HB 0967CS

CHAMBER ACTION




1The Insurance Committee recommends the following:
2
3     Council/Committee Substitute
4     Remove the entire bill and insert:
5
A bill to be entitled
6An act relating to offenses involving insurance; amending
7s. 400.9935, F.S.; requiring health care clinics to
8display signs displaying certain information relating to
9insurance fraud; authorizing compliance inspections by the
10Division of Insurance Fraud; requiring clinics to allow
11inspection access; amending s. 440.105, F.S.; providing
12criminal penalties for employers who fail to provide
13required workers' compensation coverage for employees
14under certain circumstances; amending s. 624.15, F.S.;
15specifying violations of department rule as misdemeanors;
16specifying a violation of department emergency rules or
17orders as a felony of the third degree; providing
18penalties; amending s. 624.155, F.S.; providing that civil
19actions may be brought against any person acting as an
20insurer without a certificate of authority if damaged by
21such acting; amending s. 626.112, F.S.; providing a
22criminal penalty for transacting insurance without a
23license; amending s. 626.901, F.S.; clarifying
24nonapplication to certain independently procured coverage
25of a prohibition against representing or aiding an
26unauthorized insurer; amending s. 626.918, F.S.; providing
27that certain letters of credit issued or confirmed by a
28qualified United States financial institution may be used
29for certain purposes; providing a definition; amending s.
30626.938, F.S.; revising provisions requiring a report and
31taxation of independently procured coverages; specifying
32nonauthorization of independent procurement of workers'
33compensation, life, or health insurance; amending s.
34626.989, F.S.; including self-insured entities associated
35with the National Insurance Crime Bureau within a list of
36entities required to report insurance fraud; authorizing
37the division to adopt rules for standardized reporting of
38fraudulent activity; amending s. 817.234, F.S.; clarifying
39provisions specifying material omission and insurance
40fraud; prohibiting scheming to create documentation of a
41motor vehicle crash that did not occur; providing a
42criminal penalty; amending s. 817.2361, F.S.; providing
43that creating, presenting, or marketing fraudulent proof
44of motor vehicle insurance is a felony of the third
45degree; amending s. 817.50, F.S.; specifying
46nonapplication of provisions specifying evidence of intent
47to defraud to certain investigative actions taken by law
48enforcement officers; amending s. 817.505, F.S.; providing
49an additional patient brokering prohibition; revising a
50definition; amending s. 843.08, F.S.; providing a criminal
51penalty for falsely assuming or pretending to be an
52officer of the Department of Financial Services; providing
53severability; providing an effective date.
54
55Be It Enacted by the Legislature of the State of Florida:
56
57     Section 1.  Subsection (13) is added to section 400.9935,
58Florida Statutes, to read:
59     400.9935  Clinic responsibilities.--
60     (13)  The clinic shall display a sign in a conspicuous
61location within the clinic readily visible to all patients
62indicating that pursuant to s. 626.9892, the Department of
63Financial Services may pay rewards of up to $25,000 to persons
64providing information leading to the arrest and conviction of
65persons committing crimes investigated by the Division of
66Insurance Fraud arising from violations of s. 440.105, s.
67624.15, s. 626.9541, s. 626.989, or s. 817.234. An authorized
68employee of the Division of Insurance Fraud may make unannounced
69inspections of clinics licensed pursuant to this part as
70necessary to determine that the clinic is in compliance with
71this subsection. A licensed clinic shall allow full and complete
72access to the premises to such authorized employee of the
73division who makes an inspection to determine compliance with
74this subsection.
75     Section 2.  Subsection (4) of section 440.105, Florida
76Statutes, is amended to read:
77     440.105  Prohibited activities; reports; penalties;
78limitations.--
79     (4)  Unless otherwise specifically provided, whoever
80violates any provision of this subsection commits insurance
81fraud, punishable as provided in paragraph (f).
82     (a)  It shall be unlawful for any employer to knowingly:
83     1.  Present or cause to be presented any false, fraudulent,
84or misleading oral or written statement to any person as
85evidence of compliance with s. 440.38.
86     2.  Make a deduction from the pay of any employee entitled
87to the benefits of this chapter for the purpose of requiring the
88employee to pay any portion of premium paid by the employer to a
89carrier or to contribute to a benefit fund or department
90maintained by such employer for the purpose of providing
91compensation or medical services and supplies as required by
92this chapter.
93     3.  Fail to secure workers' payment of compensation
94coverage if required to do so by this chapter.
95     a.  However, if an employer knowingly fails to secure
96workers' compensation coverage for an employee as required by
97this chapter, and such employee subsequently suffers a work-
98related injury requiring hospitalization, the employer commits a
99felony of the second degree, punishable as provided in s.
100775.082, s. 775.083, or s. 775.084.
101     b.  However, if an employer knowingly fails to secure
102workers' compensation coverage for an employee as required by
103this chapter, and such employee subsequently suffers a work
104related death, the employer commits a felony of the first
105degree, punishable as provided in s. 775.082, s. 775.083, or s.
106775.084.
107     (b)  It shall be unlawful for any person:
108     1.  To knowingly make, or cause to be made, any false,
109fraudulent, or misleading oral or written statement for the
110purpose of obtaining or denying any benefit or payment under
111this chapter.
112     2.  To present or cause to be presented any written or oral
113statement as part of, or in support of, a claim for payment or
114other benefit pursuant to any provision of this chapter, knowing
115that such statement contains any false, incomplete, or
116misleading information concerning any fact or thing material to
117such claim.
118     3.  To prepare or cause to be prepared any written or oral
119statement that is intended to be presented to any employer,
120insurance company, or self-insured program in connection with,
121or in support of, any claim for payment or other benefit
122pursuant to any provision of this chapter, knowing that such
123statement contains any false, incomplete, or misleading
124information concerning any fact or thing material to such claim.
125     4.  To knowingly assist, conspire with, or urge any person
126to engage in activity prohibited by this section.
127     5.  To knowingly make any false, fraudulent, or misleading
128oral or written statement, or to knowingly omit or conceal
129material information, required by s. 440.185 or s. 440.381, for
130the purpose of obtaining workers' compensation coverage or for
131the purpose of avoiding, delaying, or diminishing the amount of
132payment of any workers' compensation premiums.
133     6.  To knowingly misrepresent or conceal payroll,
134classification of workers, or information regarding an
135employer's loss history which would be material to the
136computation and application of an experience rating modification
137factor for the purpose of avoiding or diminishing the amount of
138payment of any workers' compensation premiums.
139     7.  To knowingly present or cause to be presented any
140false, fraudulent, or misleading oral or written statement to
141any person as evidence of compliance with s. 440.38, as evidence
142of eligibility for a certificate of exemption under s. 440.05.
143     8.  To knowingly violate a stop-work order issued by the
144department pursuant to s. 440.107.
145     9.  To knowingly present or cause to be presented any
146false, fraudulent, or misleading oral or written statement to
147any person as evidence of identity for the purpose of obtaining
148employment or filing or supporting a claim for workers'
149compensation benefits.
150     (c)  It shall be unlawful for any physician licensed under
151chapter 458, osteopathic physician licensed under chapter 459,
152chiropractic physician licensed under chapter 460, podiatric
153physician licensed under chapter 461, optometric physician
154licensed under chapter 463, or any other practitioner licensed
155under the laws of this state to knowingly and willfully assist,
156conspire with, or urge any person to fraudulently violate any of
157the provisions of this chapter.
158     (d)  It shall be unlawful for any person or governmental
159entity licensed under chapter 395 to maintain or operate a
160hospital in such a manner so that such person or governmental
161entity knowingly and willfully allows the use of the facilities
162of such hospital by any person, in a scheme or conspiracy to
163fraudulently violate any of the provisions of this chapter.
164     (e)  It shall be unlawful for any attorney or other person,
165in his or her individual capacity or in his or her capacity as a
166public or private employee, or any firm, corporation,
167partnership, or association, to knowingly assist, conspire with,
168or urge any person to fraudulently violate any of the provisions
169of this chapter.
170     (f)  If the monetary value of any violation of this
171subsection:
172     1.  Is less than $20,000, the offender commits a felony of
173the third degree, punishable as provided in s. 775.082, s.
174775.083, or s. 775.084.
175     2.  Is $20,000 or more, but less than $100,000, the
176offender commits a felony of the second degree, punishable as
177provided in s. 775.082, s. 775.083, or s. 775.084.
178     3.  Is $100,000 or more, the offender commits a felony of
179the first degree, punishable as provided in s. 775.082, s.
180775.083, or s. 775.084.
181     Section 3.  Section 624.15, Florida Statutes, is amended to
182read:
183     624.15  General penalty.--
184     (1)  Each willful violation of this code or department rule
185as to which a greater penalty is not provided by another
186provision of this code, department rule, or by other applicable
187laws of this state is a misdemeanor of the second degree and is,
188in addition to any prescribed applicable denial, suspension, or
189revocation of certificate of authority, license, or permit,
190punishable as provided in s. 775.082 or s. 775.083. Each
191instance of such violation shall be considered a separate
192offense.
193     (2)  Each willful violation of an emergency rule or order
194adopted or issued by the department is a felony of the third
195degree and, in addition to any prescribed applicable denial,
196suspension, or revocation of a certificate of authority,
197license, or permit, is punishable as provided in s. 775.082, s.
198775.083, or s. 775.084. Each instance of such violation shall be
199considered a separate offense.
200     Section 4.  Subsection (2) of section 624.155, Florida
201Statutes, is amended to read:
202     624.155  Civil remedy.--
203     (2)  Any party may bring a civil action against any person
204acting as an unauthorized insurer without a certificate of
205authority if such party is damaged by a violation of s. 624.401
206by that person the unauthorized insurer.
207     Section 5.  Subsection (9) is added to section 626.112,
208Florida Statutes, to read:
209     626.112  License and appointment required; agents, customer
210representatives, adjusters, insurance agencies, service
211representatives, managing general agents.--
212     (9)  Any person who transacts insurance or otherwise
213engages in insurance activities in this state without a license
214in violation of this section commits a felony of the third
215degree, punishable as provided in s. 775.082, s. 775.083, or s.
216775.084.
217     Section 6.  Paragraph (d) of subsection (4) of section
218626.901, Florida Statutes, is amended to read:
219     626.901  Representing or aiding unauthorized insurer
220prohibited.--
221     (4)  This section does not apply to:
222     (d)  Independently procured coverage written pursuant to s.
223626.938, which is not solicited, marketed, negotiated, or sold
224within this state.
225     Section 7.  Section 626.918, Florida Statutes, is amended
226to read:
227     626.918  Eligible surplus lines insurers.--
228     (1)  A No surplus lines agent may not shall place any
229coverage with any unauthorized insurer which is not then an
230eligible surplus lines insurer, except as permitted under
231subsections (6)(5) and (7)(6).
232     (2)  An No unauthorized insurer may not shall be or become
233an eligible surplus lines insurer unless made eligible by the
234office in accordance with the following conditions:
235     (a)  Eligibility of the insurer must be requested in
236writing by the Florida Surplus Lines Service Office;
237     (b)  The insurer must be currently an authorized insurer in
238the state or country of its domicile as to the kind or kinds of
239insurance proposed to be so placed and must have been such an
240insurer for not less than the 3 years next preceding or must be
241the wholly owned subsidiary of such authorized insurer or must
242be the wholly owned subsidiary of an already eligible surplus
243lines insurer as to the kind or kinds of insurance proposed for
244a period of not less than the 3 years next preceding. However,
245the office may waive the 3-year requirement if the insurer
246provides a product or service not readily available to the
247consumers of this state or has operated successfully for a
248period of at least 1 year next preceding and has capital and
249surplus of not less than $25 million;
250     (c)  Before granting eligibility, the requesting surplus
251lines agent or the insurer shall furnish the office with a duly
252authenticated copy of its current annual financial statement in
253the English language and with all monetary values therein
254expressed in United States dollars, at an exchange rate (in the
255case of statements originally made in the currencies of other
256countries) then-current and shown in the statement, and with
257such additional information relative to the insurer as the
258office may request;
259     (d)1.  The insurer must have and maintain surplus as to
260policyholders of not less than $15 million; in addition, an
261alien insurer must also have and maintain in the United States a
262trust fund for the protection of all its policyholders in the
263United States under terms deemed by the office to be reasonably
264adequate, in an amount not less than $5.4 million. Any such
265surplus as to policyholders or trust fund shall be represented
266by investments consisting of eligible investments for like funds
267of like domestic insurers under part II of chapter 625 provided,
268however, that in the case of an alien insurance company, any
269such surplus as to policyholders may be represented by
270investments permitted by the domestic regulator of such alien
271insurance company if such investments are substantially similar
272in terms of quality, liquidity, and security to eligible
273investments for like funds of like domestic insurers under part
274II of chapter 625. Clean, irrevocable, unconditional, and
275evergreen letters of credit issued or confirmed by a qualified
276United States financial institution, as defined in subsection
277(3), may be used to fund the trust;
278     2.  For those surplus lines insurers that were eligible on
279January 1, 1994, and that maintained their eligibility
280thereafter, the required surplus as to policyholders shall be:
281     a.  On December 31, 1994, and until December 30, 1995, $2.5
282million.
283     b.  On December 31, 1995, and until December 30, 1996, $3.5
284million.
285     c.  On December 31, 1996, and until December 30, 1997, $4.5
286million.
287     d.  On December 31, 1997, and until December 30, 1998, $5.5
288million.
289     e.  On December 31, 1998, and until December 30, 1999, $6.5
290million.
291     f.  On December 31, 1999, and until December 30, 2000, $8
292million.
293     g.  On December 31, 2000, and until December 30, 2001, $9.5
294million.
295     h.  On December 31, 2001, and until December 30, 2002, $11
296million.
297     i.  On December 31, 2002, and until December 30, 2003, $13
298million.
299     j.  On December 31, 2003, and thereafter, $15 million.
300     3.  The capital and surplus requirements as set forth in
301subparagraph 2. do not apply in the case of an insurance
302exchange created by the laws of individual states, where the
303exchange maintains capital and surplus pursuant to the
304requirements of that state, or maintains capital and surplus in
305an amount not less than $50 million in the aggregate. For an
306insurance exchange which maintains funds in the amount of at
307least $12 million for the protection of all insurance exchange
308policyholders, each individual syndicate shall maintain minimum
309capital and surplus in an amount not less than $3 million. If
310the insurance exchange does not maintain funds in the amount of
311at least $12 million for the protection of all insurance
312exchange policyholders, each individual syndicate shall meet the
313minimum capital and surplus requirements set forth in
314subparagraph 2.;
315     4.  A surplus lines insurer which is a member of an
316insurance holding company that includes a member which is a
317Florida domestic insurer as set forth in its holding company
318registration statement, as set forth in s. 628.801 and rules
319adopted thereunder, may elect to maintain surplus as to
320policyholders in an amount equal to the requirements of s.
321624.408, subject to the requirement that the surplus lines
322insurer shall at all times be in compliance with the
323requirements of chapter 625.
324
325The election shall be submitted to the office and shall be
326effective upon the office's being satisfied that the
327requirements of subparagraph 4. have been met. The initial date
328of election shall be the date of office approval. The election
329approval application shall be on a form adopted by commission
330rule. The office may approve an election form submitted pursuant
331to subparagraph 4. only if it was on file with the former
332Department of Insurance before February 28, 1998;
333     (e)  The insurer must be of good reputation as to the
334providing of service to its policyholders and the payment of
335losses and claims;
336     (f)  The insurer must be eligible, as for authority to
337transact insurance in this state, under s. 624.404(3); and
338     (g)  This subsection does not apply as to unauthorized
339insurers made eligible under s. 626.917 as to wet marine and
340aviation risks.
341     (3)  For purposes of subsection (2) relating to letters of
342credit, the term "qualified United States financial institution"
343means an institution that:
344     (a)  Is organized or, in the case of a United States office
345of a foreign banking organization, is licensed under the laws of
346the United States or any state thereof.
347     (b)  Is regulated, supervised, and examined by United
348States or state authorities having regulatory authority over
349banks and trust companies.
350     (c)  Has been determined by the office or the Securities
351Valuation Office of the National Association of Insurance
352Commissioners to meet such standards of financial condition and
353standing as are considered necessary and appropriate to regulate
354the quality of financial institutions whose letters of credit
355are acceptable to the office.
356     (4)(3)  The office shall from time to time publish a list
357of all currently eligible surplus lines insurers and shall mail
358a copy thereof to each licensed surplus lines agent at his or
359her office of record with the office.
360     (5)(4)  This section shall not be deemed to cast upon the
361office any duty or responsibility to determine the actual
362financial condition or claims practices of any unauthorized
363insurer; and the status of eligibility, if granted by the
364office, shall indicate only that the insurer appears to be sound
365financially and to have satisfactory claims practices and that
366the office has no credible evidence to the contrary.
367     (6)(5)  When it appears that any particular insurance risk
368which is eligible for export, but on which insurance coverage,
369in whole or in part, is not procurable from the eligible surplus
370lines insurers, after a search of eligible surplus lines
371insurers, then the surplus lines agent may file a supplemental
372signed statement setting forth such facts and advising the
373office that such part of the risk as shall be unprocurable, as
374aforesaid, is being placed with named unauthorized insurers, in
375the amounts and percentages set forth in the statement. Such
376named unauthorized insurer shall, however, before accepting any
377risk in this state, deposit with the department cash or
378securities acceptable to the office and department of the market
379value of $50,000 for each individual risk, contract, or
380certificate, which deposit shall be held by the department for
381the benefit of Florida policyholders only; and the surplus lines
382agent shall procure from such unauthorized insurer and file with
383the office a certified copy of its statement of condition as of
384the close of the last calendar year. If such statement reveals,
385including both capital and surplus, net assets of at least that
386amount required for licensure of a domestic insurer, then the
387surplus lines agent may proceed to consummate such contract of
388insurance. Whenever any insurance risk, or any part thereof, is
389placed with an unauthorized insurer, as provided herein, the
390policy, binder, or cover note shall contain a statement signed
391by the insured and the agent with the following notation: "The
392insured is aware that certain insurers participating in this
393risk have not been approved to transact business in Florida nor
394have they been declared eligible as surplus lines insurers by
395the Office of Insurance Regulation of Florida. The placing of
396such insurance by a duly licensed surplus lines agent in Florida
397shall not be construed as approval of such insurer by the Office
398of Insurance Regulation of Florida. Consequently, the insured is
399aware that the insured has severely limited the assistance
400available under the insurance laws of Florida. The insured is
401further aware that he or she may be charged a reasonable per
402policy fee, as provided in s. 626.916(4), Florida Statutes, for
403each policy certified for export." All other provisions of this
404code shall apply to such placement the same as if such risks
405were placed with an eligible surplus lines insurer.
406     (7)(6)  When any particular insurance risk subject to
407subsection (6)(5) is eligible for placement with an unauthorized
408insurer and not more than 12.5 percent of the risk is so
409subject, the office may, at its discretion, permit the agent to
410obtain from the insured a signed statement as indicated in
411subsection (6)(5). All other provisions of this code apply to
412such placement the same as if such risks were placed with an
413eligible surplus lines insurer.
414     Section 8.  Subsections (1), (2), and (9) of section
415626.938, Florida Statutes, are amended to read:
416     626.938  Report and tax of independently procured
417coverages.--
418     (1)  Every insured who resides in this state and procures
419or causes to be procured or continues or renews insurance from
420another state or country with an unauthorized foreign or alien
421insurer legitimately licensed in that jurisdiction, or any self-
422insurer who resides in this state and so procures or continues
423excess loss, catastrophe, or other insurance, upon a subject of
424insurance resident, located, or to be performed within this
425state, other than insurance procured through a surplus lines
426agent pursuant to the Surplus Lines Law of this state or
427exempted from tax under s. 626.932(4), shall, within 30 days
428after the date such insurance was so procured, continued, or
429renewed, file a report of the same with the Florida Surplus
430Lines Service Office in writing and upon forms designated by the
431Florida Surplus Lines Service Office and furnished to such an
432insured upon request, or in a computer readable format as
433determined by the Florida Surplus Lines Service Office. The
434report shall show the name and address of the insured or
435insureds, the name and address of the insurer, the subject of
436the insurance, a general description of the coverage, the amount
437of premium currently charged therefor, and such additional
438pertinent information as is reasonably requested by the Florida
439Surplus Lines Service Office.
440     (2)  Any insurance in an unauthorized insurer legitimately
441licensed in another state or country procured through
442solicitations, negotiations, or an application, in whole or in
443part occurring or made outside within or from within this state,
444or for which premiums in whole or in part are remitted directly
445or indirectly from within this state, shall be deemed to be
446insurance procured, continued, or renewed in this state within
447the intent of subsection (1).
448     (9)  This section does not authorize independent
449procurement of workers' compensation insurance, apply as to life
450insurance, or health insurance.
451     Section 9.  Subsection (6) of section 626.989, Florida
452Statutes, is amended to read:
453     626.989  Investigation by department or Division of
454Insurance Fraud; compliance; immunity; confidential information;
455reports to division; division investigator's power of arrest.--
456     (6)  Any person, other than an insurer, agent, or other
457person licensed under the code, or an employee thereof, having
458knowledge or who believes that a fraudulent insurance act or any
459other act or practice which, upon conviction, constitutes a
460felony or a misdemeanor under the code, or under s. 817.234, is
461being or has been committed may send to the Division of
462Insurance Fraud a report or information pertinent to such
463knowledge or belief and such additional information relative
464thereto as the department may request. However, any professional
465practitioner licensed or regulated by the Department of Business
466and Professional Regulation, except as otherwise provided by
467law, any medical review committee as defined in s. 766.101, any
468private medical review committee, any self-insured entity
469contracting or associated with the National Insurance Crime
470Bureau, and any insurer, agent, or other person licensed under
471the code, or an employee thereof, having knowledge or who
472believes that a fraudulent insurance act or any other act or
473practice which, upon conviction, constitutes a felony or a
474misdemeanor under the code, or under s. 817.234, is being or has
475been committed shall send to the Division of Insurance Fraud a
476report or information pertinent to such knowledge or belief and
477such additional information relative thereto as the department
478may require. The Division of Insurance Fraud shall review such
479information or reports and select such information or reports
480as, in its judgment, may require further investigation. It shall
481then cause an independent examination of the facts surrounding
482such information or report to be made to determine the extent,
483if any, to which a fraudulent insurance act or any other act or
484practice which, upon conviction, constitutes a felony or a
485misdemeanor under the code, or under s. 817.234, is being
486committed. The Division of Insurance Fraud shall report any
487alleged violations of law which its investigations disclose to
488the appropriate licensing agency and state attorney or other
489prosecuting agency having jurisdiction with respect to any such
490violation, as provided in s. 624.310. If prosecution by the
491state attorney or other prosecuting agency having jurisdiction
492with respect to such violation is not begun within 60 days of
493the division's report, the state attorney or other prosecuting
494agency having jurisdiction with respect to such violation shall
495inform the division of the reasons for the lack of prosecution.
496The division may adopt rules which set forth requirements for
497the manner in which suspected fraudulent activity shall be
498reported to the division through the use of a standard referral
499form.
500     Section 10.  Paragraph (a) of subsection (7) and subsection
501(9) of section 817.234, Florida Statutes, are amended to read:
502     817.234  False and fraudulent insurance claims.--
503     (7)(a)  It shall constitute a material omission and
504insurance fraud, punishable as provided in subsection (11), for
505any service physician or other provider, other than a hospital,
506to engage in a general business practice of billing amounts as
507its usual and customary charge, if such provider has agreed with
508the insured patient or intends to waive deductibles or
509copayments, or does not for any other reason intend to collect
510the total amount of such charge. With respect to a determination
511as to whether a service physician or other provider has engaged
512in such general business practice, consideration shall be given
513to evidence of whether the service physician or other provider
514made a good faith attempt to collect such deductible or
515copayment. This paragraph does not apply to physicians or other
516providers who waive deductibles or copayments or reduce their
517bills as part of a bodily injury settlement or verdict.
518     (9)  A person may not organize, plan, or knowingly
519participate in an intentional motor vehicle crash or a scheme to
520create documentation of a motor vehicle crash that did not occur
521for the purpose of making motor vehicle tort claims or claims
522for personal injury protection benefits as required by s.
523627.736. Any person who violates this subsection commits a
524felony of the second degree, punishable as provided in s.
525775.082, s. 775.083, or s. 775.084. A person who is convicted of
526a violation of this subsection shall be sentenced to a minimum
527term of imprisonment of 2 years.
528     Section 11.  Section 817.2361, Florida Statutes, is amended
529to read:
530     817.2361  False or fraudulent proof of motor vehicle
531insurance card.--Any person who, with intent to deceive any
532other person, creates, markets, or presents a false or
533fraudulent proof of motor vehicle insurance card commits a
534felony of the third degree, punishable as provided in s.
535775.082, s. 775.083, or s. 775.084.
536     Section 12.  Subsection (2) of section 817.50, Florida
537Statutes, is amended to read:
538     817.50  Fraudulently obtaining goods, services, etc., from
539a health care provider.--
540     (2)  If any person gives to any health care provider in
541this state a false or fictitious name or a false or fictitious
542address or assigns to any health care provider the proceeds of
543any health maintenance contract or insurance contract, then
544knowing that such contract is no longer in force, is invalid, or
545is void for any reason, such action shall be prima facie
546evidence of the intent of such person to defraud the health care
547provider. However, this subsection does not apply to
548investigative actions taken by law enforcement officers for law
549enforcement purposes in the course of their official duties.
550     Section 13.  Subsection (1) and paragraph (a) of subsection
551(2) of section 817.505, Florida Statutes, are amended to read:
552     817.505  Patient brokering prohibited; exceptions;
553penalties.--
554     (1)  It is unlawful for any person, including any health
555care provider or health care facility, to:
556     (a)  Offer or pay any commission, bonus, rebate, kickback,
557or bribe, directly or indirectly, in cash or in kind, or engage
558in any split-fee arrangement, in any form whatsoever, to induce
559the referral of patients or patronage to or from a health care
560provider or health care facility;
561     (b)  Solicit or receive any commission, bonus, rebate,
562kickback, or bribe, directly or indirectly, in cash or in kind,
563or engage in any split-fee arrangement, in any form whatsoever,
564in return for referring patients or patronage to or from a
565health care provider or health care facility; or
566     (c)  Solicit or receive any commission, bonus, rebate,
567kickback, or bribe, directly or indirectly, in cash or in kind,
568or engage in any split-fee arrangement, in any form whatsoever,
569in return for the acceptance or acknowledgement of treatment
570from a health care provider or health care facility; or
571     (d)(c)  Aid, abet, advise, or otherwise participate in the
572conduct prohibited under paragraph (a), or paragraph (b), or
573paragraph (c).
574     (2)  For the purposes of this section, the term:
575     (a)  "Health care provider or health care facility" means
576any person or entity licensed, certified, or registered;
577required to be licensed, certified, or registered; or lawfully
578exempt from being required to be licensed, certified, or
579registered with the Agency for Health Care Administration; any
580person or entity that has contracted with the Agency for Health
581Care Administration to provide goods or services to Medicaid
582recipients as provided under s. 409.907; a county health
583department established under part I of chapter 154; any
584community service provider contracting with the Department of
585Children and Family Services to furnish alcohol, drug abuse, or
586mental health services under part IV of chapter 394; any
587substance abuse service provider licensed under chapter 397; or
588any federally supported primary care program such as a migrant
589or community health center authorized under ss. 329 and 330 of
590the United States Public Health Services Act.
591     Section 14.  Section 843.08, Florida Statutes, is amended
592to read:
593     843.08  Falsely personating officer, etc.--A person who
594falsely assumes or pretends to be a sheriff, officer of the
595Florida Highway Patrol, officer of the Fish and Wildlife
596Conservation Commission, officer of the Department of
597Environmental Protection, officer of the Department of
598Transportation, officer of the Department of Financial Services,
599officer of the Department of Corrections, correctional probation
600officer, deputy sheriff, state attorney or assistant state
601attorney, statewide prosecutor or assistant statewide
602prosecutor, state attorney investigator, coroner, police
603officer, lottery special agent or lottery investigator, beverage
604enforcement agent, or watchman, or any member of the Parole
605Commission and any administrative aide or supervisor employed by
606the commission, or any personnel or representative of the
607Department of Law Enforcement, and takes upon himself or herself
608to act as such, or to require any other person to aid or assist
609him or her in a matter pertaining to the duty of any such
610officer, commits a felony of the third degree, punishable as
611provided in s. 775.082, s. 775.083, or s. 775.084; however, a
612person who falsely personates any such officer during the course
613of the commission of a felony commits a felony of the second
614degree, punishable as provided in s. 775.082, s. 775.083, or s.
615775.084; except that if the commission of the felony results in
616the death or personal injury of another human being, the person
617commits a felony of the first degree, punishable as provided in
618s. 775.082, s. 775.083, or s. 775.084.
619     Section 15.  If any provision of this act or the
620application thereof to any person or circumstance is held
621invalid, the invalidity does not affect other provisions or
622applications of the act which can be given effect without the
623invalid provision or application, and to this end, the
624provisions of this act are declared severable.
625     Section 16.  This act shall take effect July 1, 2005.


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