FL H1117

Department of Health must deny, revoke, suspend, or refuse to issue/renew permits or certificates to applicants convicted of or pleading guilty/nolo contendere to Medicaid fraud felonies (s. 409.920 or 409.9201), unless conviction occurred more than 5 years before application date.

Office of Insurance Regulation must revoke health insurers' certificates of authority for Medicaid fraud convictions, with the same 5-year lookback exception; defines "health insurer" to include insurance companies, health maintenance organizations, and prepaid health clinics.

Department of Financial Services must deny, suspend, revoke, or refuse to issue/renew health insurance agency licenses for Medicaid fraud convictions, applying the 5-year exception to the agency or any majority owner, partner, manager, director, officer, or person controlling the agency.

Office of Insurance Regulation must deny, suspend, or revoke prepaid health clinic certificates of authority for Medicaid fraud convictions under the same 5-year lookback provision.

Agency for Health Care Administration must deny, suspend, or revoke health care provider certificates for prepaid health clinics and health maintenance organizations convicted of Medicaid fraud, with the 5-year exception; prohibits imposition of fines in lieu of revocation/suspension when Medicaid fraud conviction grounds exist.