Senate Bill sb1958

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2004                                  SB 1958

    By Senator Peaden





    2-1517-04                                           See HB 715

  1                      A bill to be entitled

  2         An act relating to self-pay patients; amending

  3         s. 395.301, F.S.; requiring hospitals to

  4         develop and make available a payment allowance

  5         program for certain patients; providing program

  6         guidelines and requirements; providing

  7         exclusions; providing a definition of patients

  8         qualified for such program; providing

  9         exceptions; prohibiting hospitals from pursuing

10         certain civil remedies against such patients;

11         providing an effective date.

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13  Be It Enacted by the Legislature of the State of Florida:

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15         Section 1.  Subsection (7) is added to section 395.301,

16  Florida Statutes, to read:

17         395.301  Itemized patient bill; form and content

18  prescribed by the agency.--

19         (7)(a)  Each hospital shall develop and make available

20  a program of payment allowances for qualified self-pay

21  patients who are treated in the emergency room, admitted

22  through the emergency room, or present for labor and delivery,

23  with household incomes up to at least 300 percent of the

24  federal poverty guidelines. All patients shall continue to be

25  charged the same rate, but qualified self-pay patients shall

26  be eligible for discounts based on family income. The discount

27  program shall not apply to patients who are eligible for

28  Medicaid or Medicare or are enrolled in health maintenance

29  organizations, preferred provider organizations, medical

30  savings accounts, health savings accounts, health insurance

31  plans including limited benefit or catastrophic, or any other

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CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2004                                  SB 1958
    2-1517-04                                           See HB 715




 1  indemnity plans. The policy must include a minimum discount of

 2  30 percent and a description of the methodologies developed by

 3  the hospital for the following:

 4         1.  Identifying patients who may be eligible for a

 5  payment allowance, notifying them of the availability of the

 6  program, and providing appropriate information, including

 7  application forms, for a payment allowance.

 8         2.  Identifying public or private insurance or other

 9  payment mechanisms for which the patient might be eligible.

10         3.  Determining the payment allowance or credit.

11         4.  Notifying patients of their qualification either

12  for a public source of payment or a discount pursuant to this

13  program.

14         5.  Developing payment plans and procedures preceding

15  assignment of a patient's account to a third party or

16  reporting nonpayment to a patient's consumer credit agency.

17  For purposes of this program, these patients are considered as

18  "qualified self-pays."

19         (b)  The term "qualified self-pay patient" means any

20  individual with no public or private source of payment for

21  medical services who would otherwise be expected to pay the

22  hospital's billed charges. The term does not include:

23         1.  Patients presenting for services which are not

24  covered by Medicare, Medicaid, or workers' compensation in

25  this state or elective, nonmedically necessary services.

26         2.  Patients who fail to provide income and asset

27  information to determine if the patient is eligible for public

28  or private coverage or for a discount under this program.

29         3.  Patients who have been covered by public or private

30  insurance programs at any time during the last 6 months.

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CODING: Words stricken are deletions; words underlined are additions.






    Florida Senate - 2004                                  SB 1958
    2-1517-04                                           See HB 715




 1         4.  Patients with discretionary assets in excess of 50

 2  percent of the billed charges, with discretionary assets

 3  defined as the fair market value of savings, investment, and

 4  nonhomestead property.

 5         (c)  No hospital shall foreclose on homestead property

 6  that is owned by a qualified self-pay patient. No hospital

 7  shall seek a court order to issue a writ of bodily attachment

 8  to enforce payment of hospital bills for medical services

 9  provided to qualified self-pay patients.

10         Section 2.  This act shall take effect upon becoming a

11  law.

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CODING: Words stricken are deletions; words underlined are additions.