FL S0240

Requires managed medical assistance plans to provide enrollees the opportunity to enter into direct primary care agreements with network primary care providers and encourages plans to develop alternative payment arrangements for this purpose.

Defines a direct primary care agreement as a contract between a primary care provider and a patient, patient's legal representative, or employer that covers specified primary care services without indemnifying third-party services.

Establishes mandatory requirements for direct primary care agreements including written form, 30-day termination notice, specified fees, scope of services, refunds for prepaid fees, and prominent disclosure statements that the agreement is not health insurance and does not satisfy federal health care coverage requirements.

Exempts direct primary care agreements from Florida Insurance Code requirements, stating they do not constitute insurance and do not require providers to obtain insurance licenses or certificates of authority to offer such agreements.

Takes effect July 1, 2017.