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FL H0449
Bill
Status
5/5/2017
Primary Sponsor
Government Operations and Technology Appropriations Subcommittee
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AI Summary
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Creates the "Patient Savings Act" requiring health insurers to implement a shared savings incentive program beginning January 1, 2018, providing cash payments to insureds when they obtain shoppable health care services at prices below average.
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Mandates insurer websites provide methods for insureds to request and compare contracted amounts and average prices for shoppable services including laboratory, infusion, surgical, obstetrical, diagnostic, therapy, and imaging services.
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Requires health insurers to provide good faith cost estimates within 2 working days upon request, including contracted amounts and cost-sharing responsibilities for both in-network and out-of-network providers.
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Sets cash payment requirements at a minimum of 50 percent of insurer's saved costs compared to average price, with no payment required when savings are less than $50; out-of-network services at below-average prices treated as in-network for payment calculation purposes.
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Establishes annual reporting requirements to the Office of Insurance Regulation by March 1 each year and authorizes administrative penalties up to $5,000 per violation per day, plus authority to revoke insurer certificates for non-compliance; appropriates $50,000 recurring and $25,000 nonrecurring funds for implementation.
Legislative Description
Health Insurance
Last Action
Died in Health and Human Services Committee
5/5/2017