’s payments for other preventive screenings as defined by the Current Procedural Terminology code set of the American Medical Association.

(2) An insurer may not bundle a payment for skin cancer screenings performed pursuant to subsection (1) with any other procedure or service, including an evaluation and management visit, that is performed during the same office visit or a subsequent office visit.

Section 3.

Section 641.31091, Florida Statutes, is created to read:

641.31091 Coverage for skin cancer screenings;

required coverage and payment.— (1) A health maintenance contract issued or renewed on or after January 1, 2025, must provide coverage and payment, without imposing a deductible, copayment, coinsurance, or any Page 2 of 3 CODING:

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2024 SB 56 31-00178-24 202456__ other cost-sharing requirement, for annual skin cancer screenings performed by a dermatologist licensed pursuant to chapter 458 or chapter 459.

Payment for such screenings must be consistent with the health maintenance organization’s payments for other preventive screenings as defined by the Current Procedural Terminology code set of the American Medical Association.

(2) A health maintenance organization may not bundle a payment for skin cancer screenings performed pursuant to subsection (1) with any other procedure or service, including an evaluation and management visit, that is performed during the same office visit or a subsequent office visit.

Section 4.

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