Bill > H7089

Introduced Session

An act relating to transparency in health and human 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 a health care provider or facility; 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 a licensed facility to post on its website a consumer-friendly list of standard charges for a minimum number of shoppable health care services or a price estimator tool meeting certain requirements; providing definitions; requiring a licensed facility to provide an estimate to a patient or prospective patient and the patient's health insurer within specified timeframes; requiring a licensed facility to establish an internal grievance process for patients to dispute charges; requiring a facility to make available information necessary for initiating a grievance; requiring a facility to respond to a patient grievance within a specified timeframe; requiring a licensed facility to disclose specified information relating to cost-sharing obligations to certain persons; providingHB 7089,2024 Legislature a penalty; creating s. 395.3011, F.S.; defining the term "extraordinary collection action"; prohibiting certain collection activities by a licensed facility; amending s. 624.27, F.S.; revising the definition of the term "health care provider"; creating s. 627.446, F.S.; defining the term "health insurer"; requiring each health insurer to provide insureds with an advanced explanation of benefits within specified timeframes; providing requirements for the advanced explanation of benefits; amending ss. 627.6387 and 627.6648, F.S.; revising the definition of the term "health insurer"; providing that a shared savings incentive offered by a health insurer constitutes a medical expense for rate development and rate filing purposes for individual and group health insurance policies, respectively; amending s. 641.31076, F.S.; revising the definition of the term "health maintenance organization"; providing that a shared savings incentive offered by a health maintenance organization constitutes a medical expense for rate development and rate filing purposes for individual or group health maintenance contracts; amending ss. 475.01, 475.611, 517.191, 768.28, and 787.061, F.S.; conforming provisions to changes made by the act; providing applicability; requiring the Agency forHB 7089,2024 Legislature Health Care Administration and the Office of Insurance Regulation to notify the Division of Law Revision upon the promulgation of certain federal rules; amending s. 409.016, F.S.; defining the term "management functions"; amending s. 409.987, F.S.; revising requirements for contracts the Department of Children and Families has with community-based care lead agencies; providing duties for board members of lead agencies; requiring lead agencies to ensure that board members participate in certain annual training; requiring the posting of a fidelity bond; revising the definition of the term "conflict of interest"; defining the term "related party"; requiring the lead agency's board of directors to disclose to the department any known actual or potential conflicts of interest; prohibiting a lead agency from entering into a contract or being a party to any transaction with related parties if a conflict of interest is not properly disclosed; prohibiting a lead agency from entering into a contract or being a party to any transaction with related parties for officer-level or director-level staffing to perform management functions; requiring that the contract with the department and the lead agency specify the administrative functions that the lead agency mayHB 7089,2024 Legislature subcontract; authorizing a lead agency to enter into certain contracts or be a party to certain transactions, provided that a certain requirement for fees, rates, and prices paid is met and any conflict of interest is properly disclosed; requiring that department contracts impose contractual penalties on lead agencies for undisclosed conflicts of interest; providing applicability; requiring that certain contracts be reprocured; authorizing the department to recoup lead agency expenses for the execution of certain contracts; amending s. 409.988, F.S.; revising lead agency duties; specifying requirements for and limitations on an exemption for lead agencies from certain contract requirements; providing for renewal of the exemption; authorizing the department to deny an exemption renewal request under certain circumstances; requiring such lead agencies to undergo an operational audit by the Auditor General; specifying requirements for the audit; requiring the Auditor General to conduct such audits upon notification by the department; repealing s. 409.991, F.S., relating to allocation of funds for community- based care lead agencies; creating s. 409.9913, F.S.; defining the terms "core services funding" and "operational and fixed costs"; requiring theHB 7089,2024 Legislature department, in collaboration with the lead agencies and providers of child welfare services, to develop a specific funding methodology for the allocation of core services which must meet certain criteria; requiring the lead agencies and providers of child welfare services to submit to the department certain financial information; requiring the department to submit to the Governor and the Legislature certain reports by specified dates; providing construction; authorizing the department to include certain rates and total allocations in certain reports; requiring the Legislature to allocate funding to the lead agencies with due consideration of the specified funding methodology, beginning with a specified fiscal year; prohibiting the department from changing a lead agency's allocation of funds provided in the General Appropriations Act without legislative approval; authorizing the department to approve certain risk pool funding for a lead agency; requiring the department to submit to the Governor and the Legislature certain monthly reports for a specified period of time; amending s. 409.992, F.S.; revising requirements for lead agency practices in the procurement of commodities and contractual services; requiring the department to impose certain penaltiesHB 7089,2024 Legislature for a lead agency's noncompliance with applicable procurement law; requiring that the contract between the department and the lead agency specify the rights and obligations with regard to real property held by the lead agency during the term of the contract; providing applicability of certain limitations on the salaries of community-based care lead agency administrative employees; amending s. 409.994, F.S.; revising the conditions under which the department may petition a court for the appointment of a receiver for a community-based care lead agency; amending s. 409.996, F.S.; revising requirements for contracts between the department and lead agencies; revising the actions the department may take under certain circumstances; making a technical change; providing duties of the department; requiring the department, by specified dates, to submit certain reports to the Governor and the Legislature; establishing the Future of Child Protection Contracting and Funding Workgroup within the department; requiring the department to convene the workgroup and submit a report to the Governor and the Legislature by a specified date; providing for membership of the workgroup; specifying requirements for the report; terminating the workgroup upon the submission of the report; providing anHB 7089,2024 Legislature effective date.

AI Summary

Michael Grant (R)*,  Mike Beltran (R),  Adam Botana (R),  Johanna López (D),  Jim Mooney (R),  Susan Plasencia (R),  Dana Trabulsy (R), 

Other Sponsors (1)

Chapter No. 2024-183 (on 05/13/2024)

Official Document