PROVIDED SUMMARY
Statewide Provider and Health Plan Claim Dispute Resolution Program; Provides exemptions from review for certain disputed claims.
Full bill text →
Plain English Summary
AI-GENERATED
Exempts small out-of-network hospital claims from Florida's state dispute review.
Out-of-network hospital claims tied to Florida's or federal emergency-care laws no longer go through Florida's state claim dispute resolution program if they've already been submitted to the federal independent dispute resolution process and total $50,000 or less.
Claims above that $50,000 threshold stay subject to Florida's state dispute process even if the same claim is already being resolved federally, since the exemption only covers smaller disputes.
This joins a list of claims already excluded from state review, such as those tied to Medicare appeals, Medicaid fair hearings, pending lawsuits, or older managed-care contracts predating October 2000.
KEY PROVISIONS
§ 1
Exempts out-of-network hospital claims already in federal dispute review
majors. 408.7057(2)(b)
AIA claim is exempt from Florida's state claim dispute resolution program if it involves out-of-network hospital services under Florida's emergency-care law or EMTALA and has already been submitted to the federal independent dispute resolution process.
“Is related to out-of-network hospital services initiated pursuant to s. 395.1041 or 42 U.S.C. s. 1395dd”
bill text, line 33 →
AIThe new exemption only applies to out-of-network hospital claims already in the federal dispute process that total $50,000 or less; larger claims remain subject to Florida's state dispute resolution program.
TIMELINE
3/5/2026
Referred to Rules
3/5/2026
CS passed as amended; YEAS 108, NAYS 0
3/5/2026
Added to Third Reading Calendar
3/5/2026
Amendment 706903 adopted
3/2/2026
Bill added to Special Order Calendar (3/5/2026)
2/26/2026
Added to Second Reading Calendar
2/26/2026
Bill released to House Calendar
2/26/2026
Reported out of Health & Human Services Committee
2/26/2026
Favorable by Health & Human Services Committee
2/24/2026
Added to Health & Human Services Committee agenda
2/9/2026
Now in Health & Human Services Committee
2/9/2026
Referred to Health & Human Services Committee
2/9/2026
1st Reading (Committee Substitute 1)
2/6/2026
Laid on Table under Rule 7.18(a)
2/6/2026
Reported out of Health Care Facilities & Systems Subcommittee
2/5/2026
Favorable with CS by Health Care Facilities & Systems Subcommittee
2/3/2026
Added to Health Care Facilities & Systems Subcommittee agenda
1/15/2026
Now in Health Care Facilities & Systems Subcommittee
1/15/2026
Referred to Health & Human Services Committee
1/15/2026
Referred to Health Care Facilities & Systems Subcommittee
1/13/2026
1st Reading (Original Filed Version)
22 EARLIER →
STATUTES IT CHANGES
STAFF ANALYSES