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FL H1501

Bill

Status

Failed

3/14/2022

Primary Sponsor

Wyman Duggan

Click for details

Origin

House of Representatives

2022 Regular Session

AI Summary

  • Defines "reference-based pricing" in Florida law as a flat payment by the department for specific procedures or services performed by a healthcare provider (amending s. 110.107, F.S.)
  • Adds direct cash payment to enrollees as a new option for distributing cost savings generated through the state group insurance program's comprehensive pricing contracts and price transparency shopping programs
  • Requires contracted entities providing comprehensive pricing and surgical/medical procedure services to use a reference-based pricing program based on paid market claims to set reimbursement rates, which may not be solely based on a percentage of Medicare rates
  • Existing cost savings distribution methods are retained, including credits to flexible spending accounts, health savings accounts, health reimbursement accounts, and additional health plan reimbursements up to the enrollee's out-of-pocket expenses
  • Effective date of July 1, 2022

Legislative Description

State Group Insurance Program

Last Action

Died in Finance & Facilities Subcommittee

3/14/2022

Committee Referrals

Finance and Facilities Subcommittee1/16/2022

Full Bill Text

No bill text available