Bill > S1082

This bill amends the Statewide Provider and Health Plan Claim Dispute Resolution Program by specifying additional situations where a disputed claim will not be reviewed under this program. Currently, claims related to interest, those not meeting specific financial thresholds, internal grievances or Medicare appeals, claims involving health plans not regulated by the state, Medicaid fair hearings, or actions already in court are excluded. This bill adds exclusions for claims related to services initiated under specific Florida statutes (s. 395.1041) or federal law (42 U.S.C. s. 1395dd), provided they meet the criteria for resolution through the federal independent dispute resolution process, and also for services rendered by out-of-network providers that meet the criteria for resolution through the federal independent dispute resolution process. The bill also clarifies that claims subject to a binding dispute resolution process in a contract entered into before October 1, 2000, are excluded. The changes are set to take effect on July 1, 2026.

Business and Industry

Health Policy (Senate)

https://www.flsenate.gov/Session/Bill/2026/1082