FL H1205

Health insurers and HMOs cannot include contract provisions that prevent health care providers from telling patients when their cost-sharing obligation exceeds the cash price for a service or when a more affordable option is available.

Insurers and HMOs are prohibited from requiring insured individuals to pay more for a covered service than the cash price that would apply without insurance coverage.

Health benefit plans covering small employers must comply with these price transparency requirements under s. 627.4303.

Creates new Florida Statutes sections 627.4303 and 641.516 to establish these price transparency protections for both traditional health insurers and health maintenance organizations.

Effective date: July 1, 2020.