Bill > S1640

Introduced Session

An act relating to payments for health care services; amending s. 95.11, F.S.; establishing a 3-year statute of limitations for an action to collect medical debt for services rendered by certain health care facilities; creating s. 222.26, F.S.; providing additional personal property exemptions from legal process for medical debts resulting from services provided in certain licensed facilities; amending s. 395.301, F.S.; requiring certain licensed facilities to post on their respective websites a consumer friendly list of standard charges for a minimum number of shoppable health care services; requiring the facilities to provide such information in an alternative format as requested by the patient; defining terms; requiring licensed facilities to provide a good faith estimate of reasonably anticipated charges to the patient’s health insurer and the patient, prospective patient, or patient’s legal guardian within specified timeframes; requiring such facilities to provide the estimate in the manner selected by the patient, prospective patient, or patient’s legal guardian; revising notification requirements for such estimates to include notification of a patient’s legal guardian, if any; deleting the requirement that licensed facilities educate the public on the availability of such estimates upon request; revising a penalty; deleting construction; requiring licensed facilities to establish an internal grievance process for patients to submit grievances, including to dispute charges; requiring licensed facilities to make available on their respective websites information necessary for initiating a grievance; requiring licensed facilities to respond to a patient grievance within a specified timeframe; requiring licensed facilities to disclose certain information to patients, prospective patients, and patients’ legal guardians, as applicable; providing a civil penalty; creating s. 395.3011, F.S.; defining the term “extraordinary collection action”; prohibiting licensed facilities from engaging in extraordinary collection actions against individuals to obtain payment for services under specified circumstances; amending s. 624.27, F.S.; revising the definition of the term “health care provider” for purposes of direct health care agreements; creating s. 627.446, F.S.; defining the term “health insurer”; requiring health insurers to provide an insured with an advanced explanation of benefits after receiving a patient estimate from a facility for scheduled services; providing requirements for the advanced explanation of benefits; creating s. 627.447, F.S.; prohibiting health insurers from prohibiting providers from disclosing certain information to an insured; defining the term “discounted cash price”; amending s. 627.6387, F.S.; revising the definitions of the terms “health insurer” and “shared savings incentive” to conform to changes made by the act; requiring, rather than authorizing, health insurers to offer a shared savings incentive program under certain circumstances; requiring that a certain notification required of health insurers include specified information; providing that a shared savings incentive offered by a health insurer constitutes a medical expense for purposes of rate development and rate filing; amending ss. 627.6648 and 641.31076, F.S.; providing that a shared savings incentive offered by a health insurer or health maintenance organization, respectively, constitutes a medical expense for rate development and rate filing purposes; amending ss. 475.01, 475.611, 517.191, 768.28, and 787.061, F.S.; conforming cross references; providing applicability; providing an effective date.

AI Summary

Committee Categories

Jay Collins (R)*, 

Other Sponsors (1)

Laid on Table, refer to HB 7089 (on 03/07/2024)

Official Document