SESSION WATCH
Died SENATE · SESSION 2026

No. SB 114

Continuity of Care in Health Insurance Contracts
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SPONSOR
Jones
FILED BY
Shevrin D. Jones — District 34, Democrat [search donations]
EFFECTIVE
7/1/2026
DIED IN
Banking and Insurance

Filed under Insurance.

PROVIDED SUMMARY

Continuity of Care in Health Insurance Contracts; Requiring that contracts between a health insurer and a contracted health care practitioner require a specified notice; requiring a health insurer and a health care practitioner to allow certain policyholders to continue coverage and care for a specified timeframe; requiring that certain health maintenance organization contracts require a specified notice; requiring a health maintenance organization and a treating provider to allow certain subscribers to continue coverage and care for a specified timeframe, etc.

Full bill text →

Plain English Summary

AI-GENERATED
Guarantees patients continued care when their doctor's network contract ends.

When a health insurer or HMO ends its contract with a doctor, both sides must now give patients 60 days' written notice explaining their rights to continued care and coverage.

Patients already being treated can keep seeing that provider, under the old contract's terms, until they pick a new one or the next enrollment period, up to 6 months.

For health maintenance organizations specifically, this continuation duty now applies even when a provider is terminated for cause, and providers lose their express right to cut off care to abusive, noncompliant, or non-paying patients.

KEY PROVISIONS
§ 1 New 60-day termination notice for insurer-practitioner contracts majors. 627.6474

AIRequires a health insurer and a contracted practitioner to jointly notify each affected policyholder at least 60 days before ending their contract, explaining the policyholder's continuation-of-care rights, transition timelines, and where to direct questions or complaints. The office may fine either side up to $5,000 per violation for failing to comply.

“issue a joint written notice to each affected policyholder at least 60 days before the effective date of the cancellation or termination of the contract” bill text, line 35 →
§ 2 New continuation-of-care duty for insurer-practitioner contracts majors. 627.6474

AIRequires the insurer and practitioner to let a policyholder already in active treatment keep that care and coverage through completion of the condition being treated, until the policyholder picks a new practitioner or the next open enrollment period, whichever is longer, capped at 6 months after termination.

“the insurer and the health care practitioner must allow policyholders for whom treatment was active to continue coverage and care” bill text, line 51 →
§ 3 Old contract terms keep binding during continued care majors. 627.6474

AIWhile a policyholder's care continues after termination, the insurer and practitioner remain bound by the terminated contract's own terms, including presumably its payment rates, rather than new terms either side might prefer.

“the insurer and the health care practitioner shall continue to be bound by the terms of the terminated contract” bill text, line 63 →
§ 4 Same 60-day notice duty added for HMO-provider contracts majors. 641.315

AIRequires an HMO and its contracted provider to jointly notify each affected subscriber at least 60 days before ending their contract, on the same terms as the new insurer-side notice, backed by the same up-to-$5,000 per-violation fine.

“issue a joint written notice to each affected subscriber at least 60 days before the effective date of the cancellation or termination” bill text, line 83 →
§ 5 HMO continuation-of-care duty now covers for-cause terminations majors. 641.51

AIStrikes the exception that let an HMO and provider skip continuation of care when the provider's contract was terminated for cause, so the duty to let patients finish treatment now applies regardless of why the contract ended.

“terminated for any reason other than for cause” bill text, line 104 →
§ 6 Providers lose right to refuse care to abusive or non-paying patients majors. 641.51

AIDeletes the sentence that let a provider refuse to keep treating a subscriber who was abusive, noncompliant, or behind on payments, removing that express exception to the continuation-of-care duty.

“This does not prevent a provider from refusing to continue to provide care to a subscriber who is abusive, noncompliant, or in arrears” bill text, line 116 →
§ 7 Prenatal patients get postpartum continuation with no stated cap moderates. 627.6474

AIA policyholder who has started prenatal care, in any trimester, keeps coverage and care with the terminated practitioner through completion of postpartum care, a separate rule from the 6-month cap that governs other conditions.

“to continue care and coverage until completion of postpartum care.” bill text, line 62 →
§ 8 HMO continuation duty no longer limited to medically necessary care moderates. 641.51

AIRemoves the qualifier that had limited the HMO continuation-of-care duty to care that was medically necessary, so the duty as written no longer carries that express condition.

“each party shall allow subscribers for whom treatment was active to continue coverage and care when medically necessary” bill text, line 104 →
TIMELINE
3/13/2026
Died in Banking and Insurance
1/13/2026
Introduced
10/13/2025
Referred to Banking and Insurance; Appropriations Committee on...
10/7/2025
Filed
STATUTES IT CHANGES
s. 627.6474
+328 / −0
s. 641.315
+134 / −5
s. 641.51
+0 / −35