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DERMATOLOGY
An act relating to managed care;
amending s. 627.6472, F.S.; requiring exclusive provider organizations to provide direct patient access to a dermatologist under contract with the organization and to develop criteria for compliance; amending s. 641.31, F.S.; requiring health maintenance organizations to provide direct patient access to a dermatologist under contract with the organization and to develop criteria for compliance; providing an effective date.
Be It Enacted by the Legislature of the State of Florida:
Section 1. Subsection (16) is added to
section 627.6472, Florida Statutes, 1996 Supplement, to read: 627.6472 Exclusive provider
organizations.--
+{(16) Notwithstanding any provision of this section to the contrary, an exclusive provider organization which offers dermatological services shall provide direct patient access, for office visits and minor procedures and testing, to a dermatologist who is under contract with the exclusive provider organization. The exclusive provider organization shall, by July 1, 1997, develop criteria for compliance with the provisions of this subsection which do not impede or inhibit access to dermatological services for policyholders of the exclusive provider organization.}+
Section 2. Subsection (29) is added to
section 641.31, Florida Statutes, 1996 Supplement, to read: 641.31 Health maintenance
contracts.--
+{(29) Notwithstanding any provision of this section to the contrary, a health maintenance organization which offers dermatological services shall provide direct patient access, for office visits and minor procedures and testing, to a dermatologist who is under contract with the health maintenance organization. The health maintenance organization shall, by July 1, 1997, develop criteria for compliance with the provisions of this subsection which do not impede or inhibit access to dermatological services for policyholders of the health maintenance organization.}+
Section 3. This act shall take effect
upon becoming a law.
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