FL S0452

Establishes that pretrial detainees and sentenced inmates are primarily responsible for paying their own medical care, treatment, hospitalization, and transportation expenses.

Requires third-party medical providers to seek reimbursement from insurance, the detainee/inmate, or financial settlements before pursuing county or municipal funding.

Sets maximum reimbursement rates for hospitals and outpatient providers at 75-110 percent of Medicare rates, with 125 percent rates for hospitals reporting negative operating margins.

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

Exempts charter counties with populations exceeding 1.7 million and counties with hospital districts or county public hospitals from reimbursement rate caps as of July 1, 2012.