SESSION WATCH
Died HOUSE · SESSION 2026

No. HB 1531

Government-facilitated Purchases and Sales of Individual and Small Employer Health and Dental Plans
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SPONSOR
Gerwig
FILED BY
Anne Gerwig — District 93, Republican [search donations]
EFFECTIVE
This act shall take effect July 1, 2026, but only if HB 1533 or similar legislation is adopted in the same legislative session or an extension thereof and becomes a law.
DIED IN
Health Care Facilities & Systems Subcommittee

Filed under Insurance.

PROVIDED SUMMARY

Government-facilitated Purchases and Sales of Individual and Small Employer Health and Dental Plans; Establishes Florida Health Insurance Exchange within OIR to facilitate purchase & sale of qualified health plans; provides duties of exchange; authorizes exchange to contract with eligible entity to perform exchange's functions; authorizes exchange to enter into agreements with governmental agencies & entities to carry out exchange's responsibilities; provides general requirements & prohibitions for exchange; provides certifications by exchange of health & dental benefit plans; authorizes Commissioner of Insurance Regulation & office to contract with vendor to build & manage exchange.

Full bill text →

Plain English Summary

AI-GENERATED
Creates a state exchange for buying individual and small-employer health plans.

Establishes the Florida Health Insurance Exchange as a government entity inside the Office of Insurance Regulation, to facilitate buying and selling health and dental plans certified under federal PPACA standards, for individuals and, through a new Small Business Health Options Program, small employers.

The Commissioner and the Office of Insurance Regulation must hire a vendor through competitive procurement to build and run the exchange, which may also contract out its functions to an eligible entity, though a health carrier or its affiliate cannot serve as that entity.

Sets certification rules carriers must meet to sell through the exchange: covering required essential benefits, offering plans at multiple coverage tiers, disclosing pricing and claims data in plain language, and charging the same premium whether sold through the exchange or directly.

Requires the exchange to help enroll eligible people in Medicaid or the Children's Health Insurance Program, fund outreach navigators, and share certain enrollees' and employers' information with the federal government for tax-credit and individual-mandate purposes.

KEY PROVISIONS
§ 1 Establishes the Florida Health Insurance Exchange within OIR majors. 627.4463

AICreates the Florida Health Insurance Exchange as a governmental entity inside the Office of Insurance Regulation to facilitate the purchase and sale of qualified health and dental plans for individuals and, through a SHOP Exchange, small employers.

“The Florida Health Insurance Exchange is established as a governmental entity within the Office of Insurance Regulation.” bill text, line 150 →
§ 2 Bars health carriers or their affiliates from running exchange operations majors. 627.4463

AIThe exchange may contract out its functions to an eligible entity with relevant administrative experience, but a health carrier or any affiliate of a health carrier is barred from qualifying as that entity.

“a health carrier or an affiliate of a health carrier is not an eligible entity.” bill text, line 178 →
§ 3 Requires carriers to charge the same premium on and off the exchange majors. 627.4463

AIA carrier certified to sell through the exchange must charge the same premium rate for a qualified health plan whether it is sold through the exchange, directly by the carrier, or through an insurance producer.

“Charges the same premium rate for each qualified health plan without regard to whether the plan is offered through the exchange” bill text, line 388 →
§ 4 Bars the exchange from excluding plans over costly life-saving care majors. 627.4463

AIThe exchange cannot refuse to list a health benefit plan solely because it is fee-for-service, because of exchange-imposed price controls, or because the plan covers treatments necessary to prevent patients' deaths that the exchange finds too costly or inappropriate.

“On the basis that the health benefit plan provides treatments necessary to prevent patients' deaths in circumstances the exchange determines are inappropriate or too costly.” bill text, line 412 →
§ 5 Requires a competitively selected vendor to build and manage the exchange moderates. 627.4463

AIThe Commissioner of Insurance Regulation and the Office of Insurance Regulation must contract with a vendor chosen through competitive procurement to build and manage the exchange, rather than running it entirely with state staff.

“The commissioner and the office shall contract with a vendor selected by a competitive procurement to build and manage the exchange.” bill text, line 481 →
§ 6 Delays exchange plan availability until January 1, 2028 moderates. 627.4463

AIEven though this section is created effective July 1, 2026, the exchange is not required to make qualified health plans available to consumers and employers until January 1, 2028.

“The exchange must make qualified health plans available to qualified persons and qualified employers beginning January 1, 2028.” bill text, line 189 →
§ 7 Requires reporting certain enrollees' and employers' data to the IRS moderates. 627.4463

AIThe exchange must transfer to the U.S. Treasury Secretary the names and taxpayer identification numbers of people certified as exempt from the individual mandate and of employees found newly eligible for premium tax credits because an employer's coverage was inadequate.

“who was determined to be eligible for the premium tax credit under s. 36B of the Internal Revenue Code of 1986” bill text, line 268 →
§ 8 Bars using exchange funds for staff retreats or lobbying-style spending moderates. 627.4463

AIThe exchange may not use funds meant for its administrative and operational expenses on staff retreats, promotional giveaways, excessive executive compensation, or promoting legislative or regulatory changes.

“not use any funds intended for the administrative and operational expenses of the exchange for staff retreats, promotional giveaways, excessive executive compensation” bill text, line 345 →
TIMELINE
3/13/2026
Died in Health Care Facilities & Systems Subcommittee
1/15/2026
Now in Health Care Facilities & Systems Subcommittee
1/15/2026
Referred to Health & Human Services Committee
1/15/2026
Referred to State Administration Budget Subcommittee
1/15/2026
Referred to Insurance & Banking Subcommittee
1/15/2026
Referred to Health Care Facilities & Systems Subcommittee
1/13/2026
1st Reading (Original Filed Version)
1/9/2026
Filed
2 EARLIER →
STATUTES IT CHANGES
s. 627.4463
+3817 / −0