Florida Senate - 2017                        COMMITTEE AMENDMENT
       Bill No. SB 102
       
       
       
       
       
       
                                Ì321438.Î321438                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  04/19/2017           .                                
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       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.