Senate Bill 2578

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    Florida Senate - 1999        (NP)                      SB 2578

    By Senators Grant, Sebesta, Lee and Hargrett





    13-394B-99

  1                      A bill to be entitled

  2         An act relating to Hillsborough County;

  3         amending s. 1 of chapter 98-499, Laws of

  4         Florida; requiring that a hospital in

  5         Hillsborough County bill the insurer or other

  6         payor of third-party benefits prior to

  7         recording a lien; requiring that the board of

  8         county commissioners of Hillsborough County

  9         revise any ordinance adopted under chapter

10         98-499, Laws of Florida, to incorporate

11         amendments made to the chapter 98-499, Laws of

12         Florida; repealing chapter 98-499, Laws of

13         Florida, unless the board of county

14         commissioners enacts an ordinance authorizing

15         liens to enforce payment for the medical care

16         of residents of Hillsborough County; providing

17         an effective date and an expiration date.

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19  Be It Enacted by the Legislature of the State of Florida:

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21         Section 1.  Section 1 of chapter 98-499, Laws of

22  Florida, is amended to read:

23         Section 1.  The board of county commissioners of

24  Hillsborough County may provide by ordinance for liens in

25  favor of all operators of hospitals in Hillsborough County and

26  in favor of Hillsborough County when it pays for medical care,

27  treatment, or maintenance of qualifying residents of the

28  county upon all causes of action, suits, claims,

29  counterclaims, and demands accruing to persons to whom care,

30  treatment, or maintenance is furnished by such hospital or is

31  paid for by Hillsborough County on behalf of a qualifying

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    Florida Senate - 1999        (NP)                      SB 2578
    13-394B-99




  1  resident of the county, or accruing to the legal

  2  representatives of such persons, and upon all judgments,

  3  settlements, and settlement agreements entered into by virtue

  4  thereof on account of illness, injury, deformity, infirmity,

  5  abnormality, disease, or pregnancy giving rise to such causes

  6  of action, suits, claims, counterclaims, demands, judgments,

  7  settlements, and settlement agreements, and which necessitated

  8  such care, treatment, or maintenance; and may provide by

  9  ordinance for the attachment, perfection, priority, and

10  enforcement of such liens and for such procedural and other

11  matters as may be necessary or appropriate to carry out the

12  purposes of the ordinance. If the patient is covered by or is

13  a beneficiary of commercial, nongovernmental health insurance

14  coverage through a health maintenance organization or other

15  nongovernmental entity that is under contract with the

16  hospital to provide care to the patient at the time care and

17  treatment are delivered, then the lien shall be limited to the

18  covered charges in effect at the time care and treatment were

19  delivered, and the lien may shall not exceed the amount that

20  the hospital has contracted to accept from all sources for the

21  care and treatment of the patient. The hospital may not record

22  a lien unless the insurer or other payor of third-party

23  benefits, including the Medicaid or Medicare programs and the

24  County Indigent Health Care Plan, has been billed for the

25  covered charges. The hospital must accept the contract amount

26  in payment for the covered services, including the contract

27  amount provided under the Medicaid or Medicare programs or the

28  County Indigent Health Care Plan. If In the event of a claim

29  or action by the patient against a third party for which the

30  settlement or judgment is less than or equal to a sum of the

31  debt actually due and owing the hospital, the settlement or

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    Florida Senate - 1999        (NP)                      SB 2578
    13-394B-99




  1  judgment will be equitably distributed based on the pro rata

  2  reduction in the amount due the hospital and the patient,

  3  including a pro rata reduction in the amount of reasonable

  4  attorney's fees and costs due the patient's attorney on that

  5  portion of the settlement or judgment attributable to the

  6  hospital lien. If In the event of a claim or action by the

  7  patient against a third party for which the settlement or

  8  judgment exceeds the debt actually due and owing the hospital

  9  but is not adequate to cover the amount actually due and owing

10  the hospital, as well as the patient's attorney's fees, then

11  the settlement or judgment will be equitably distributed based

12  on a pro rata share of the amount due the hospital and the

13  patient, including a pro rata share for the amount of

14  reasonable attorney's fees and costs due the patient's

15  attorney and the hospital's attorney. If In the event

16  litigation is filed to recover a plaintiff's damages through

17  settlement or judgment, then the hospital's lien actually

18  collected shall be subject to assessment, by reduction, for

19  plaintiff's attorney's fees, which for the lien assessment

20  shall be capped at 25 percent. Any ordinance adopted by

21  Hillsborough County under this act must grant, without

22  exception, both to every hospital operating in the county and

23  to the County Indigent Health Care Plan the identical

24  remedies.

25         Section 2.  The board of county commissioners of

26  Hillsborough County shall revise any ordinance adopted

27  pursuant to chapter 98-499, Laws of Florida, to incorporate

28  the amendments made by this act to chapter 98-499, Laws of

29  Florida.

30         Section 3.  Chapter 98-499, Laws of Florida, is

31  repealed on July 1, 1999, and this act expires on that date

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    Florida Senate - 1999        (NP)                      SB 2578
    13-394B-99




  1  unless the board of county commissioners of Hillsborough

  2  County enacts an ordinance before that date which affects the

  3  statutory provisions of Section 1 of chapter 98-499, Laws of

  4  Florida.

  5         Section 4.  This act shall take effect upon becoming a

  6  law.

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