HOUSE AMENDMENT Bill No. HB 723 CS
1	CHAMBER ACTION
2	Senate House
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12	Representative Farkas offered the following:
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14	Amendment (with title amendment)
15	Between lines 76 and 77, insert:
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17	Section 1. Subsection (7) is added to section 395.301,
18	Florida Statutes, to read:
19	395.301 Itemized patient bill; form and content prescribed
20	by the agency.--
21	(7)(a) Each licensed facility not operated by the state
22	shall make available to the public on its Internet website or by
23	other electronic means a list of charges and codes and a
24	description of services of the top 100 diagnosis-related groups
25	discharged from the hospital for that year using the CMS grouper
26	applicable to that year and the top 100 outpatient occasions of
27	diagnostic and therapeutic procedures performed using the
28	Healthcare Common Procedure Coding System. For purposes of this
29	paragraph, the term "CMS grouper" means a system of
30	classification used by the Centers for Medicare and Medicaid
31	Services to assign an inpatient discharge into a diagnosis-
32	related group based on diagnosis codes, procedure codes, and
33	demographic information. The facility shall place a notice in
34	the reception areas that such information is available
35	electronically. The facility's list of charges and codes and the
36	description of services shall be consistent with federal
37	electronic transmission uniform standards under the Health
38	Insurance Portability and Accountability Act (HIPAA). Changes to
39	the data shall be posted and updated electronically at least 30
40	days prior to implementation.
41	(b) A health care facility shall, upon request, furnish a
42	patient, prior to provision of medical services, a reasonable
43	estimate of charges for such services. Such estimate shall not
44	preclude the health care provider or health care facility from
45	exceeding the estimate or making additional charges based on
46	changes in the patient’s condition or treatment needs.
47	(c) A licensed facility not operated by the state shall
48	make available to a patient, or a payor acting on behalf of the
49	patient, the records that are necessary to verify the accuracy
50	of the patient’s bill or payor’s claim related to such patient’s
51	bill within a reasonable time after a request. The verification
52	information must be made available in the facility’s offices.
53	Such records shall be available to the patient or payor prior to
54	and after payment of the bill or claim. The facility may not
55	charge the patient or payor for making such verification records
56	available, except the facility may charge its usual charge for
57	providing copies of records as specified in s. 395.3025.
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60	================= T I T L E A M E N D M E N T =================
61	Remove line 11, and insert:
62	An act relating to health insurance; amending s. 395.301,
63	F.S.; requiring certain licensed facilities to make certain
64	information public electronically; requiring notice;
65	providing requirements; requiring health care providers and
66	facilities to provide prospective patients with reasonable
67	estimates of prospective charges; requiring certain
68	licensed facilities to make available to payors certain
69	records; providing that the facility may not charge for
70	making records available but may charge a specified amount
71	for providing copies; amending s. 408.090,