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FL H0851

Bill

Status

Failed

4/30/2021

Primary Sponsor

Susan Valdes

Click for details

Origin

House of Representatives

2021 Regular Session

AI Summary

  • Health insurers and health maintenance organizations are prohibited from retroactively denying a claim due to insured or subscriber ineligibility more than 1 year after the date of payment (existing law maintained)
  • Health insurers that verified an insured's eligibility at the time of treatment or provided an authorization number are permanently barred from retroactively denying a claim for ineligibility at any time (new provision)
  • Health maintenance organizations that verified a subscriber's eligibility at the time of treatment or provided an authorization number are likewise permanently barred from retroactively denying a claim for ineligibility at any time (new provision)
  • Amends Florida Statutes sections 627.6131 (payment of claims) and 641.3155 (prompt payment of claims)
  • Effective date of January 1, 2022

Legislative Description

Retroactive Denial of Health Care Claims

Last Action

Died in Finance & Facilities Subcommittee

4/30/2021

Committee Referrals

Finance and Facilities Subcommittee2/22/2021

Full Bill Text

No bill text available