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FL H1101
Bill
Status
Failed
6/16/2025
Primary Sponsor
Jon Albert
Click for details
AI Summary
- Health care practitioners must provide written notice to patients when referring them to an out-of-network or nonparticipating provider for nonemergency services, stating the referral is out-of-network and may result in additional cost-sharing; the notice must be documented in the patient's medical record.
- Practitioners or their employees may verify a referral provider's network status by contacting the provider, the patient's insurer or HMO, or by checking the insurer's online provider directory.
- Failure to comply with the written notification requirement, without good cause, subjects the health care practitioner to disciplinary action.
- Health insurers must apply payments for services from nonpreferred (out-of-network) providers toward an insured's deductible and out-of-pocket maximum as if the service were in-network, provided the insured requests it, the service is covered under the policy, and the charge is at or below the preferred network average or the statewide average on the Florida Health Price Finder website.
- Effective date is July 1, 2025.
Legislative Description
Out-of-network Providers
Last Action
Died in returning Messages
6/16/2025
Committee Referrals
Health And Human Services3/19/2025
Health Care Facilities & Systems Subcommittee3/5/2025
Full Bill Text
No bill text available