Florida Senate - 2017 COMMITTEE AMENDMENT Bill No. SB 102 Ì321438.Î321438 LEGISLATIVE ACTION Senate . House Comm: RCS . 04/19/2017 . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— The Committee on Rules (Steube) recommended the following: 1 Senate Amendment (with title amendment) 2 3 Delete everything after the enacting clause 4 and insert: 5 Section 1. Subsection (11) of section 627.6131, Florida 6 Statutes, is amended to read: 7 627.6131 Payment of claims.— 8 (11) A health insurer may not retroactively deny a claim 9 because of insured ineligibility: 10 (a) At any time, if the health insurer verified the 11 eligibility of an insured at the time of treatment and provided 12 an authorization number. This paragraph applies to policies 13 entered into or renewed on or after January 1, 2018. 14 (b) More than 1 year after the date of payment of the 15 claim. 16 Section 2. Subsection (10) of section 641.3155, Florida 17 Statutes, is amended to read: 18 641.3155 Prompt payment of claims.— 19 (10) A health maintenance organization may not 20 retroactively deny a claim because of subscriber ineligibility: 21 (a) At any time, if the health maintenance organization 22 verified the eligibility of a subscriber at the time of 23 treatment and provided an authorization number. This paragraph 24 applies to contracts entered into or renewed on or after January 25 1, 2018. This paragraph does not apply to Medicaid managed care 26 plans pursuant to part IV of chapter 409. 27 (b) More than 1 year after the date of payment of the 28 claim. 29 Section 3. This act shall take effect July 1, 2017. 30 31 ================= T I T L E A M E N D M E N T ================ 32 And the title is amended as follows: 33 Delete everything before the enacting clause 34 and insert: 35 A bill to be entitled 36 An act relating to the payment of health care claims; 37 amending s. 627.6131, F.S.; prohibiting a health 38 insurer from retroactively denying a claim under 39 specified circumstances; providing applicability; 40 amending s. 641.3155, F.S.; prohibiting a health 41 maintenance organization from retroactively denying a 42 claim under specified circumstances; providing 43 applicability; exempting certain Medicaid managed care 44 plans; providing an effective date.