Florida Senate - 2015                                    SB 1190
       
       
        
       By Senator Lee
       
       
       
       
       
       24-00614C-15                                          20151190__
    1                        A bill to be entitled                      
    2         An act relating to insurer solvency; amending s.
    3         624.407, F.S.; revising the amount of surplus which
    4         must be possessed by insurers applying for an original
    5         certificate of authority; defining the term “health
    6         benefit plan”; amending s. 624.408, F.S.; revising the
    7         amount of surplus which must be possessed by insurers
    8         in order to retain a certificate of authority;
    9         authorizing the Office of Insurance Regulation to
   10         reduce certain surplus requirements under specified
   11         circumstances; defining the term “health benefit
   12         plan”; amending s. 624.4085, F.S.; revising the term
   13         “life and health insurer” to include specified health
   14         maintenance and prepaid limited health service
   15         organizations; amending s. 636.043, F.S.; revising the
   16         due date and required content for the mandatory annual
   17         report of a prepaid limited health service
   18         organization to the office; revising the time periods
   19         to be covered by such organization’s required
   20         quarterly reports to the office; amending s. 641.19,
   21         F.S.; defining the term “management services
   22         organization”; amending s. 641.201, F.S.; providing
   23         that a health maintenance organization is considered
   24         an insurer for purposes of specified provisions of law
   25         relating to insolvent insurers, requirements for the
   26         directors of domestic insurers, the payment of
   27         dividends and distributions of other property by
   28         domestic stock insurers, penalties for domestic and
   29         mutual stock insurers that illegally pay dividends,
   30         and certain restrictions on premiums written;
   31         providing that health maintenance organizations are
   32         considered life and health insurers for purposes of
   33         specified provisions of law relating to insurer
   34         surplus requirements; amending s. 641.225, F.S.;
   35         conforming provisions to changes made by the act;
   36         amending s. 641.26, F.S.; revising the due date and
   37         required content for the mandatory annual report and
   38         audited financial statement of a health maintenance
   39         organization which must be submitted to the office;
   40         amending s. 641.27, F.S.; revising the payment
   41         requirements applicable to health maintenance
   42         organizations for the examination expenses incurred by
   43         the office; amending s. 641.35, F.S.; excluding
   44         receivables from a management services organization
   45         from being included in the assets of a health
   46         maintenance organization for purposes of determining
   47         the organization’s financial condition; repealing s.
   48         641.365, F.S., relating to the payment of dividends
   49         and distributions of other property by health
   50         maintenance organizations; amending ss. 817.234 and
   51         817.50, F.S.; conforming cross-references; providing a
   52         directive to the Division of Law Revision and
   53         Information; providing effective dates.
   54          
   55  Be It Enacted by the Legislature of the State of Florida:
   56  
   57         Section 1. Section 624.407, Florida Statutes, is amended to
   58  read:
   59         624.407 Surplus required of; new insurers applying for an
   60  original certificate of authority.—
   61         (1) To receive authority to transact any one kind or
   62  combinations of kinds of insurance, as defined in part V of this
   63  chapter, an insurer applying for its original certificate of
   64  authority in this state must shall possess surplus as to
   65  policyholders in at least the following amount greater of:
   66         (a) For a property and casualty insurer, $5 million or 10
   67  percent of the insurer’s total liabilities, whichever is
   68  greater, except for a domestic insurer that transacts
   69  residential property insurance and is:
   70         1. Not a wholly owned subsidiary of an insurer domiciled in
   71  any other state, which must have a surplus of $15 million.
   72         2. A wholly owned subsidiary of an insurer domiciled in any
   73  other state, which must have a surplus of $50 million., or $2.5
   74  million for any other insurer;
   75         (b) For a life insurer insurers, $2.5 million or 4 percent
   76  of the insurer’s total liabilities, whichever is greater.;
   77         (c) For a life and health insurer that will issue a health
   78  benefit plan or a long-term care insurance policy on or after
   79  the effective date of this act, the greater of:
   80         1.The sum of $10 million plus the amount of startup
   81  losses, excluding profits, projected to be incurred on the
   82  insurer’s startup projection until the projection reflects
   83  statutory net profits for 12 consecutive months; insurers,
   84         2. Four 4 percent of the insurer’s total liabilities, plus
   85  6 percent of the insurer’s liabilities relative to health
   86  insurance, based on the insurer’s startup projection; or
   87         3. Two percent of the insurer’s total projected premiums
   88  relative to health insurance, based on the insurer’s startup
   89  projection.
   90         (d) For a life and health insurer that is not subject to
   91  paragraph (c), the greater of:
   92         1. The sum of $2.5 million; or
   93         2.Four percent of the insurer’s total liabilities, plus 6
   94  percent of the insurer’s liabilities relative to health
   95  insurance.
   96         (e) For all other insurers, the greater of $2.5 million or
   97  other than life insurers and life and health insurers, 10
   98  percent of the insurer’s total liabilities.; or
   99         (e) Notwithstanding paragraph (a) or paragraph (d), for a
  100  domestic insurer that transacts residential property insurance
  101  and is:
  102         1. Not a wholly owned subsidiary of an insurer domiciled in
  103  any other state, $15 million.
  104         2. A wholly owned subsidiary of an insurer domiciled in any
  105  other state, $50 million.
  106         (2) Notwithstanding subsection (1), a new insurer may not
  107  be required to have surplus as to policyholders greater than
  108  $100 million.
  109         (3) The requirements of this section shall be based upon
  110  all the kinds of insurance actually transacted or to be
  111  transacted by the insurer in any and all areas in which it
  112  operates, regardless of whether or not only a portion of such
  113  kinds of insurance are transacted in this state.
  114         (4) As to surplus as to policyholders required for
  115  qualification to transact one or more kinds of insurance,
  116  domestic mutual insurers are governed by chapter 628, and
  117  domestic reciprocal insurers are governed by chapter 629.
  118         (5) For the purposes of this section, liabilities do not
  119  include liabilities required under s. 625.041(5). For purposes
  120  of computing minimum surplus as to policyholders pursuant to s.
  121  625.305(1), liabilities include liabilities required under s.
  122  625.041(5).
  123         (6)As used in this section, the term “health benefit plan”
  124  has the same meaning as in s. 627.6699.
  125         Section 2. Section 624.408, Florida Statutes, is amended to
  126  read:
  127         624.408 Surplus required for; current insurers to maintain
  128  a certificate of authority.—
  129         (1) To maintain a certificate of authority to transact any
  130  one kind or combinations of kinds of insurance, as defined in
  131  part V of this chapter, an insurer in this state must at all
  132  times maintain surplus as to policyholders in at least the
  133  following amount greater of:
  134         (a) Except as provided in paragraphs (e), (f), and (g),
  135  $1.5 million.
  136         (b) For a life insurer insurers, $1.5 million or 4 percent
  137  of the insurer’s total liabilities, whichever is greater.
  138         (b) For a life and health insurer that is authorized to
  139  issue a health benefit plan or long-term care insurance policy
  140  and that:
  141         1. Did not hold a certificate of authority before the
  142  effective date of this act, $10 million.
  143         2. Held a certificate of authority before the effective
  144  date of this act, $1.5 million until June 30, 2017; $3 million
  145  on or after July 1, 2017, and until June 30, 2021; $6 million on
  146  or after July 1, 2021, and until June 30, 2025; and $10 million
  147  on or after July 1, 2025.
  148  
  149  The office may reduce the surplus requirement imposed under this
  150  paragraph if the office finds the reduction to be in the public
  151  interest because the insurer is not writing new business in this
  152  state, the insurer is writing business only within a limited
  153  geographic service area, the insurer has premiums in force of
  154  less than $1 million annually, or the insurer has a policy count
  155  of fewer than 6,000, or because of any other factor relevant to
  156  making such a finding.
  157         (c) For a life and health insurer that is not subject to
  158  paragraph (b) insurers, the greater of:
  159         1. The sum of $1.5 million; or
  160         2. Four 4 percent of the insurer’s total liabilities, plus
  161  6 percent of the insurer’s liabilities relative to health
  162  insurance.
  163         (d) For all insurers other than mortgage guaranty insurers,
  164  life insurers, and life and health insurers, 10 percent of the
  165  insurer’s total liabilities.
  166         (e) For a property and casualty insurer insurers, $4
  167  million, except for a property and casualty insurer insurers
  168  authorized to underwrite any line of residential property
  169  insurance.
  170         (e)(f) For a residential property insurer:
  171         1.insurers Not holding a certificate of authority before
  172  July 1, 2011, $15 million.
  173         2.(g) For residential property insurers Holding a
  174  certificate of authority before July 1, 2011, $5 million and
  175  until June 30, 2016, $5 million; $10 million on or after July 1,
  176  2016, and until June 30, 2021, $10 million; and $15 million on
  177  or after July 1, 2021, $15 million.
  178  
  179  The office may reduce the surplus requirement under this
  180  paragraph in paragraphs (f) and (g) if the insurer is not
  181  writing new business, has premiums in force of less than $1
  182  million per year in residential property insurance, or is a
  183  mutual insurance company.
  184         (f)For all other insurers, the greater of $1.5 million or
  185  10 percent of the insurer’s total liabilities.
  186         (2) For purposes of this section, liabilities do not
  187  include liabilities required under s. 625.041(5). For purposes
  188  of computing minimum surplus as to policyholders pursuant to s.
  189  625.305(1), liabilities include liabilities required under s.
  190  625.041(5).
  191         (3) This section does not require an insurer to have
  192  surplus as to policyholders greater than $100 million.
  193         (4) A mortgage guaranty insurer shall maintain a minimum
  194  surplus as required by s. 635.042.
  195         (5)As used in this section, the term “health benefit plan”
  196  has the same meaning as in s. 627.6699.
  197         Section 3. Effective July 1, 2015, paragraph (g) of
  198  subsection (1) of section 624.4085, Florida Statutes, is amended
  199  to read:
  200         624.4085 Risk-based capital requirements for insurers.—
  201         (1) As used in this section, the term:
  202         (g) “Life and health insurer” means an insurer authorized
  203  or eligible under the Florida Insurance Code to underwrite life
  204  or health insurance. The term also includes:
  205         1. A property and casualty insurer that writes accident and
  206  health insurance only.
  207         2. Effective January 1, 2015, the term also includes a
  208  health maintenance organization that is authorized in this state
  209  and one or more other states, jurisdictions, or countries and a
  210  prepaid limited health service organization that is authorized
  211  in this state and one or more other states, jurisdictions, or
  212  countries.
  213         3. A health maintenance organization and a prepaid limited
  214  health service organization initially authorized in this state
  215  on or after July 1, 2015, and not authorized in any other state,
  216  jurisdiction, or country.
  217  
  218  As used in this paragraph, the term “health maintenance
  219  organization” has the same meaning as in s. 641.19 and the term
  220  “prepaid limited health service organization” has the same
  221  meaning as in s. 636.003.
  222         Section 4. Effective July 1, 2015, subsection (1),
  223  paragraph (a) of subsection (2), and subsections (4) and (6) of
  224  section 636.043, Florida Statutes, are amended to read:
  225         636.043 Annual, quarterly, and miscellaneous reports.—
  226         (1) Each prepaid limited health service organization must
  227  file an annual report with the office on or before March 1 of
  228  each year showing its condition on the last day of the
  229  immediately preceding calendar year. The annually, within 3
  230  months after the end of its fiscal year, a report must be
  231  verified by the notarized oath of at least two officers covering
  232  the preceding calendar year. Any organization licensed prior to
  233  October 1, 1993, shall not be required to file a financial
  234  statement, as required by paragraph (2)(a), based on statutory
  235  accounting principles until the first annual report for fiscal
  236  years ending after December 31, 1994.
  237         (2) The Such report must be on forms prescribed by the
  238  commission and must include:
  239         (a)1. A statutory financial statement of the organization
  240  prepared in accordance with statutory accounting principles and
  241  filed by electronic means in a computer-readable format
  242  acceptable to the office, including its balance sheet, income
  243  statement, and statement of changes in cash flow for the
  244  preceding year, certified by an independent certified public
  245  accountant, or a consolidated audited financial statement of its
  246  parent company prepared on the basis of statutory accounting
  247  principles, certified by an independent certified public
  248  accountant, attached to which must be consolidating financial
  249  statements of the parent company, including the prepaid limited
  250  health service organization.
  251         2. Any entity subject to this chapter may make written
  252  application to the office for approval to file audited financial
  253  statements prepared in accordance with generally accepted
  254  accounting principles in lieu of statutory financial statements.
  255  The office shall approve the application if it finds it to be in
  256  the best interest of the subscribers. An application for
  257  exemption is required each year and must be filed with the
  258  office at least 2 months prior to the end of the fiscal year for
  259  which the exemption is being requested.
  260         (4)(a) Each authorized prepaid limited health service
  261  organization must file a quarterly report for each calendar
  262  quarter. The report for the quarter ending March 31 shall be
  263  filed with the office on or before May 15, the report for the
  264  quarter ending June 30 shall be filed on or before August 15,
  265  and the report for the quarter ending September 30 shall be
  266  filed on or before November 15. The quarterly report must be
  267  verified by the notarized oath of two officers of the
  268  organization within 45 days after the end of the quarter. The
  269  report must shall contain:
  270         1.(a) A financial statement prepared in accordance with
  271  statutory accounting principles. Any entity licensed before
  272  October 1, 1993, is shall not be required to file a financial
  273  statement based on statutory accounting principles until the
  274  first quarterly filing after the entity files its annual
  275  financial statement based on statutory accounting principles as
  276  required by subsection (1).
  277         2.(b) A listing of providers.
  278         3.(c) Such other information relating to the performance of
  279  the prepaid limited health service organization as is reasonably
  280  required by the commission or office.
  281         (b) On or before June 1, each authorized prepaid limited
  282  health service organization shall annually file with the office
  283  an audited financial statement of the organization for the
  284  preceding year ending December 31. The office may require the
  285  organization to file an audited financial report earlier than
  286  June 1 upon notifying the organization at least 90 days in
  287  advance. The audited financial statement must include:
  288         1. A balance sheet, income statement, and statement of
  289  changes in cash flow for the preceding year, all of which must
  290  be certified by an independent certified public accountant; or
  291         2. A consolidated audited financial statement of the
  292  organization’s parent company, prepared on the basis of
  293  statutory accounting principles, which must be certified by an
  294  independent certified public accountant and to which are
  295  attached the consolidated financial statements of the parent
  296  company, including those of the prepaid limited health service
  297  organization.
  298  
  299  Beginning with the financial statement filed for the year ending
  300  December 31, 2015, the audited financial statement or
  301  consolidated audited financial statement required by this
  302  paragraph is subject to commission rules applicable to insurer
  303  audits.
  304         (6) Each authorized prepaid limited health service
  305  organization shall retain an independent certified public
  306  accountant, hereinafter referred to as “CPA,” who agrees by
  307  written contract with the prepaid limited health service
  308  organization to comply with the provisions of this act. The
  309  contract must state that:
  310         (a) The independent certified public accountant must CPA
  311  will provide to the prepaid limited health service organization
  312  audited statutory financial statements consistent with this act.
  313         (b) Any determination by the independent certified public
  314  accountant CPA that the prepaid limited health service
  315  organization does not meet minimum surplus requirements as set
  316  forth in this act must will be stated by the independent
  317  certified public accountant CPA, in writing, in the audited
  318  financial statement.
  319         (c) The completed workpapers and any written communications
  320  between the independent certified public accountant CPA and the
  321  prepaid limited health service organization relating to the
  322  audit of the prepaid limited health service organization must
  323  will be made available for review on a visual-inspection-only
  324  basis by the office at the offices of the prepaid limited health
  325  service organization, at the office, or at any other reasonable
  326  place as mutually agreed between the office and the prepaid
  327  limited health service organization. The independent certified
  328  public accountant CPA must retain for review the workpapers and
  329  written communications for a period of not less than 6 years.
  330         Section 5. Present subsections (14) through (22) of section
  331  641.19, Florida Statutes, are redesignated as subsections (15)
  332  through (23), respectively, and a new subsection (14) is added
  333  to that section, to read:
  334         641.19 Definitions.—As used in this part, the term:
  335         (14) “Management services organization” means an entity
  336  that provides one or more medical practice management services
  337  to health care providers, including, but not limited to,
  338  administrative, financial, operational, personnel, records
  339  management, educational, compliance, and managed care services.
  340         Section 6. Section 641.201, Florida Statutes, is amended to
  341  read:
  342         641.201 Applicability of other laws.—
  343         (1) Except as provided in this part, health maintenance
  344  organizations are shall be governed by the provisions of this
  345  part and part III of this chapter and are shall be exempt from
  346  all other provisions of the Florida Insurance Code except those
  347  provisions of the Florida Insurance Code that are explicitly
  348  made applicable to health maintenance organizations.
  349         (2) Health maintenance organizations are considered
  350  insurers for purposes of:
  351         (a) Sections 624.4073, 628.231, 628.371, and 628.391.
  352         (b) Section 624.4095, except that:
  353         1. The ratio of actual or projected annual gross written
  354  premiums to current or projected surplus as to policyholders for
  355  a health maintenance organization holding a certificate of
  356  authority before the effective date of this act, may not exceed
  357  30 to 1 on or after July 1, 2017, until June 30, 2021; 20 to 1
  358  on or after July 1, 2021, until June 30, 2025; and 10 to 1 on or
  359  after July 1, 2025.
  360         2. In calculating the premium-to-surplus ratio of a health
  361  maintenance organization pursuant to s. 624.4095(1), actual or
  362  projected risk revenue must be added to actual or projected
  363  written premiums.
  364         (3) Health maintenance organizations are considered life
  365  and health insurers for purposes of ss. 624.407 and 624.408.
  366         Section 7. Subsections (1) and (2) of section 641.225,
  367  Florida Statutes, are amended to read:
  368         641.225 Surplus requirements.—
  369         (1) Each health maintenance organization shall at all times
  370  maintain a minimum surplus as provided in s. 624.408 in an
  371  amount that is the greater of $1,500,000, or 10 percent of total
  372  liabilities, or 2 percent of total annualized premium.
  373         (2) The office may shall not issue a certificate of
  374  authority, except as provided in subsection (3), unless the
  375  health maintenance organization has at least the a minimum
  376  surplus required in s. 624.407 in an amount which is the greater
  377  of:
  378         (a) Ten percent of their total liabilities based on their
  379  startup projection as set forth in this part;
  380         (b) Two percent of their total projected premiums based on
  381  their startup projection as set forth in this part; or
  382         (c) $1,500,000, plus all startup losses, excluding profits,
  383  projected to be incurred on their startup projection until the
  384  projection reflects statutory net profits for 12 consecutive
  385  months.
  386         Section 8. Effective July 1, 2015, subsections (1), (3),
  387  and (5) of section 641.26, Florida Statutes, are amended to
  388  read:
  389         641.26 Annual and quarterly reports.—
  390         (1) Each Every health maintenance organization must file an
  391  annual report with the office on or before March 1 of each year
  392  showing its condition on the last day of the immediately
  393  preceding calendar year. The report must be shall, annually
  394  within 3 months after the end of its fiscal year, or within an
  395  extension of time therefor as the office, for good cause, may
  396  grant, in a form prescribed by the commission, file a report
  397  with the office, verified by the notarized oath of two officers
  398  of the organization or, if not a corporation, of two persons who
  399  are principal managing directors of the affairs of the
  400  organization, on a form prescribed by the commission. For good
  401  cause, the office may grant the organization an extension of
  402  time to file the report. The report must properly notarized,
  403  showing its condition on the last day of the immediately
  404  preceding reporting period. Such report shall include:
  405         (a) A financial statement of the health maintenance
  406  organization filed by electronic means in a computer-readable
  407  form using a format acceptable to the office.
  408         (b) A financial statement of the health maintenance
  409  organization filed on forms acceptable to the office.
  410         (c) An audited financial statement of the health
  411  maintenance organization, including its balance sheet and a
  412  statement of operations for the preceding year certified by an
  413  independent certified public accountant, prepared in accordance
  414  with statutory accounting principles.
  415         (c)(d) The number of health maintenance contracts issued
  416  and outstanding and the number of health maintenance contracts
  417  terminated.
  418         (d)(e) The number and amount of damage claims for medical
  419  injury initiated against the health maintenance organization and
  420  any of the providers engaged by it during the reporting year,
  421  broken down into claims with and without formal legal process,
  422  and the disposition, if any, of each such claim.
  423         (e)(f) An actuarial certification that:
  424         1. The health maintenance organization is actuarially
  425  sound, which certification must shall consider the rates,
  426  benefits, and expenses of, and any other funds available for the
  427  payment of obligations of, the organization.
  428         2. The rates being charged or to be charged are actuarially
  429  adequate to the end of the period for which rates have been
  430  guaranteed.
  431         3. Incurred but not reported claims and claims reported but
  432  not fully paid have been adequately provided for.
  433         4. The health maintenance organization has adequately
  434  provided for all obligations required by s. 641.35(3)(a).
  435         (g) A report prepared by the certified public accountant
  436  and filed with the office describing material weaknesses in the
  437  health maintenance organization’s internal control structure as
  438  noted by the certified public accountant during the audit. The
  439  report must be filed with the annual audited financial report as
  440  required in paragraph (c). The health maintenance organization
  441  shall provide a description of remedial actions taken or
  442  proposed to correct material weaknesses, if the actions are not
  443  described in the independent certified public accountant’s
  444  report.
  445         (f)(h) Such other information relating to the performance
  446  of health maintenance organizations as is required by the
  447  commission or office.
  448         (3)(a)Each Every health maintenance organization shall
  449  file quarterly, for the first three calendar quarters of each
  450  year, an unaudited financial statement of the organization as
  451  described in paragraphs (1)(a) and (b). The statement for the
  452  quarter ending March 31 shall be filed with the office on or
  453  before May 15, the statement for the quarter ending June 30
  454  shall be filed on or before August 15, and the statement for the
  455  quarter ending September 30 shall be filed on or before November
  456  15. The quarterly report must shall be verified by the notarized
  457  oath of two officers of the organization, properly notarized.
  458         (b) Each health maintenance organization shall file
  459  annually, for the preceding year ending December 31, an audited
  460  financial statement of the organization. The statement for the
  461  year ending December 31 must be filed with the office on or
  462  before the following June 1. The office may require a health
  463  maintenance organization to file an audited financial report
  464  earlier than June 1 upon notifying the organization at least 90
  465  days in advance. The audited financial statement must include a
  466  balance sheet and statement of operations for the preceding year
  467  certified by an independent certified public accountant and must
  468  be prepared in accordance with statutory accounting principles.
  469  The audited financial statement filed for the year ending
  470  December 31, 2015, is subject to commission rules applicable to
  471  insurer audits.
  472         (5) Each authorized health maintenance organization shall
  473  retain an independent certified public accountant, referred to
  474  in this section as “CPA,” who agrees by written contract with
  475  the health maintenance organization to comply with the
  476  provisions of this part.
  477         (a) The independent certified public accountant CPA shall
  478  provide to the health maintenance organization HMO audited
  479  financial statements consistent with this part.
  480         (b) Any determination by the independent certified public
  481  accountant CPA that the health maintenance organization does not
  482  meet minimum surplus requirements as set forth in this part must
  483  shall be stated by the independent certified public accountant
  484  CPA, in writing, in the audited financial statement.
  485         (c) The completed work papers and any written
  486  communications between the independent certified public
  487  accountant CPA firm and the health maintenance organization
  488  relating to the audit of the health maintenance organization
  489  shall be made available for review on a visual-inspection-only
  490  basis by the office at the offices of the health maintenance
  491  organization, at the office, or at any other reasonable place as
  492  mutually agreed between the office and the health maintenance
  493  organization. The independent certified public accountant CPA
  494  must retain for review the work papers and written
  495  communications for a period of not less than 6 years.
  496         (d) The independent certified public accountant CPA shall
  497  provide to the office a written report describing material
  498  weaknesses in the health maintenance organization’s internal
  499  control structure as noted during the audit. The report must be
  500  filed with the annual audited financial statement required under
  501  paragraph (3)(b). The health maintenance organization must
  502  provide a description of remedial actions taken or proposed to
  503  be taken to correct material weaknesses, if the actions are not
  504  described in the written report provided to the office by the
  505  independent certified public accountant.
  506         Section 9. Effective July 1, 2015, section 641.27, Florida
  507  Statutes, is amended to read:
  508         641.27 Examination by the office department.—
  509         (1) The office shall examine the affairs, transactions,
  510  accounts, business records, and assets of any health maintenance
  511  organization as often as it deems it expedient for the
  512  protection of the people of this state, but not less frequently
  513  than once every 5 years. However, except when the medical
  514  records are requested and copies furnished pursuant to s.
  515  456.057, medical records of individuals and records of
  516  physicians providing service under contract to the health
  517  maintenance organization are shall not be subject to audit,
  518  although they may be subject to subpoena by court order upon a
  519  showing of good cause. For the purpose of examinations, the
  520  office may administer oaths to and examine the officers and
  521  agents of a health maintenance organization concerning its
  522  business and affairs. The examination of each health maintenance
  523  organization by the office, including payment of examination
  524  expenses, is shall be subject to the same terms and conditions
  525  as apply to insurers under chapter 624. In no event shall
  526  expenses of all examinations exceed a maximum of $50,000 for any
  527  1-year period. Any rehabilitation, liquidation, conservation, or
  528  dissolution of a health maintenance organization shall be
  529  conducted under the supervision of the department, which shall
  530  have all power with respect thereto granted to it under the laws
  531  governing the rehabilitation, liquidation, reorganization,
  532  conservation, or dissolution of life insurance companies.
  533         (2) The office may contract, at reasonable fees for work
  534  performed, with qualified, impartial outside sources to perform
  535  audits or examinations or portions thereof pertaining to the
  536  qualification of an entity for issuance of a certificate of
  537  authority or to determine continued compliance with the
  538  requirements of this part, in which case the payment must be
  539  made directly to the contracted examiner by the health
  540  maintenance organization examined, in accordance with the rates
  541  and terms agreed to by the office and the examiner. Any
  542  contracted assistance shall be under the direct supervision of
  543  the office. The results of any contracted assistance are shall
  544  be subject to the review of, and approval, disapproval, or
  545  modification by, the office.
  546         Section 10. Paragraph (j) is added to subsection (2) of
  547  section 641.35, Florida Statutes, to read:
  548         641.35 Assets, liabilities, and investments.—
  549         (2) ASSETS NOT ALLOWED.—In addition to assets impliedly
  550  excluded by the provisions of subsection (1), the following
  551  assets are expressly shall not be allowed as assets in any
  552  determination of the financial condition of a health maintenance
  553  organization:
  554         (j) Beginning on or after January 1, 2016, any receivables
  555  from a management services organization pursuant to contract
  556  with the health maintenance organization.
  557         Section 11. Section 641.365, Florida Statutes, is repealed.
  558         Section 12. Paragraph (b) of subsection (2) of section
  559  817.234, Florida Statutes, is amended to read:
  560         817.234 False and fraudulent insurance claims.—
  561         (2)
  562         (b) In addition to any other provision of law, systematic
  563  upcoding by a provider, as defined in s. 641.19(14), with the
  564  intent to obtain reimbursement otherwise not due from an insurer
  565  is punishable as provided in s. 641.52(5).
  566         Section 13. Subsection (1) of section 817.50, Florida
  567  Statutes, is amended to read:
  568         817.50 Fraudulently obtaining goods, services, etc., from a
  569  health care provider.—
  570         (1) Whoever shall, willfully and with intent to defraud,
  571  obtain or attempt to obtain goods, products, merchandise, or
  572  services from any health care provider in this state, as defined
  573  in s. 641.19(14), commits a misdemeanor of the second degree,
  574  punishable as provided in s. 775.082 or s. 775.083.
  575         Section 14. The Division of Law Revision and Information is
  576  directed to replace the phrase “the effective date of this act
  577  where it occurs in this act with the date the act becomes a law.
  578         Section 15. Except as otherwise provided, this act shall
  579  take effect upon becoming a law.