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HB 21-A - Amends State Health Insurance Program - Florida Key Vote

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Title: Amends State Health Insurance Program

Vote Smart's Synopsis:

Vote to pass a bill that amends the state group health insurance program.

Highlights:

  • Amends monthly health insurance premiums paid by enrollees of the state group insurance program to the following amounts, effective 2016 (Sec. 4):
    • Increases the premium for the standard health maintenance organization (HMO) plan to $60 for individual coverage and $200 for family coverage;
    • Decreases the premium for the standard preferred provider organization (PPO) plan to $45 for individual coverage and $170 for family coverage; and
    • Decreases the premium for a high-deductible health plan to $25 for family coverage for an employee with agency pay-all benefits.
  • Establishes benefit levels for health plans under the state group insurance program, effective 2018, including the following levels (Sec. 1):
    • Platinum level, in which 90 percent of costs are reimbursed;
    • Gold level, in which 80 percent of costs are reimbursed;
    • Silver level, in which 70 percent of costs are reimbursed; and
    • Bronze level, in which 60 percent of costs are reimbursed.
  • Requires the Department of Management Services to establish a 3-year price transparency pilot project with certain provisions including, but not limited to, the following provisions (Sec. 2):
    • The prices of 20 to 50 commonly-utilized diagnostic and surgical procedures are published on the department website; and
    • A participating enrollee who selects a procedure at a price below the published price is reimbursed 50 percent of the difference.
  • Requires the department to hire an independent benefits consultant to perform duties including, but not limited to, assessing insurance benefit trends and analyzing the state group insurance program (Sec. 3).

Committee Sponsors

NOTE: THIS BILL WAS VOTED ON DURING A SPECIAL SESSION OF THE LEGISLATURE

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