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FL S1160
Bill
AI Summary
- Prohibits health insurers and health maintenance organizations (HMOs) from retroactively denying a claim at any time based on insured or subscriber ineligibility
- Creates a single exception allowing retroactive denial within 1 year of payment if the provider was convicted of fraud under Florida statute 817.234
- Replaces existing law that permitted retroactive denial of claims for ineligibility up to 1 year after payment, effectively shifting the financial risk from providers to insurers
- Applies to policies and contracts entered into or renewed on or after January 1, 2024
- Effective date of the act is July 1, 2023
Legislative Description
Payment of Health Insurance Claims
Last Action
Died in Banking and Insurance
5/5/2023
Full Bill Text
No bill text available