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The Florida Senate

CS/HB 7 — Direct Health Care Agreements

by Health Market Reform Subcommittee and Rep. Duggan and others (CS/SB 1520 by Banking and Insurance Committee and Senator Bean)

This summary is provided for information only and does not represent the opinion of any Senator, Senate Officer, or Senate Office.

Prepared by: Banking and Insurance Committee (BI)

The bill expands the scope of the current exemption from the Florida Insurance Code for direct primary care agreements to apply to all direct health care agreements. Direct primary care agreements are a type of direct contracting that eliminates third party payers from the provider-patient relationship. Under current law, a direct primary care agreement is not insurance and is not subject to regulation under the Florida Insurance Code if certain conditions are met. The bill expands the current law relating to direct primary care agreements to apply to other health care providers, including dentists, thus removing regulatory uncertainty whether such providers could use a direct contracting model.

If approved by the Governor, these provisions take effect July 1, 2019.

Vote: Senate 40-0; House 90-24