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FL S0528
Bill
AI Summary
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Establishes the "Patient Savings Act" requiring health insurers to implement a shared savings incentive program beginning January 1, 2018, providing cash payments to insureds who obtain shoppable health care services at prices below the average price for those services.
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Requires health insurers to provide websites allowing insureds to request and compare contracted amounts and average prices for shoppable health care services, and to provide good faith cost estimates within 2 working days of request.
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Mandates that insured cash payments equal at least 50 percent of the health insurer's saved costs, with payments not required when the insurer's savings are $50 or less.
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Requires health insurers to file annual reports to the Office of Insurance Regulation detailing payment numbers, service categories, average payment amounts, total savings, and participation rates.
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Establishes penalties including administrative fines up to $2,500 per violation per day, authority to suspend policy issuances for non-compliance, and potential revocation or suspension of the insurer's certificate of authority for at least 6 months.
Legislative Description
Health Insurance
Last Action
Died in Banking and Insurance
5/5/2017