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FL H1513

FL H1513
Refund of Overpayments Made by Patients


summary

Introduced
02/28/2025
In Committee
04/17/2025
Crossed Over
Passed
Dead
06/16/2025

Introduced Session

2025 Regular Session

Bill Summary

An act relating to refund of overpayments made by patients; creating ss. 408.12 and 456.0625, F.S.; requiring certain licensees and practitioners to refund to a patient any overpayment within a specified timeframe; defining the term "tenders charges for reimbursement"; providing applicability; providing penalties; amending s. 408.813, F.S.; authorizing the Agency for Health Care Administration to impose an administrative fine for failure to refund a patient overpayment; amending s. 456.072, F.S.; revising acts that constitute grounds for disciplinary actions for health care practitioners; providing an effective date.

AI Summary

This bill introduces new requirements for healthcare providers and practitioners to refund patient overpayments within 30 days of determining an excess payment occurred. Specifically, the bill creates two new sections of Florida Statutes (408.12 and 456.0625) that apply to licensees and health care practitioners who "tender charges for reimbursement" - which means filing a claim with a government-sponsored program, private health insurer, or health maintenance organization. Under the new law, these providers must refund any patient overpayments within 30 days of identifying the excess payment. The bill also establishes penalties for non-compliance: the Agency for Health Care Administration can impose administrative fines up to $500 for licensees who fail to refund overpayments, and health care practitioners can face disciplinary action under existing professional conduct regulations. Certain types of overpayments covered by specific insurance statutes are exempted from these requirements. The law is set to take effect on January 1, 2026, giving healthcare providers and practitioners time to adjust their billing and refund processes to comply with the new regulations.

Committee Categories

Health and Social Services

Sponsors (3)

Other Sponsors (1)

Health & Human Services Committee (House)

Last Action

Laid on Table, companion bill(s) passed, see CS/CS/SB 1808 (Ch. 2025-48) (on 04/30/2025)

bill text


bill summary

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bill summary

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bill summary

Document Type Source Location
State Bill Page https://www.flsenate.gov/Session/Bill/2025/1513
Analysis - Health Professions & Programs Subcommittee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/1513/Analyses/h1513z.HPP.PDF
BillText https://www.flsenate.gov/Session/Bill/2025/1513/BillText/c1/PDF
Analysis - Health & Human Services Committee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/1513/Analyses/h1513c.HHS.PDF
https://www.flsenate.gov/Session/Bill/2025/1513/Amendment/052409/PDF
Analysis - Health & Human Services Committee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/1513/Analyses/h1513b.HHS.PDF
Analysis - Health Professions & Programs Subcommittee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/1513/Analyses/h1513a.HPP.PDF
Analysis - Health Professions & Programs Subcommittee (Post-Meeting) https://www.flsenate.gov/Session/Bill/2025/1513/Analyses/h1513.HPP.PDF
BillText https://www.flsenate.gov/Session/Bill/2025/1513/BillText/Filed/PDF
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