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FL S0114

FL S0114
Continuity of Care in Health Insurance Contracts


summary

Introduced
10/07/2025
In Committee
10/13/2025
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

An act relating to continuity of care in health insurance contracts; amending s. 627.6474, F.S.; requiring that contracts between a health insurer and a contracted health care practitioner require a specified notice; specifying requirements for such notice; authorizing the Financial Services Commission to adopt rules; providing administrative penalties; requiring a health insurer and a health care practitioner to allow certain policyholders to continue coverage and care for a specified timeframe; requiring the insurer and the health care practitioner to be bound by the terminated contract under certain circumstances; specifying that changes to the contract made within a specified timeframe are effective only under certain circumstances; amending s. 641.315, F.S.; requiring that certain health maintenance organization contracts require a specified notice; specifying requirements for such notice; authorizing the commission to adopt rules; providing administrative penalties; amending s. 641.51, F.S.; requiring a health maintenance organization and a treating provider to allow certain subscribers to continue coverage and care for a specified timeframe; deleting construction; providing an effective date.

AI Summary

This bill addresses continuity of care in health insurance contracts by requiring health insurers and health care practitioners to provide detailed written notices and maintain coverage for patients under specific circumstances. The bill mandates that when a contract between a health insurer and a health care practitioner is terminated, both parties must send a joint written notice to affected policyholders at least 60 days before cancellation, which must include an explanation of patient rights, transition timelines, and contact information. The bill requires insurers and practitioners to allow policyholders to continue their current treatment for up to 6 months after contract termination, with special provisions for patients receiving ongoing treatments like prenatal care. Patients can continue seeing their current provider until they select a new practitioner or until the next open enrollment period, whichever is longer. The bill also authorizes the Financial Services Commission to adopt rules and imposes administrative fines of up to $5,000 for non-compliance. Additionally, the bill specifies that any changes made within 30 days of contract termination are only effective if both the insurer and practitioner agree, ensuring patient protections during healthcare provider transitions.

Sponsors (1)

Last Action

Introduced (on 01/13/2026)

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