FL H0263

Establishes that in-custody pretrial detainees and sentenced inmates are primarily responsible for their own medical expenses incurred during or as a result of arrest.

Requires detainees and inmates with health insurance or other health care benefits to assign those benefits to medical providers.

Sets a reimbursement hierarchy for third-party medical providers: first from insurance/health plans, then from the detainee/inmate, then from financial settlements, and finally from county or municipal general funds if no other payment sources are available.

Specifies payment rates for governmental reimbursement to providers absent written agreements: 75% of billed charges for emergency room discharges, and 110% of Medicare rates for inpatient and outpatient services (125% for hospitals with negative operating margins).

Exempts charter counties with populations over 1.7 million and charter counties with hospital districts or county public hospitals from certain reimbursement obligations beyond rates paid as of July 1, 2012; effective July 1, 2012.