The bill amends Section 252.358 of the Florida Statutes to enhance emergency preparedness for life-sustaining medical services. It requires health insurers, managed care organizations, and other licensed entities to implement specific flexibilities and waivers during emergencies, which are defined as situations where a county is under a state of emergency, a hurricane warning, or has activated its emergency operations center. The bill outlines various waivers, including those on prior authorization and utilization management requirements, transfer authorizations, and deadlines for filing notices of admission and appeals. It also mandates that these entities provide a 30-day supply of prescription medications without time restrictions on refills.
Additionally, the bill specifies that the flexibilities and waivers become effective when certain conditions are met, such as the request for life-sustaining medical services being made within 30 days of the emergency declaration. The time period for these waivers can be extended by the Office of Insurance Regulation or the Agency for Health Care Administration. The bill emphasizes that compliance with other terms of the insurance policy remains necessary, and it is set to take effect on July 1, 2025.
Statutes affected: H 1531 Filed: 252.358