| 1 | A bill to be entitled |
| 2 | An act relating to Lake County; amending chapter 93-346, |
| 3 | Laws of Florida; providing for liens in favor of |
| 4 | physicians licensed under chapter 458 or chapter 459, |
| 5 | Florida Statutes, in Lake County upon causes of action, |
| 6 | suits, claims, counterclaims, and demands accruing to |
| 7 | patients who received physician services in Lake County |
| 8 | hospitals, or the patients? legal representatives, and |
| 9 | upon judgments, settlements, and settlement agreements, on |
| 10 | account of illness or injury of such patients, for all |
| 11 | reasonable charges incurred before filing the claim of |
| 12 | lien for physician services rendered in the hospital; |
| 13 | providing for a method of perfecting and enforcing such |
| 14 | liens; providing duties of the Clerk of the Circuit Court |
| 15 | of Lake County; requiring claims for liens to be recorded |
| 16 | and providing for recording fees; providing for validity |
| 17 | of a release or satisfaction of an action, suit, claim, |
| 18 | counterclaim, demand, judgment, settlement, or settlement |
| 19 | agreement against a lien under certain circumstances; |
| 20 | specifying actions constituting impairment of a lien; |
| 21 | entitling lienholders to actions for damages for such |
| 22 | impairment; specifying actions in satisfaction of a lien; |
| 23 | providing for recovery of attorney?s fees and expenses |
| 24 | under certain circumstances; prohibiting recovery of |
| 25 | damages for physician and hospital care, treatment, and |
| 26 | maintenance unless a claimant has paid certain costs; |
| 27 | providing an exception; providing for intervention by a |
| 28 | lienholder and for verdict and judgment in favor of a |
| 29 | lienholder in certain cases; providing an exemption for |
| 30 | matters within the purview of the Worker?s Compensation |
| 31 | Law of this state; providing an effective date. |
| 32 |
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| 33 | Be It Enacted by the Legislature of the State of Florida: |
| 34 |
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| 35 | Section 1. Chapter 93-346, Laws of Florida, is amended to |
| 36 | read: |
| 37 | Section 1. Each Every individual, partnership, firm, |
| 38 | association, corporation, institution, and governmental unit, |
| 39 | and every combination of any of the foregoing, operating a |
| 40 | hospital licensed under chapter 395, Florida Statutes, in Lake |
| 41 | County, and each physician licensed to practice medicine |
| 42 | pursuant to chapter 458 or chapter 459, Florida Statutes, or any |
| 43 | governmental agency paying for hospital charges or medical |
| 44 | treatment of individuals in Lake County shall have be entitled |
| 45 | to a lien subject to the limitations of this act for all |
| 46 | reasonable charges for such hospital and physician care, |
| 47 | treatment, and maintenance rendered in that hospital, prior to |
| 48 | filing the claim of lien, to of all ill or injured persons upon |
| 49 | any and all causes of action, suits, claims, counterclaims, and |
| 50 | demands, accruing to the persons to whom such care, treatment, |
| 51 | or maintenance is are furnished, or accruing to the legal |
| 52 | representative of such persons, and upon all judgments, |
| 53 | settlements, and settlement agreements rendered or entered into |
| 54 | by virtue thereof, on account of illness or injury giving rise |
| 55 | to such causes of action actions, suits, claims, counterclaims, |
| 56 | demands, judgments, settlement, or settlement agreements |
| 57 | agreement, which necessitated or shall have necessitated such |
| 58 | hospital and physician care, treatment, and maintenance. The |
| 59 | above-referenced lien shall be limited to the lesser of the |
| 60 | following: reasonable charges for care and treatment or two- |
| 61 | thirds of the net amount of settlement or judgment after |
| 62 | deducting the reasonable cost of procuring the settlement or |
| 63 | judgment. Reasonable costs of procuring the settlement or |
| 64 | judgment include reasonable attorney?s fees. |
| 65 | Section 2. In order to perfect such a lien, the physician |
| 66 | or the executive officer or duly appointed agent of a hospital |
| 67 | or responsible governmental officer shall, before or within 180 |
| 68 | days after any such person shall have been discharged from the |
| 69 | hospital, file in the office of the Clerk of the Circuit Court |
| 70 | in Lake County the county in which the hospital is located, a |
| 71 | verified claim in writing setting forth the name and address of |
| 72 | the patient as they appear it appears on the records of the |
| 73 | hospital or physician, the name and location of the hospital or |
| 74 | physician, the name and address of the executive officer or |
| 75 | agent of the hospital or physician, the dates of admission of |
| 76 | the patient to and discharge from the hospital of the patient |
| 77 | therefrom, the amount claimed to be due for the hospital or |
| 78 | physician care, treatment, and maintenance rendered in the |
| 79 | hospital before the claim of lien was filed, and, to the best |
| 80 | knowledge of the person signing the such claim, the names and |
| 81 | addresses of all persons, firms, or corporations claimed by such |
| 82 | ill or injured person or by the legal representative of such |
| 83 | person, to be liable on account of such illness or injury. The |
| 84 | hospital shall file the verified claim of lien only as to |
| 85 | hospital services rendered by or on behalf of the hospital |
| 86 | before filing the claim of lien, and the physician shall file |
| 87 | the verified claim of lien only as to physician services |
| 88 | rendered by or on behalf of the physician services rendered in |
| 89 | the hospital before filing the claim of lien. The lienholder |
| 90 | injuries; the claimant shall also, within 7 business days after |
| 91 | the filing of such claim of or lien, mail a copy thereof via |
| 92 | registered mail, postage prepaid, to each person, firm, or |
| 93 | corporation claimed to be liable on account of such illness or |
| 94 | injuries, at the address set forth in the verified claim. The |
| 95 | filing of the claim shall be notice thereof to all persons, |
| 96 | firms, or corporations who may be liable on account of such |
| 97 | illness or injury, whether or not they are named in the claim of |
| 98 | or lien, and whether or not they have received a copy of the |
| 99 | claim shall have been received by them. |
| 100 | Section 3. The Clerk of the Circuit Court of Lake County |
| 101 | shall endorse on the claim the date and hour of filing and shall |
| 102 | record the claim in the official records of Lake County. The |
| 103 | Clerk of the Circuit Court of Lake County His office shall be |
| 104 | paid by the lienholder claimant, for the filing and recording of |
| 105 | each claim, the same fee as provided for filing and recording |
| 106 | other instruments under the recording laws. |
| 107 | Section 4. A No release or satisfaction of any action, |
| 108 | suit, claim, counterclaim, demand, judgment, settlement, or |
| 109 | settlement agreement is invalid and ineffectual or of any of |
| 110 | them, shall be valid or effectual against such lien unless the |
| 111 | lienholder joins shall join therein or executes execute a |
| 112 | release of the lien. Any acceptance of a release or satisfaction |
| 113 | of any cause of action, suit, claim, counterclaim, demand, or |
| 114 | judgment and any settlement of any of the foregoing in the |
| 115 | absence of a release or satisfaction of lien referred to in this |
| 116 | act constitutes shall prima facie evidence of constitute an |
| 117 | impairment of the lien, and the lienholder is shall be entitled |
| 118 | to an action at law for damages on account of such impairment, |
| 119 | and, in such action, may recover from the one accepting the |
| 120 | release or satisfaction or making the settlement the reasonable |
| 121 | costs cost of the hospital care, treatment, and maintenance. |
| 122 | Satisfaction of any judgment rendered in favor of the lienholder |
| 123 | in any such action operates shall operate as a satisfaction of |
| 124 | the lien. Any action by the lienholder must shall be brought in |
| 125 | the court having jurisdiction in the amount of the lienholder?s |
| 126 | claims claim and may be brought and maintained in Lake County |
| 127 | the county in which the lienholder has his, or its, or their |
| 128 | residence or place of business. If the lienholder prevails shall |
| 129 | prevail in such action, the lienholder is shall be entitled to |
| 130 | recover from the defendant, in addition to costs otherwise |
| 131 | allowed by law, all reasonable attorney?s fees and expenses |
| 132 | incident to the matter. |
| 133 | Section 5. Notwithstanding the lien created by this act, |
| 134 | the amount recovered in a judgment, award, or settlement subject |
| 135 | to this act must be distributed and the lien extinguished as |
| 136 | follows: |
| 137 | (1) After attorney?s fees and taxable costs as defined by |
| 138 | the Florida Rules of Civil Procedure have been paid, up to 60 |
| 139 | percent of the remaining amount recovered must be distributed to |
| 140 | the lienholders pro rata up to the total amount of reasonable |
| 141 | charges for medical services provided in the hospital by the |
| 142 | lienholders. |
| 143 | (2) At least 40 percent of the remaining amount recovered |
| 144 | must be paid to the patient. |
| 145 |
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| 146 | Upon such distribution, the lienholder shall promptly file in |
| 147 | the office of the Clerk of the Circuit Court in Lake County a |
| 148 | satisfaction of the lien and shall cause it to be recorded in |
| 149 | the official records of Lake County. |
| 150 | Section 6. For purposes of this act, the reasonable |
| 151 | charges due and owing to the lienholder must be determined by |
| 152 | reducing the patient?s reasonable charges by the amount of any |
| 153 | health insurance payment or obligation or any other |
| 154 | reimbursement paid or owed to the lienholder on behalf of the |
| 155 | patient by any health care policy, plan, or program. The lien |
| 156 | may not exceed the amount that the lienholder would be legally |
| 157 | entitled to recover directly from the patient after all payments |
| 158 | on behalf of the patient have been made by health care policies, |
| 159 | plans, or programs to which the patient is legally entitled. If |
| 160 | the lienholder?s charges are reduced by any third-party payor as |
| 161 | a result of any agreement or contract between the lienholder and |
| 162 | the third-party payor, or as a result of state or federal law, |
| 163 | the patient is entitled to a similar reduction in any copayment |
| 164 | charges billed to the patient. |
| 165 | Section 7.5. A No person is not shall be entitled to |
| 166 | recover or receive damages on account of hospital care, |
| 167 | treatment, and maintenance provided by any individual, |
| 168 | partnership, firm, association, corporation, institution, or |
| 169 | governmental unit or any combination of any of the foregoing, |
| 170 | operating a hospital or provided by any physician subject to |
| 171 | this act in Lake County unless the person he shall affirmatively |
| 172 | shows show that he or she has paid the costs thereof. However, |
| 173 | in any action, suit, or counterclaim brought on account of |
| 174 | illness or injury, the plaintiff or counterclaimant may include |
| 175 | as an item of damages the cost of such hospital care, treatment, |
| 176 | and maintenance, if, before prior to the trial of the action, |
| 177 | the plaintiff or counterclaimant notifies he shall have notified |
| 178 | the lienholder referred to in this act of the pendency of the |
| 179 | such action or counterclaim,; whereupon such lienholder has |
| 180 | shall have the right, without leave of court, to intervene in |
| 181 | the case and prove the reasonable costs cost of such hospital |
| 182 | care, treatment, and maintenance. Any verdict that is may be |
| 183 | rendered in favor of the plaintiff or counterclaimant must shall |
| 184 | set forth the amount the jury finds to be due to the lienholder |
| 185 | for the such hospital care, treatment, and maintenance, and the |
| 186 | name of the such lienholder. Any judgment rendered in the case |
| 187 | in favor of the plaintiff or counterclaimant must shall also be |
| 188 | in favor of the lienholder in the amount set forth by the jury?s |
| 189 | verdict. |
| 190 | Section 8.6. This act is inapplicable to incidents The |
| 191 | provisions of this act shall not be applicable to the accidents |
| 192 | or injuries within the purview of the Worker?s Compensation Law |
| 193 | of this state within the State of Florida. |
| 194 | Section 9.7. If any section, paragraph, sentence, clause, |
| 195 | phrase, or other part of this act should be declared |
| 196 | unconstitutional, or if this act should be declared inapplicable |
| 197 | in any case, such declaration shall not affect the remainder of |
| 198 | this act or nor the applicability thereof in any other case. |
| 199 | Section 2. This act shall take effect upon becoming a law. |