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FL S1442
Bill
Status
1/7/2016
Primary Sponsor
Appropriations
Click for details
AI Summary
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Hospitals must post on their websites the names and links to all health insurers and HMOs they contract with, along with contact information for health care practitioners who provide services at the facility and disclosure statements about potential separate billing
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Insurers are solely liable for payment to nonparticipating (out-of-network) providers for covered emergency services and certain nonemergency services; patients cannot be billed beyond their copayments, coinsurance, and deductibles in these situations
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Nonparticipating providers are prohibited from collecting or attempting to collect from insured patients any amount beyond copayments, coinsurance, and deductibles for covered emergency services or qualifying nonemergency services
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Disputes over reimbursement between insurers and nonparticipating providers must be resolved through court or a voluntary dispute resolution program administered by the Agency for Health Care Administration, which includes settlement offer provisions and evidentiary hearing options
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Health insurance policies issued after January 1, 2017, must include a warning disclosure explaining that limited benefits are paid for nonparticipating providers and that patients may be billed for the difference between charges and reimbursement for elective out-of-network services
Legislative Description
Out-of-network Health Insurance Coverage
Last Action
Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/CS/HB 1175 (Ch. 2016-234)
3/3/2016