HB 0561CS

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. 316.068, F.S.; specifying information to be included in
8a crash report; creating a rebuttable presumption relating
9to the absence of certain information in such reports;
10amending s. 322.21, F.S.; providing an additional fee for
11certain offenses relating to insurance crimes; providing
12for deposit of the fee into the Highway Safety Operating
13Trust Fund; amending s. 322.26, F.S.; providing an
14additional circumstance relating to insurance crimes for
15mandatory revocation of a person's driver's license;
16amending s. 400.9935, F.S.; requiring health care clinics
17to display signs containing certain information relating
18to insurance fraud; authorizing compliance inspections by
19the Division of Insurance Fraud; requiring clinics to
20allow inspection access; amending s. 440.105, F.S.;
21deleting the provision that a violation of a stop-work
22order is a misdemeanor of the first degree; amending s.
23456.054, F.S.; revising the definition of the term
24"kickback" for criminal prosecution purposes; amending s.
25624.15, F.S.; specifying violations of rules of the
26Department of Financial Services, Office of Insurance
27Regulation, or Financial Services Commission as
28misdemeanors; specifying a violation of emergency rules or
29orders as a felony of the third degree; providing
30penalties; providing for nonapplication to certain
31persons; amending s. 626.112, F.S.; providing a criminal
32penalty for knowingly transacting insurance without a
33license; amending s. 626.938, F.S.; revising provisions
34requiring a report and taxation of independently procured
35coverages; specifying nonauthorization of independent
36procurement of workers' compensation, life, or health
37insurance; amending s. 626.9891, F.S.; expanding
38authorization to impose administrative fines on insurers
39for failure to comply with certain anti-fraud plan or
40anti-fraud investigative unit description requirements;
41creating s. 626.9893, F.S.; authorizing the division to
42deposit certain revenues into the Insurance Regulatory
43Trust Fund; specifying accounting and uses of such
44revenues; providing for appropriation and use of such
45revenues; amending s. 627.736, F.S.; requiring insurers to
46provide certain persons with notice of the department's
47Anti-Fraud Reward Program and the criminal violations that
48may be reported in pursuit of a reward; amending s.
49817.234, F.S.; revising provisions specifying material
50omission and insurance fraud; prohibiting scheming to
51create documentation of a motor vehicle crash that did not
52occur; providing a criminal penalty; amending s. 817.2361,
53F.S.; providing that creating, marketing, or presenting
54fraudulent proof of motor vehicle insurance is a felony of
55the third degree; amending s. 817.50, F.S.; specifying
56nonapplication of provisions specifying evidence of intent
57to defraud to certain investigative actions taken by law
58enforcement officers; amending s. 817.505, F.S.; providing
59an additional patient brokering prohibition, to which
60penalties apply; revising a definition; amending s.
61843.08, F.S.; providing a criminal penalty for falsely
62assuming or pretending to be an officer of the Department
63of Financial Services; amending s. 932.7055, F.S.;
64requiring certain proceeds seized by the division under
65the Florida Contraband Forfeiture Act to be deposited into
66certain trust funds; providing severability; providing an
67effective date.
68
69Be It Enacted by the Legislature of the State of Florida:
70
71     Section 1.  Subsection (2) of section 316.068, Florida
72Statutes, is amended to read:
73     316.068  Crash report forms.--
74     (2)  Every crash report required to be made in writing must
75be made on the appropriate form approved by the department and
76must contain all the information required therein, including:
77     (a)  The date, time, and location of the crash;
78     (b)  A description of the vehicles involved;
79     (c)  The names and addresses of the parties involved;
80     (d)  The names and addresses of all drivers and passengers
81in the vehicles involved;
82     (e)  The names and addresses of witnesses;
83     (f)  The name, badge number, and law enforcement agency of
84the officer investigating the crash; and
85     (g)  The names of the insurance companies for the
86respective parties involved in the crash,
87
88unless not available. The absence of information in such written
89crash reports regarding the existence of passengers in the
90vehicles involved in the crash constitutes a rebuttable
91presumption that no such passengers were involved in the
92reported crash. Notwithstanding any other provisions of this
93section, a crash report produced electronically by a law
94enforcement officer must, at a minimum, contain the same
95information as is called for on those forms approved by the
96department.
97     Section 2.  Subsection (8) of section 322.21, Florida
98Statutes, is amended to read:
99     322.21  License fees; procedure for handling and collecting
100fees.--
101     (8)  Any person who applies for reinstatement following the
102suspension or revocation of the person's driver's license shall
103pay a service fee of $35 following a suspension, and $60
104following a revocation, which is in addition to the fee for a
105license. Any person who applies for reinstatement of a
106commercial driver's license following the disqualification of
107the person's privilege to operate a commercial motor vehicle
108shall pay a service fee of $60, which is in addition to the fee
109for a license. The department shall collect all of these fees at
110the time of reinstatement. The department shall issue proper
111receipts for such fees and shall promptly transmit all funds
112received by it as follows:
113     (a)  Of the $35 fee received from a licensee for
114reinstatement following a suspension, the department shall
115deposit $15 in the General Revenue Fund and $20 in the Highway
116Safety Operating Trust Fund.
117     (b)  Of the $60 fee received from a licensee for
118reinstatement following a revocation or disqualification, the
119department shall deposit $35 in the General Revenue Fund and $25
120in the Highway Safety Operating Trust Fund.
121
122If the revocation or suspension of the driver's license was for
123a violation of s. 316.193, or for refusal to submit to a lawful
124breath, blood, or urine test, an additional fee of $115 must be
125charged. However, only one $115 fee may be collected from one
126person convicted of violations arising out of the same incident.
127The department shall collect the $115 fee and deposit the fee
128into the Highway Safety Operating Trust Fund at the time of
129reinstatement of the person's driver's license, but the fee may
130not be collected if the suspension or revocation is overturned.
131If the revocation or suspension of the driver's license was for
132a conviction for a violation of s. 817.234(8) or (9) or s.
133817.505, an additional fee of $180 is imposed for each offense.
134The department shall collect and deposit the additional fee into
135the Highway Safety Operating Trust Fund at the time of
136reinstatement of the person's driver's license.
137     Section 3.  Subsection (9) is added to section 322.26,
138Florida Statutes, to read:
139     322.26  Mandatory revocation of license by department.--The
140department shall forthwith revoke the license or driving
141privilege of any person upon receiving a record of such person's
142conviction of any of the following offenses:
143     (9)  Conviction in any court having jurisdiction over
144offenses committed under s. 817.234(8) or (9) or s. 817.505.
145     Section 4.  Subsection (13) is added to section 400.9935,
146Florida Statutes, to read:
147     400.9935  Clinic responsibilities.--
148     (13)  The clinic shall display a sign in a conspicuous
149location within the clinic readily visible to all patients
150indicating that, pursuant to s. 626.9892, the Department of
151Financial Services may pay rewards of up to $25,000 to persons
152providing information leading to the arrest and conviction of
153persons committing crimes investigated by the Division of
154Insurance Fraud arising from violations of s. 440.105, s.
155624.15, s. 626.9541, s. 626.989, or s. 817.234. An authorized
156employee of the Division of Insurance Fraud may make unannounced
157inspections of a clinic licensed under this part as necessary to
158determine whether the clinic is in compliance with this
159subsection. A licensed clinic shall allow full and complete
160access to the premises to such authorized employee of the
161division who makes an inspection to determine compliance with
162this subsection.
163     Section 5.  Paragraph (a) of subsection (2) of section
164440.105, Florida Statutes, is amended to read:
165     440.105  Prohibited activities; reports; penalties;
166limitations.--
167     (2)  Whoever violates any provision of this subsection
168commits a misdemeanor of the first degree, punishable as
169provided in s. 775.082 or s. 775.083.
170     (a)  It shall be unlawful for any employer to knowingly:
171     1.  Coerce or attempt to coerce, as a precondition to
172employment or otherwise, an employee to obtain a certificate of
173election of exemption pursuant to s. 440.05.
174     2.  Discharge or refuse to hire an employee or job
175applicant because the employee or applicant has filed a claim
176for benefits under this chapter.
177     3.  Discharge, discipline, or take any other adverse
178personnel action against any employee for disclosing information
179to the department or any law enforcement agency relating to any
180violation or suspected violation of any of the provisions of
181this chapter or rules promulgated hereunder.
182     4.  Violate a stop-work order issued by the department
183pursuant to s. 440.107.
184     Section 6.  Subsection (1) of section 456.054, Florida
185Statutes, is amended to read:
186     456.054  Kickbacks prohibited.--
187     (1)  As used in this section, the term "kickback" means a
188remuneration or payment back pursuant to an investment interest,
189compensation arrangement, or otherwise, by or on behalf of a
190provider of health care services or items, of a portion of the
191charges for services rendered to any person a referring health
192care provider as an incentive or inducement to refer patients
193for past or future services or items, when the payment is not
194tax deductible as an ordinary and necessary expense.
195     Section 7.  Section 624.15, Florida Statutes, is amended to
196read:
197     624.15  General penalty.--
198     (1)  Each willful violation of this code or rule of the
199department, office, or commission as to which a greater penalty
200is not provided by another provision of this code or rule of the
201department, office, or commission or by other applicable laws of
202this state is a misdemeanor of the second degree and is, in
203addition to any prescribed applicable denial, suspension, or
204revocation of certificate of authority, license, or permit,
205punishable as provided in s. 775.082 or s. 775.083. Each
206instance of such violation shall be considered a separate
207offense.
208     (2)  Each willful violation of an emergency rule or order
209of the department, office, or commission by a person who is not
210licensed, authorized, or eligible to engage in business in
211accordance with the Florida Insurance Code is a felony of the
212third degree, punishable as provided in s. 775.082, s. 775.083,
213or s. 775.084. Each instance of such violation is a separate
214offense. This subsection does not apply to licensees or
215affiliated parties of licensees.
216     Section 8.  Subsection (9) is added to section 626.112,
217Florida Statutes, to read:
218     626.112  License and appointment required; agents, customer
219representatives, adjusters, insurance agencies, service
220representatives, managing general agents.--
221     (9)  Any person who knowingly transacts insurance or
222otherwise engages in insurance activities in this state without
223a license in violation of this section commits a felony of the
224third degree, punishable as provided in s. 775.082, s. 775.083,
225or s. 775.084.
226     Section 9.  Subsections (1), (2), and (9) of section
227626.938, Florida Statutes, are amended to read:
228     626.938  Report and tax of independently procured
229coverages.--
230     (1)  Every insured who in this state procures or causes to
231be procured or continues or renews insurance from another state
232or country with an unauthorized foreign or alien insurer
233legitimately licensed in that jurisdiction, or any self-insurer
234who in this state so procures or continues excess loss,
235catastrophe, or other insurance, upon a subject of insurance
236resident, located, or to be performed within this state, other
237than insurance procured through a surplus lines agent pursuant
238to the Surplus Lines Law of this state or exempted from tax
239under s. 626.932(4), shall, within 30 days after the date such
240insurance was so procured, continued, or renewed, file a report
241of the same with the Florida Surplus Lines Service Office in
242writing and upon forms designated by the Florida Surplus Lines
243Service Office and furnished to such an insured upon request, or
244in a computer readable format as determined by the Florida
245Surplus Lines Service Office. The report shall show the name and
246address of the insured or insureds, the name and address of the
247insurer, the subject of the insurance, a general description of
248the coverage, the amount of premium currently charged therefor,
249and such additional pertinent information as is reasonably
250requested by the Florida Surplus Lines Service Office.
251     (2)  Any insurance on a risk located in this state in an
252unauthorized insurer legitimately licensed in another state or
253country procured through solicitations, negotiations, or an
254application, in whole or in part occurring or made outside
255within or from within this state, or for which premiums in whole
256or in part are remitted directly or indirectly from within this
257state, shall be deemed to be insurance procured, continued, or
258renewed in this state within the intent of subsection (1).
259     (9)  This section does not authorize independent
260procurement of workers' compensation insurance, apply as to life
261insurance, or health insurance.
262     Section 10.  Subsection (7) of section 626.9891, Florida
263Statutes, is amended to read:
264     626.9891  Insurer anti-fraud investigative units; reporting
265requirements; penalties for noncompliance.--
266     (7)  If an insurer fails to timely submit a final
267acceptable anti-fraud plan or anti-fraud investigative unit
268description otherwise fails to submit a plan, fails to implement
269the provisions of a plan or an anti-fraud investigative unit
270description, or otherwise refuses to comply with the provisions
271of this section, the department, office, or commission may:
272     (a)  Impose an administrative fine of not more than $2,000
273per day for such failure by an insurer to submit an acceptable
274anti-fraud plan or anti-fraud investigative unit description,
275until the department, office, or commission deems the insurer to
276be in compliance;
277     (b)  Impose an administrative fine for failure by an upon
278the insurer to implement or follow the provisions of an anti-
279fraud plan or anti-fraud investigative unit description a fraud
280detection and prevention plan that is deemed to be appropriate
281by the department and that must be implemented by the insurer;
282or
283     (c)  Impose the provisions of both paragraphs (a) and (b).
284     Section 11.  Section 626.9893, Florida Statutes, is created
285to read:
286     626.9893  Disposition of revenues; criminal or forfeiture
287proceedings.--
288     (1)  The Division of Insurance Fraud of the Department of
289Financial Services may deposit revenues received as a result of
290criminal proceedings or forfeiture proceedings, other than
291revenues deposited into the Department of Financial Services'
292Federal Equitable Sharing Trust Fund under s. 17.43, into the
293Insurance Regulatory Trust Fund. Moneys deposited pursuant to
294this section shall be separately accounted for and shall be used
295solely for the division to carry out its duties and
296responsibilities.
297     (2)  Moneys deposited into the Insurance Regulatory Trust
298Fund pursuant to this section shall be appropriated by the
299Legislature, pursuant to the provisions of chapter 216, for the
300sole purpose of enabling the division to carry out its duties
301and responsibilities.
302     (3)  Notwithstanding the provisions of s. 216.301 and
303pursuant to s. 216.351, any balance of moneys deposited into the
304Insurance Regulatory Trust Fund pursuant to this section
305remaining at the end of any fiscal year shall remain in the
306trust fund at the end of that year and shall be available for
307carrying out the duties and responsibilities of the division.
308     Section 12.  Subsection (14) is added to section 627.736,
309Florida Statutes, to read:
310     627.736  Required personal injury protection benefits;
311exclusions; priority; claims.--
312     (14)  FRAUD ADVISORY NOTICE.--Upon receiving notice of a
313claim under this section, an insurer shall provide a notice to
314the insured or to a person for whom a claim for reimbursement
315for diagnosis or treatment of injuries has been filed, advising
316that:
317     (a)  Pursuant to s. 626.9892, the Department of Financial
318Services may pay rewards of up to $25,000 to persons providing
319information leading to the arrest and conviction of persons
320committing crimes investigated by the Division of Insurance
321Fraud arising from violations of s. 440.105, s. 624.15, s.
322626.9541, s. 626.989, or s. 817.234.
323     (b)  Solicitation of a person injured in a motor vehicle
324crash for purposes of filing personal injury protection or tort
325claims could be a violation of s. 817.234, s. 817.505, or the
326rules regulating The Florida Bar and should be immediately
327reported to the Division of Insurance Fraud if such conduct has
328taken place.
329     Section 13.  Paragraph (a) of subsection (7) and subsection
330(9) of section 817.234, Florida Statutes, are amended to read:
331     817.234  False and fraudulent insurance claims.--
332     (7)(a)  It shall constitute a material omission and
333insurance fraud, punishable as provided in subsection (11), for
334any service physician or other provider, other than a hospital,
335to engage in a general business practice of billing amounts as
336its usual and customary charge, if such provider has agreed with
337the insured patient or intends to waive deductibles or
338copayments, or does not for any other reason intend to collect
339the total amount of such charge. With respect to a determination
340as to whether a service physician or other provider has engaged
341in such general business practice, consideration shall be given
342to evidence of whether the physician or other provider made a
343good faith attempt to collect such deductible or copayment. This
344paragraph does not apply to physicians or other providers who
345waive deductibles or copayments or reduce their bills as part of
346a bodily injury settlement or verdict.
347     (9)  A person may not organize, plan, or knowingly
348participate in an intentional motor vehicle crash or a scheme to
349create documentation of a motor vehicle crash that did not occur
350for the purpose of making motor vehicle tort claims or claims
351for personal injury protection benefits as required by s.
352627.736. Any person who violates this subsection commits a
353felony of the second degree, punishable as provided in s.
354775.082, s. 775.083, or s. 775.084. A person who is convicted of
355a violation of this subsection shall be sentenced to a minimum
356term of imprisonment of 2 years.
357     Section 14.  Section 817.2361, Florida Statutes, is amended
358to read:
359     817.2361  False or fraudulent proof of motor vehicle
360insurance card.--Any person who, with intent to deceive any
361other person, creates, markets, or presents a false or
362fraudulent proof of motor vehicle insurance card commits a
363felony of the third degree, punishable as provided in s.
364775.082, s. 775.083, or s. 775.084.
365     Section 15.  Subsection (2) of section 817.50, Florida
366Statutes, is amended to read:
367     817.50  Fraudulently obtaining goods, services, etc., from
368a health care provider.--
369     (2)  If any person gives to any health care provider in
370this state a false or fictitious name or a false or fictitious
371address or assigns to any health care provider the proceeds of
372any health maintenance contract or insurance contract, then
373knowing that such contract is no longer in force, is invalid, or
374is void for any reason, such action shall be prima facie
375evidence of the intent of such person to defraud the health care
376provider. However, this subsection does not apply to
377investigative actions taken by law enforcement officers for law
378enforcement purposes in the course of their official duties.
379     Section 16.  Subsection (1) and paragraph (a) of subsection
380(2) of section 817.505, Florida Statutes, are amended to read:
381     817.505  Patient brokering prohibited; exceptions;
382penalties.--
383     (1)  It is unlawful for any person, including any health
384care provider or health care facility, to:
385     (a)  Offer or pay any commission, bonus, rebate, kickback,
386or bribe, directly or indirectly, in cash or in kind, or engage
387in any split-fee arrangement, in any form whatsoever, to induce
388the referral of patients or patronage to or from a health care
389provider or health care facility;
390     (b)  Solicit or receive any commission, bonus, rebate,
391kickback, or bribe, directly or indirectly, in cash or in kind,
392or engage in any split-fee arrangement, in any form whatsoever,
393in return for referring patients or patronage to or from a
394health care provider or health care facility; or
395     (c)  Solicit or receive any commission, bonus, rebate,
396kickback, or bribe, directly or indirectly, in cash or in kind,
397or engage in any split-fee arrangement, in any form whatsoever,
398in return for the acceptance or acknowledgement of treatment
399from a health care provider or health care facility; or
400     (d)(c)  Aid, abet, advise, or otherwise participate in the
401conduct prohibited under paragraph (a), or paragraph (b), or
402paragraph (c).
403     (2)  For the purposes of this section, the term:
404     (a)  "Health care provider or health care facility" means
405any person or entity licensed, certified, or registered;
406required to be licensed, certified, or registered; or lawfully
407exempt from being required to be licensed, certified, or
408registered with the Agency for Health Care Administration or the
409Department of Health; any person or entity that has contracted
410with the Agency for Health Care Administration to provide goods
411or services to Medicaid recipients as provided under s. 409.907;
412a county health department established under part I of chapter
413154; any community service provider contracting with the
414Department of Children and Family Services to furnish alcohol,
415drug abuse, or mental health services under part IV of chapter
416394; any substance abuse service provider licensed under chapter
417397; or any federally supported primary care program such as a
418migrant or community health center authorized under ss. 329 and
419330 of the United States Public Health Services Act.
420     Section 17.  Section 843.08, Florida Statutes, is amended
421to read:
422     843.08  Falsely personating officer, etc.--A person who
423falsely assumes or pretends to be a sheriff, officer of the
424Florida Highway Patrol, officer of the Fish and Wildlife
425Conservation Commission, officer of the Department of
426Environmental Protection, officer of the Department of
427Transportation, officer of the Department of Financial Services,
428officer of the Department of Corrections, correctional probation
429officer, deputy sheriff, state attorney or assistant state
430attorney, statewide prosecutor or assistant statewide
431prosecutor, state attorney investigator, coroner, police
432officer, lottery special agent or lottery investigator, beverage
433enforcement agent, or watchman, or any member of the Parole
434Commission and any administrative aide or supervisor employed by
435the commission, or any personnel or representative of the
436Department of Law Enforcement, and takes upon himself or herself
437to act as such, or to require any other person to aid or assist
438him or her in a matter pertaining to the duty of any such
439officer, commits a felony of the third degree, punishable as
440provided in s. 775.082, s. 775.083, or s. 775.084; however, a
441person who falsely personates any such officer during the course
442of the commission of a felony commits a felony of the second
443degree, punishable as provided in s. 775.082, s. 775.083, or s.
444775.084; except that if the commission of the felony results in
445the death or personal injury of another human being, the person
446commits a felony of the first degree, punishable as provided in
447s. 775.082, s. 775.083, or s. 775.084.
448     Section 18.  Paragraph (n) is added to subsection (6) of
449section 932.7055, Florida Statutes, to read:
450     932.7055  Disposition of liens and forfeited property.--
451     (6)  If the seizing agency is a state agency, all remaining
452proceeds shall be deposited into the General Revenue Fund.
453However, if the seizing agency is:
454     (n)  The Division of Insurance Fraud of the Department of
455Financial Services, the proceeds accrued pursuant to the
456provisions of the Florida Contraband Forfeiture Act shall be
457deposited into the Insurance Regulatory Trust Fund as provided
458in s. 626.9893 or into the Department of Financial Services'
459Federal Equitable Sharing Trust Fund as provided in s. 17.43, as
460applicable.
461     Section 19.  If any provision of this act or the
462application thereof to any person or circumstance is held
463invalid, the invalidity does not affect other provisions or
464applications of the act which can be given effect without the
465invalid provision or application, and, to this end, the
466provisions of this act are declared severable.
467     Section 20.  This act shall take effect July 1, 2006.


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