19602747, 69O-191.029 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 19602747

Notice of Development of Rulemaking

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

OIR – Insurance Regulation

Chapter:

HEALTH MAINTENANCE ORGANIZATIONS

Overview

RULE:

69O-191.029

Maintaining Eligibility for Certificate of Authority

PURPOSE:

This rule is being amended to conform to the changes made to Section 641.221, Florida Statutes, by Chapter 2017-178, Laws of Florida, requiring a health maintenance organization (HMO) authorized to exclusively market, sell, or offer to sell Medicare Advantage plans to be actively engaged in managed care within 24 months after licensure.

SUBJECT:

The current rule requires an HMO to be operational within six months of licensure. This creates a conflict with the changes to Section 641.221, Florida Statutes, which allows an HMO limited to Medicare Advantage plans up to 24 months after licensure to become operational. The rule will be updated to conform to the statutory changes.

RULEMAKING AUTHORITY:

641.36, FS.

LAW:

641.19(7); 641.2015; 641.221, FS.

PRINT PUBLISH DATE:

10/24/2017 Vol. 43/206

RELATED STATUTES
AND LAWS:

641.36, FS., 641.19(7); 641.2015; 641.221, FS.

OVERSIGHT COMMITTEE:

Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)

RELATED COURT CASES:

Division of Administrative Hearings

FEDERAL eRULEMAKING
WEB PORTAL:

Regulations.gov

HOW TO LINK TO
THIS NOTICE:

http://www.flrules.org/gateway/ruleno.asp?id=69O-191.029&PDate=10/24/2017&Section=1

REFERENCE MATERIALS:

No reference(s).

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