Amendment
Bill No. 0013C
Amendment No. 149765
CHAMBER ACTION
Senate House
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1Representative(s) Bogdanoff offered the following:
2
3     Amendment (with title amendment)
4     Remove everything after the enacting clause and insert:
5     Remove everything after the enacting clause and insert:
6     Section 1.  Subsections (1) and (3) of section 316.646,
7Florida Statutes, are amended to read:
8     316.646  Security required; proof of security and display
9thereof; dismissal of cases.--
10     (1)  Any person required by s. 324.022 to maintain property
11damage liability security, required by s. 324.023 to maintain
12liability security for bodily injury or death, or any person
13required by s. 627.733 to maintain personal injury protection
14security on a motor vehicle shall have in his or her immediate
15possession at all times while operating such motor vehicle
16proper proof of maintenance of the required security. Such proof
17shall be either a uniform proof-of-insurance card in a form
18prescribed by the department, a valid insurance policy, an
19insurance policy binder, a certificate of insurance, or such
20other proof as may be prescribed by the department.
21     (3)  Any person who violates this section commits a
22nonmoving traffic infraction subject to the penalty provided in
23chapter 318 and shall be required to furnish proof of security
24as provided in this section. If any person charged with a
25violation of this section fails to furnish proof, at or before
26the scheduled court appearance date, that security was in effect
27at the time of the violation, the court may immediately suspend
28the registration and driver's license of such person. Such
29license and registration may only be reinstated only as provided
30in s. 324.0221 627.733.
31     Section 2.  Paragraphs (a) and (d) of subsection (5) of
32section 320.02, Florida Statutes, are amended to read:
33     320.02  Registration required; application for
34registration; forms.--
35     (5)(a)  Proof that personal injury protection benefits have
36been purchased when required under s. 627.733, that property
37damage liability coverage has been purchased as required under
38s. 324.022, that bodily injury or death coverage has been
39purchased if required under s. 324.023, and that combined bodily
40liability insurance and property damage liability insurance have
41been purchased when required under s. 627.7415 shall be provided
42in the manner prescribed by law by the applicant at the time of
43application for registration of any motor vehicle that is
44subject to such requirements owned as defined in s. 627.732. The
45issuing agent shall refuse to issue registration if such proof
46of purchase is not provided. Insurers shall furnish uniform
47proof-of-purchase cards in a form prescribed by the department
48and shall include the name of the insured's insurance company,
49the coverage identification number, and the make, year, and
50vehicle identification number of the vehicle insured. The card
51shall contain a statement notifying the applicant of the penalty
52specified in s. 316.646(4). The card or insurance policy,
53insurance policy binder, or certificate of insurance or a
54photocopy of any of these; an affidavit containing the name of
55the insured's insurance company, the insured's policy number,
56and the make and year of the vehicle insured; or such other
57proof as may be prescribed by the department shall constitute
58sufficient proof of purchase. If an affidavit is provided as
59proof, it shall be in substantially the following form:
60
61Under penalty of perjury, I   (Name of insured)   do hereby
62certify that I have   (Personal Injury Protection, Property
63Damage Liability, and, when required, Bodily Injury Liability)  
64Insurance currently in effect with   (Name of insurance company)  
65under   (policy number)   covering   (make, year, and vehicle
66identification number of vehicle)  .   (Signature of Insured)  
67
68Such affidavit shall include the following warning:
69
70WARNING: GIVING FALSE INFORMATION IN ORDER TO OBTAIN A VEHICLE
71REGISTRATION CERTIFICATE IS A CRIMINAL OFFENSE UNDER FLORIDA
72LAW. ANYONE GIVING FALSE INFORMATION ON THIS AFFIDAVIT IS
73SUBJECT TO PROSECUTION.
74
75When an application is made through a licensed motor vehicle
76dealer as required in s. 319.23, the original or a photostatic
77copy of such card, insurance policy, insurance policy binder, or
78certificate of insurance or the original affidavit from the
79insured shall be forwarded by the dealer to the tax collector of
80the county or the Department of Highway Safety and Motor
81Vehicles for processing. By executing the aforesaid affidavit,
82no licensed motor vehicle dealer will be liable in damages for
83any inadequacy, insufficiency, or falsification of any statement
84contained therein. A card shall also indicate the existence of
85any bodily injury liability insurance voluntarily purchased.
86     (d)  The verifying of proof of personal injury protection
87insurance, proof of property damage liability insurance, proof
88of combined bodily liability insurance and property damage
89liability insurance, or proof of financial responsibility
90insurance and the issuance or failure to issue the motor vehicle
91registration under the provisions of this chapter may not be
92construed in any court as a warranty of the reliability or
93accuracy of the evidence of such proof. Neither the department
94nor any tax collector is liable in damages for any inadequacy,
95insufficiency, falsification, or unauthorized modification of
96any item of the proof of personal injury protection insurance,
97proof of property damage liability insurance, proof of combined
98bodily liability insurance and property damage liability
99insurance, or proof of financial responsibility insurance either
100prior to, during, or subsequent to the verification of the
101proof. The issuance of a motor vehicle registration does not
102constitute prima facie evidence or a presumption of insurance
103coverage.
104     Section 3.  Section 321.245, Florida Statutes, is amended
105to read:
106     321.245  Disposition of certain funds in the Highway Safety
107Operating Trust Fund.--The director of the Florida Highway
108Patrol, after receiving recommendations from the commander of
109the auxiliary, is authorized to purchase uniforms and equipment
110for auxiliary law enforcement officers as defined in s. 321.24
111from funds described in s. 324.0221(3) 627.733(7). The amounts
112expended under this section shall not exceed $50,000 in any one
113fiscal year.
114     Section 4.  Section 324.022, Florida Statutes, is amended
115to read:
116     324.022  Financial responsibility for property damage.--
117     (1)  Every owner or operator of a motor vehicle, which
118motor vehicle is subject to the requirements of ss. 627.730-
119627.7405 and required to be registered in this state, shall, by
120one of the methods established in s. 324.031 or by having a
121policy that complies with s. 627.7275, establish and maintain
122the ability to respond in damages for liability on account of
123accidents arising out of the use of the motor vehicle in the
124amount of $10,000 because of damage to, or destruction of,
125property of others in any one crash. The requirements of this
126section may be met by one of the methods established in s.
127324.031; by self-insuring as authorized by s. 768.28(16); or by
128maintaining an insurance policy providing coverage for property
129damage liability in the amount of at least $10,000 because of
130damage to, or destruction of, property of others in any one
131accident arising out of the use of the motor vehicle. The
132requirements of this section may also be met by having a policy
133which provides coverage in the amount of at least $30,000 for
134combined property damage liability and bodily injury liability
135for any one crash arising out of the use of the motor vehicle.
136The policy, with respect to coverage for property damage
137liability, must meet the applicable requirements of s. 324.151,
138subject to the usual policy exclusions that have been approved
139in policy forms by the Office of Insurance Regulation. No
140insurer shall have any duty to defend uncovered claims
141irrespective of their joinder with covered claims.
142     (2)  As used in this section, the term:
143     (a)  "Motor vehicle" means any self-propelled vehicle that
144has four or more wheels and that is of a type designed and
145required to be licensed for use on the highways of this state,
146and any trailer or semitrailer designed for use with such
147vehicle. The term does not include:
148     1.  A mobile home.
149     2.  A motor vehicle that is used in mass transit and
150designed to transport more than five passengers, exclusive of
151the operator of the motor vehicle, and that is owned by a
152municipality, transit authority, or political subdivision of the
153state.
154     3.  A school bus as defined in s. 1006.25.
155     4.  A vehicle providing for-hire transportation that is
156subject to the provisions of s. 324.031. A taxicab shall
157maintain security as required under s. 324.032(1).
158     (b)  "Owner" means the person who holds legal title to a
159motor vehicle or the debtor or lessee who has the right to
160possession of a motor vehicle that is the subject of a security
161agreement or lease with an option to purchase.
162     (3)  Each nonresident owner or registrant of a motor
163vehicle that, whether operated or not, has been physically
164present within this state for more than 90 days during the
165preceding 365 days shall maintain security as required by
166subsection (1) that is in effect continuously throughout the
167period the motor vehicle remains within this state.
168     (4)  The owner or registrant of a motor vehicle is exempt
169from the requirements of this section if she or he is a member
170of the United States Armed Forces and is called to or on active
171duty outside the United States in an emergency situation. The
172exemption provided by this subsection applies only as long as
173the member of the Armed Forces is on such active duty outside
174the United States and applies only while the vehicle is not
175operated by any person. Upon receipt of a written request by the
176insured to whom the exemption provided in this subsection
177applies, the insurer shall cancel the coverages and return any
178unearned premium or suspend the security required by this
179section. Notwithstanding s. 324.0221(3), the department may not
180suspend the registration or operator's license of any owner or
181registrant of a motor vehicle during the time she or he
182qualifies for an exemption under this subsection. Any owner or
183registrant of a motor vehicle who qualifies for an exemption
184under this subsection shall immediately notify the department
185prior to and at the end of the expiration of the exemption.
186     Section 5.  Section 324.0221, Florida Statutes, is created
187to read:
188     324.0221  Reports by insurers to the department; suspension
189of driver's license and vehicle registrations; reinstatement.--
190     (1)(a)  Each insurer that has issued a policy providing
191personal injury protection coverage or property damage liability
192coverage shall report the renewal, cancellation, or nonrenewal
193thereof to the department within 45 days after the effective
194date of each renewal, cancellation, or nonrenewal. Upon the
195issuance of a policy providing personal injury protection
196coverage or property damage liability coverage to a named
197insured not previously insured by the insurer during that
198calendar year, the insurer shall report the issuance of the new
199policy to the department within 30 days. The report shall be in
200the form and format and contain any information required by the
201department and must be provided in a format that is compatible
202with the data-processing capabilities of the department. The
203department may adopt rules regarding the form and documentation
204required. Failure by an insurer to file proper reports with the
205department as required by this subsection or rules adopted with
206respect to the requirements of this subsection constitutes a
207violation of the Florida Insurance Code. These records shall be
208used by the department only for enforcement and regulatory
209purposes, including the generation by the department of data
210regarding compliance by owners of motor vehicles with the
211requirements for financial responsibility coverage.
212     (b)  With respect to an insurance policy providing personal
213injury protection coverage or property damage liability
214coverage, each insurer shall notify the named insured, or the
215first-named insured in the case of a commercial fleet policy, in
216writing that any cancellation or nonrenewal of the policy will
217be reported by the insurer to the department. The notice must
218also inform the named insured that failure to maintain personal
219injury protection coverage and property damage liability
220coverage on a motor vehicle when required by law may result in
221the loss of registration and driving privileges in this state
222and inform the named insured of the amount of the reinstatement
223fees required by this section. This notice is for informational
224purposes only, and an insurer is not civilly liable for failing
225to provide this notice.
226     (2)  The department shall suspend, after due notice and an
227opportunity to be heard, the registration and driver's license
228of any owner or registrant of a motor vehicle with respect to
229which security is required under ss. 324.022 and 627.733 upon:
230     (a)  The department's records showing that the owner or
231registrant of such motor vehicle did not have in full force and
232effect when required security that complies with the
233requirements of ss. 324.022 and 627.733; or
234     (b)  Notification by the insurer to the department, in a
235form approved by the department, of cancellation or termination
236of the required security.
237     (3)  An operator or owner whose driver's license or
238registration has been suspended under this section or s. 316.646
239may effect its reinstatement upon compliance with the
240requirements of this section and upon payment to the department
241of a nonrefundable reinstatement fee of $150 for the first
242reinstatement. The reinstatement fee is $250 for the second
243reinstatement and $500 for each subsequent reinstatement during
244the 3 years following the first reinstatement. A person
245reinstating her or his insurance under this subsection must also
246secure noncancelable coverage as described in ss. 324.021(8),
247324.023, and 627.7275(2) and present to the appropriate person
248proof that the coverage is in force on a form adopted by the
249department, and such proof shall be maintained for 2 years. If
250the person does not have a second reinstatement within 3 years
251after her or his initial reinstatement, the reinstatement fee is
252$150 for the first reinstatement after that 3-year period. If a
253person's license and registration are suspended under this
254section or s. 316.646, only one reinstatement fee must be paid
255to reinstate the license and the registration. All fees shall be
256collected by the department at the time of reinstatement. The
257department shall issue proper receipts for such fees and shall
258promptly deposit those fees in the Highway Safety Operating
259Trust Fund. One-third of the fees collected under this
260subsection shall be distributed from the Highway Safety
261Operating Trust Fund to the local governmental entity or state
262agency that employed the law enforcement officer seizing the
263license plate pursuant to s. 324.201. The funds may be used by
264the local governmental entity or state agency for any authorized
265purpose.
266     Section 6.  Section 627.7275, Florida Statutes, is amended
267to read:
268     627.7275  Motor vehicle liability.--
269     (1)  A motor vehicle insurance policy providing personal
270injury protection as set forth in s. 627.736 may not be
271delivered or issued for delivery in this state with respect to
272any specifically insured or identified motor vehicle registered
273or principally garaged in this state unless the policy also
274provides coverage for property damage liability as required by
275s. 324.022 in the amount of at least $10,000 because of damage
276to, or destruction of, property of others in any one accident
277arising out of the use of the motor vehicle or unless the policy
278provides coverage in the amount of at least $30,000 for combined
279property damage liability and bodily injury liability in any one
280accident arising out of the use of the motor vehicle. The
281policy, as to coverage of property damage liability, must meet
282the applicable requirements of s. 324.151, subject to the usual
283policy exclusions that have been approved in policy forms by the
284office.
285     (2)(a)  Insurers writing motor vehicle insurance in this
286state shall make available, subject to the insurers' usual
287underwriting restrictions:
288     1.  Coverage under policies as described in subsection (1)
289to any applicant for private passenger motor vehicle insurance
290coverage who is seeking the coverage in order to reinstate the
291applicant's driving privileges in this state when the driving
292privileges were revoked or suspended pursuant to s. 316.646 or
293s. 324.0221 627.733 due to the failure of the applicant to
294maintain required security.
295     2.  Coverage under policies as described in subsection (1),
296which also provides liability coverage for bodily injury, death,
297and property damage arising out of the ownership, maintenance,
298or use of the motor vehicle in an amount not less than the
299limits described in s. 324.021(7) and conforms to the
300requirements of s. 324.151, to any applicant for private
301passenger motor vehicle insurance coverage who is seeking the
302coverage in order to reinstate the applicant's driving
303privileges in this state after such privileges were revoked or
304suspended under s. 316.193 or s. 322.26(2) for driving under the
305influence.
306     (b)  The policies described in paragraph (a) shall be
307issued for a period of at least 6 months and as to the minimum
308coverages required under this section shall not be cancelable by
309the insured for any reason or by the insurer after a period not
310to exceed 30 days during which the insurer must complete
311underwriting of the policy. After the insurer has completed
312underwriting the policy within the 30-day period, the insurer
313shall notify the Department of Highway Safety and Motor Vehicles
314that the policy is in full force and effect and the policy shall
315not be cancelable for the remainder of the policy period. A
316premium shall be collected and coverage shall be in effect for
317the 30-day period during which the insurer is completing the
318underwriting of the policy whether or not the person's driver
319license, motor vehicle tag, and motor vehicle registration are
320in effect. Once the noncancelable provisions of the policy
321become effective, the coverage or risk shall not be changed
322during the policy period and the premium shall be nonrefundable.
323If, during the pendency of the 2-year proof of insurance period
324required under s. 324.0221 627.733(7) or during the 3-year proof
325of financial responsibility required under s. 324.131, whichever
326is applicable, the insured obtains additional coverage or
327coverage for an additional risk or changes territories, the
328insured must obtain a new 6-month noncancelable policy in
329accordance with the provisions of this section. However, if the
330insured must obtain a new 6-month policy and obtains the policy
331from the same insurer, the policyholder shall receive credit on
332the new policy for any premium paid on the previously issued
333policy.
334     (c)  This subsection controls to the extent of any conflict
335with any other section.
336     (d)  An insurer issuing a policy subject to this section
337may cancel the policy if, during the policy term, the named
338insured or any other operator, who resides in the same household
339or customarily operates an automobile insured under the policy,
340has his or her driver's license suspended or revoked.
341     (e)  Nothing in this subsection requires an insurer to
342offer a policy of insurance to an applicant if such offer would
343be inconsistent with the insurer's underwriting guidelines and
344procedures.
345     Section 7.  Paragraph (a) of subsection (1) of section
346627.7295, Florida Statutes, is amended to read:
347     627.7295  Motor vehicle insurance contracts.--
348     (1)  As used in this section, the term:
349     (a)  "Policy" means a motor vehicle insurance policy that
350provides personal injury protection coverage, and property
351damage liability coverage, or both.
352     Section 8.  Notwithstanding the repeal of the Florida Motor
353Vehicle No-Fault Law, which occurred on October 1, 2007, section
354627.730, Florida Statutes, is revived and reenacted to read:
355     627.730  Florida Motor Vehicle No-Fault Law.--Sections
356627.730-627.7405 may be cited and known as the "Florida Motor
357Vehicle No-Fault Law."
358     Section 9.  Notwithstanding the repeal of the Florida Motor
359Vehicle No-Fault Law, which occurred on October 1, 2007, section
360627.731, Florida Statutes, is revived and reenacted to read:
361     627.731  Purpose.--The purpose of ss. 627.730-627.7405 is
362to provide for medical, surgical, funeral, and disability
363insurance benefits without regard to fault, and to require motor
364vehicle insurance securing such benefits, for motor vehicles
365required to be registered in this state and, with respect to
366motor vehicle accidents, a limitation on the right to claim
367damages for pain, suffering, mental anguish, and inconvenience.
368     Section 10.  Notwithstanding the repeal of the Florida
369Motor Vehicle No-Fault Law, which occurred on October 1, 2007,
370section 627.732, Florida Statutes, is revived and reenacted to
371read:
372     627.732  Definitions.--As used in ss. 627.730-627.7405, the
373term:
374     (1)  "Broker" means any person not possessing a license
375under chapter 395, chapter 400, chapter 429, chapter 458,
376chapter 459, chapter 460, chapter 461, or chapter 641 who
377charges or receives compensation for any use of medical
378equipment and is not the 100-percent owner or the 100-percent
379lessee of such equipment. For purposes of this section, such
380owner or lessee may be an individual, a corporation, a
381partnership, or any other entity and any of its 100-percent-
382owned affiliates and subsidiaries. For purposes of this
383subsection, the term "lessee" means a long-term lessee under a
384capital or operating lease, but does not include a part-time
385lessee. The term "broker" does not include a hospital or
386physician management company whose medical equipment is
387ancillary to the practices managed, a debt collection agency, or
388an entity that has contracted with the insurer to obtain a
389discounted rate for such services; nor does the term include a
390management company that has contracted to provide general
391management services for a licensed physician or health care
392facility and whose compensation is not materially affected by
393the usage or frequency of usage of medical equipment or an
394entity that is 100-percent owned by one or more hospitals or
395physicians. The term "broker" does not include a person or
396entity that certifies, upon request of an insurer, that:
397     (a)  It is a clinic licensed under ss. 400.990-400.995;
398     (b)  It is a 100-percent owner of medical equipment; and
399     (c)  The owner's only part-time lease of medical equipment
400for personal injury protection patients is on a temporary basis
401not to exceed 30 days in a 12-month period, and such lease is
402solely for the purposes of necessary repair or maintenance of
403the 100-percent-owned medical equipment or pending the arrival
404and installation of the newly purchased or a replacement for the
405100-percent-owned medical equipment, or for patients for whom,
406because of physical size or claustrophobia, it is determined by
407the medical director or clinical director to be medically
408necessary that the test be performed in medical equipment that
409is open-style. The leased medical equipment cannot be used by
410patients who are not patients of the registered clinic for
411medical treatment of services. Any person or entity making a
412false certification under this subsection commits insurance
413fraud as defined in s. 817.234. However, the 30-day period
414provided in this paragraph may be extended for an additional 60
415days as applicable to magnetic resonance imaging equipment if
416the owner certifies that the extension otherwise complies with
417this paragraph.
418     (2)  "Medically necessary" refers to a medical service or
419supply that a prudent physician would provide for the purpose of
420preventing, diagnosing, or treating an illness, injury, disease,
421or symptom in a manner that is:
422     (a)  In accordance with generally accepted standards of
423medical practice;
424     (b)  Clinically appropriate in terms of type, frequency,
425extent, site, and duration; and
426     (c)  Not primarily for the convenience of the patient,
427physician, or other health care provider.
428     (3)  "Motor vehicle" means any self-propelled vehicle with
429four or more wheels which is of a type both designed and
430required to be licensed for use on the highways of this state
431and any trailer or semitrailer designed for use with such
432vehicle and includes:
433     (a)  A "private passenger motor vehicle," which is any
434motor vehicle which is a sedan, station wagon, or jeep-type
435vehicle and, if not used primarily for occupational,
436professional, or business purposes, a motor vehicle of the
437pickup, panel, van, camper, or motor home type.
438     (b)  A "commercial motor vehicle," which is any motor
439vehicle which is not a private passenger motor vehicle.
440
441The term "motor vehicle" does not include a mobile home or any
442motor vehicle which is used in mass transit, other than public
443school transportation, and designed to transport more than five
444passengers exclusive of the operator of the motor vehicle and
445which is owned by a municipality, a transit authority, or a
446political subdivision of the state.
447     (4)  "Named insured" means a person, usually the owner of a
448vehicle, identified in a policy by name as the insured under the
449policy.
450     (5)  "Owner" means a person who holds the legal title to a
451motor vehicle; or, in the event a motor vehicle is the subject
452of a security agreement or lease with an option to purchase with
453the debtor or lessee having the right to possession, then the
454debtor or lessee shall be deemed the owner for the purposes of
455ss. 627.730-627.7405.
456     (6)  "Relative residing in the same household" means a
457relative of any degree by blood or by marriage who usually makes
458her or his home in the same family unit, whether or not
459temporarily living elsewhere.
460     (7)  "Certify" means to swear or attest to being true or
461represented in writing.
462     (8)  "Immediate personal supervision," as it relates to the
463performance of medical services by nonphysicians not in a
464hospital, means that an individual licensed to perform the
465medical service or provide the medical supplies must be present
466within the confines of the physical structure where the medical
467services are performed or where the medical supplies are
468provided such that the licensed individual can respond
469immediately to any emergencies if needed.
470     (9)  "Incident," with respect to services considered as
471incident to a physician's professional service, for a physician
472licensed under chapter 458, chapter 459, chapter 460, or chapter
473461, if not furnished in a hospital, means such services must be
474an integral, even if incidental, part of a covered physician's
475service.
476     (10)  "Knowingly" means that a person, with respect to
477information, has actual knowledge of the information; acts in
478deliberate ignorance of the truth or falsity of the information;
479or acts in reckless disregard of the information, and proof of
480specific intent to defraud is not required.
481     (11)  "Lawful" or "lawfully" means in substantial
482compliance with all relevant applicable criminal, civil, and
483administrative requirements of state and federal law related to
484the provision of medical services or treatment.
485     (12)  "Hospital" means a facility that, at the time
486services or treatment were rendered, was licensed under chapter
487395.
488     (13)  "Properly completed" means providing truthful,
489substantially complete, and substantially accurate responses as
490to all material elements to each applicable request for
491information or statement by a means that may lawfully be
492provided and that complies with this section, or as agreed by
493the parties.
494     (14)  "Upcoding" means an action that submits a billing
495code that would result in payment greater in amount than would
496be paid using a billing code that accurately describes the
497services performed. The term does not include an otherwise
498lawful bill by a magnetic resonance imaging facility, which
499globally combines both technical and professional components, if
500the amount of the global bill is not more than the components if
501billed separately; however, payment of such a bill constitutes
502payment in full for all components of such service.
503     (15)  "Unbundling" means an action that submits a billing
504code that is properly billed under one billing code, but that
505has been separated into two or more billing codes, and would
506result in payment greater in amount than would be paid using one
507billing code.
508     Section 11.  Notwithstanding the repeal of the Florida
509Motor Vehicle No-Fault Law, which occurred on October 1, 2007,
510section 627.733, Florida Statutes, is revived, reenacted, and
511amended to read:
512     627.733  Required security.--
513     (1)(a)  Every owner or registrant of a motor vehicle, other
514than a motor vehicle used as a school bus as defined in s.
5151006.25 or limousine, required to be registered and licensed in
516this state shall maintain security as required by subsection (3)
517in effect continuously throughout the registration or licensing
518period.
519     (b)  Every owner or registrant of a motor vehicle used as a
520taxicab shall not be governed by paragraph (1)(a) but shall
521maintain security as required under s. 324.032(1), and s.
522627.737 shall not apply to any motor vehicle used as a taxicab.
523     (2)  Every nonresident owner or registrant of a motor
524vehicle which, whether operated or not, has been physically
525present within this state for more than 90 days during the
526preceding 365 days shall thereafter maintain security as defined
527by subsection (3) in effect continuously throughout the period
528such motor vehicle remains within this state.
529     (3)  Such security shall be provided:
530     (a)  By an insurance policy delivered or issued for
531delivery in this state by an authorized or eligible motor
532vehicle liability insurer which provides the benefits and
533exemptions contained in ss. 627.730-627.7405. Any policy of
534insurance represented or sold as providing the security required
535hereunder shall be deemed to provide insurance for the payment
536of the required benefits; or
537     (b)  By any other method authorized by s. 324.031(2), (3),
538or (4) and approved by the Department of Highway Safety and
539Motor Vehicles as affording security equivalent to that afforded
540by a policy of insurance or by self-insuring as authorized by s.
541768.28(16). The person filing such security shall have all of
542the obligations and rights of an insurer under ss. 627.730-
543627.7405.
544     (4)  An owner of a motor vehicle with respect to which
545security is required by this section who fails to have such
546security in effect at the time of an accident shall have no
547immunity from tort liability, but shall be personally liable for
548the payment of benefits under s. 627.736. With respect to such
549benefits, such an owner shall have all of the rights and
550obligations of an insurer under ss. 627.730-627.7405.
551     (5)  In addition to other persons who are not required to
552provide required security as required under this section and s.
553324.022, the owner or registrant of a motor vehicle is exempt
554from such requirements if she or he is a member of the United
555States Armed Forces and is called to or on active duty outside
556the United States in an emergency situation. The exemption
557provided by this subsection applies only as long as the member
558of the armed forces is on such active duty outside the United
559States and applies only while the vehicle covered by the
560security required by this section and s. 324.022 is not operated
561by any person. Upon receipt of a written request by the insured
562to whom the exemption provided in this subsection applies, the
563insurer shall cancel the coverages and return any unearned
564premium or suspend the security required by this section and s.
565324.022. Notwithstanding s. 324.0221(2) subsection (6), the
566Department of Highway Safety and Motor Vehicles may not suspend
567the registration or operator's license of any owner or
568registrant of a motor vehicle during the time she or he
569qualifies for an exemption under this subsection. Any owner or
570registrant of a motor vehicle who qualifies for an exemption
571under this subsection shall immediately notify the department
572prior to and at the end of the expiration of the exemption.
573     (6)  The Department of Highway Safety and Motor Vehicles
574shall suspend, after due notice and an opportunity to be heard,
575the registration and driver's license of any owner or registrant
576of a motor vehicle with respect to which security is required
577under this section and s. 324.022:
578     (a)  Upon its records showing that the owner or registrant
579of such motor vehicle did not have in full force and effect when
580required security complying with the terms of this section; or
581     (b)  Upon notification by the insurer to the Department of
582Highway Safety and Motor Vehicles, in a form approved by the
583department, of cancellation or termination of the required
584security.
585     (7)  Any operator or owner whose driver's license or
586registration has been suspended pursuant to this section or s.
587316.646 may effect its reinstatement upon compliance with the
588requirements of this section and upon payment to the Department
589of Highway Safety and Motor Vehicles of a nonrefundable
590reinstatement fee of $150 for the first reinstatement.  Such
591reinstatement fee shall be $250 for the second reinstatement and
592$500 for each subsequent reinstatement during the 3 years
593following the first reinstatement. Any person reinstating her or
594his insurance under this subsection must also secure
595noncancelable coverage as described in ss. 324.021(8), 324.023,
596and 627.7275(2) and present to the appropriate person proof that
597the coverage is in force on a form promulgated by the Department
598of Highway Safety and Motor Vehicles, such proof to be
599maintained for 2 years.  If the person does not have a second
600reinstatement within 3 years after her or his initial
601reinstatement, the reinstatement fee shall be $150 for the first
602reinstatement after that 3-year period. In the event that a
603person's license and registration are suspended pursuant to this
604section or s. 316.646, only one reinstatement fee shall be paid
605to reinstate the license and the registration. All fees shall be
606collected by the Department of Highway Safety and Motor Vehicles
607at the time of reinstatement. The Department of Highway Safety
608and Motor Vehicles shall issue proper receipts for such fees and
609shall promptly deposit those fees in the Highway Safety
610Operating Trust Fund. One-third of the fee collected under this
611subsection shall be distributed from the Highway Safety
612Operating Trust Fund to the local government entity or state
613agency which employed the law enforcement officer who seizes a
614license plate pursuant to s. 324.201. Such funds may be used by
615the local government entity or state agency for any authorized
616purpose.
617     Section 12.  Notwithstanding the repeal of the Florida
618Motor Vehicle No-Fault Law, which occurred on October 1, 2007,
619section 627.734, Florida Statutes, is revived and reenacted to
620read:
621     627.734  Proof of security; security requirements;
622penalties.--
623     (1)  The provisions of chapter 324 which pertain to the
624method of giving and maintaining proof of financial
625responsibility and which govern and define a motor vehicle
626liability policy shall apply to filing and maintaining proof of
627security required by ss. 627.730-627.7405.
628     (2)  Any person who:
629     (a)  Gives information required in a report or otherwise as
630provided for in ss. 627.730-627.7405, knowing or having reason
631to believe that such information is false;
632     (b)  Forges or, without authority, signs any evidence of
633proof of security; or
634     (c)  Files, or offers for filing, any such evidence of
635proof, knowing or having reason to believe that it is forged or
636signed without authority,
637
638is guilty of a misdemeanor of the first degree, punishable as
639provided in s. 775.082 or s. 775.083.
640     Section 13.  Notwithstanding the repeal of the Florida
641Motor Vehicle No-Fault Law, which occurred on October 1, 2007,
642section 627.736, Florida Statutes, is revived, reenacted, and
643amended to read:
644     627.736  Required personal injury protection benefits;
645exclusions; priority; claims.--
646     (1)  REQUIRED BENEFITS.--Every insurance policy complying
647with the security requirements of s. 627.733 shall provide
648personal injury protection to the named insured, relatives
649residing in the same household, persons operating the insured
650motor vehicle, passengers in such motor vehicle, and other
651persons struck by such motor vehicle and suffering bodily injury
652while not an occupant of a self-propelled vehicle, subject to
653the provisions of subsection (2) and paragraph (4)(d), to a
654limit of $10,000 for loss sustained by any such person as a
655result of bodily injury, sickness, disease, or death arising out
656of the ownership, maintenance, or use of a motor vehicle as
657follows:
658     (a)  Medical benefits.--Eighty percent of all reasonable
659expenses for medically necessary medical, surgical, X-ray,
660dental, and rehabilitative services, including prosthetic
661devices, and medically necessary ambulance, hospital, and
662nursing services. Such benefits shall also include necessary
663remedial treatment and services recognized and permitted under
664the laws of the state for an injured person who relies upon
665spiritual means through prayer alone for healing, in accordance
666with his or her religious beliefs; however, this sentence does
667not affect the determination of what other services or
668procedures are medically necessary.
669     (b)  Disability benefits.--Sixty percent of any loss of
670gross income and loss of earning capacity per individual from
671inability to work proximately caused by the injury sustained by
672the injured person, plus all expenses reasonably incurred in
673obtaining from others ordinary and necessary services in lieu of
674those that, but for the injury, the injured person would have
675performed without income for the benefit of his or her
676household. All disability benefits payable under this provision
677shall be paid not less than every 2 weeks.
678     (c)  Death benefits.--Death benefits of $5,000 per
679individual.  The insurer may pay such benefits to the executor
680or administrator of the deceased, to any of the deceased's
681relatives by blood or legal adoption or connection by marriage,
682or to any person appearing to the insurer to be equitably
683entitled thereto.
684
685Only insurers writing motor vehicle liability insurance in this
686state may provide the required benefits of this section, and no
687such insurer shall require the purchase of any other motor
688vehicle coverage other than the purchase of property damage
689liability coverage as required by s. 627.7275 as a condition for
690providing such required benefits. Insurers may not require that
691property damage liability insurance in an amount greater than
692$10,000 be purchased in conjunction with personal injury
693protection.  Such insurers shall make benefits and required
694property damage liability insurance coverage available through
695normal marketing channels. Any insurer writing motor vehicle
696liability insurance in this state who fails to comply with such
697availability requirement as a general business practice shall be
698deemed to have violated part IX of chapter 626, and such
699violation shall constitute an unfair method of competition or an
700unfair or deceptive act or practice involving the business of
701insurance; and any such insurer committing such violation shall
702be subject to the penalties afforded in such part, as well as
703those which may be afforded elsewhere in the insurance code.
704     (2)  AUTHORIZED EXCLUSIONS.--Any insurer may exclude
705benefits:
706     (a)  For injury sustained by the named insured and
707relatives residing in the same household while occupying another
708motor vehicle owned by the named insured and not insured under
709the policy or for injury sustained by any person operating the
710insured motor vehicle without the express or implied consent of
711the insured.
712     (b)  To any injured person, if such person's conduct
713contributed to his or her injury under any of the following
714circumstances:
715     1.  Causing injury to himself or herself intentionally; or
716     2.  Being injured while committing a felony.
717
718Whenever an insured is charged with conduct as set forth in
719subparagraph 2., the 30-day payment provision of paragraph
720(4)(b) shall be held in abeyance, and the insurer shall withhold
721payment of any personal injury protection benefits pending the
722outcome of the case at the trial level.  If the charge is nolle
723prossed or dismissed or the insured is acquitted, the 30-day
724payment provision shall run from the date the insurer is
725notified of such action.
726     (3)  INSURED'S RIGHTS TO RECOVERY OF SPECIAL DAMAGES IN
727TORT CLAIMS.--No insurer shall have a lien on any recovery in
728tort by judgment, settlement, or otherwise for personal injury
729protection benefits, whether suit has been filed or settlement
730has been reached without suit.  An injured party who is entitled
731to bring suit under the provisions of ss. 627.730-627.7405, or
732his or her legal representative, shall have no right to recover
733any damages for which personal injury protection benefits are
734paid or payable. The plaintiff may prove all of his or her
735special damages notwithstanding this limitation, but if special
736damages are introduced in evidence, the trier of facts, whether
737judge or jury, shall not award damages for personal injury
738protection benefits paid or payable.  In all cases in which a
739jury is required to fix damages, the court shall instruct the
740jury that the plaintiff shall not recover such special damages
741for personal injury protection benefits paid or payable.
742     (4)  BENEFITS; WHEN DUE.--Benefits due from an insurer
743under ss. 627.730-627.7405 shall be primary, except that
744benefits received under any workers' compensation law shall be
745credited against the benefits provided by subsection (1) and
746shall be due and payable as loss accrues, upon receipt of
747reasonable proof of such loss and the amount of expenses and
748loss incurred which are covered by the policy issued under ss.
749627.730-627.7405. When the Agency for Health Care Administration
750provides, pays, or becomes liable for medical assistance under
751the Medicaid program related to injury, sickness, disease, or
752death arising out of the ownership, maintenance, or use of a
753motor vehicle, benefits under ss. 627.730-627.7405 shall be
754subject to the provisions of the Medicaid program.
755     (a)  An insurer may require written notice to be given as
756soon as practicable after an accident involving a motor vehicle
757with respect to which the policy affords the security required
758by ss. 627.730-627.7405.
759     (b)  Personal injury protection insurance benefits paid
760pursuant to this section shall be overdue if not paid within 30
761days after the insurer is furnished written notice of the fact
762of a covered loss and of the amount of same. If such written
763notice is not furnished to the insurer as to the entire claim,
764any partial amount supported by written notice is overdue if not
765paid within 30 days after such written notice is furnished to
766the insurer. Any part or all of the remainder of the claim that
767is subsequently supported by written notice is overdue if not
768paid within 30 days after such written notice is furnished to
769the insurer. When an insurer pays only a portion of a claim or
770rejects a claim, the insurer shall provide at the time of the
771partial payment or rejection an itemized specification of each
772item that the insurer had reduced, omitted, or declined to pay
773and any information that the insurer desires the claimant to
774consider related to the medical necessity of the denied
775treatment or to explain the reasonableness of the reduced
776charge, provided that this shall not limit the introduction of
777evidence at trial; and the insurer shall include the name and
778address of the person to whom the claimant should respond and a
779claim number to be referenced in future correspondence. However,
780notwithstanding the fact that written notice has been furnished
781to the insurer, any payment shall not be deemed overdue when the
782insurer has reasonable proof to establish that the insurer is
783not responsible for the payment. For the purpose of calculating
784the extent to which any benefits are overdue, payment shall be
785treated as being made on the date a draft or other valid
786instrument which is equivalent to payment was placed in the
787United States mail in a properly addressed, postpaid envelope
788or, if not so posted, on the date of delivery. This paragraph
789does not preclude or limit the ability of the insurer to assert
790that the claim was unrelated, was not medically necessary, or
791was unreasonable or that the amount of the charge was in excess
792of that permitted under, or in violation of, subsection (5).
793Such assertion by the insurer may be made at any time, including
794after payment of the claim or after the 30-day time period for
795payment set forth in this paragraph.
796     (c)  All overdue payments shall bear simple interest at the
797rate established under s. 55.03 or the rate established in the
798insurance contract, whichever is greater, for the year in which
799the payment became overdue, calculated from the date the insurer
800was furnished with written notice of the amount of covered loss.
801Interest shall be due at the time payment of the overdue claim
802is made.
803     (d)  The insurer of the owner of a motor vehicle shall pay
804personal injury protection benefits for:
805     1.  Accidental bodily injury sustained in this state by the
806owner while occupying a motor vehicle, or while not an occupant
807of a self-propelled vehicle if the injury is caused by physical
808contact with a motor vehicle.
809     2.  Accidental bodily injury sustained outside this state,
810but within the United States of America or its territories or
811possessions or Canada, by the owner while occupying the owner's
812motor vehicle.
813     3.  Accidental bodily injury sustained by a relative of the
814owner residing in the same household, under the circumstances
815described in subparagraph 1. or subparagraph 2., provided the
816relative at the time of the accident is domiciled in the owner's
817household and is not himself or herself the owner of a motor
818vehicle with respect to which security is required under ss.
819627.730-627.7405.
820     4.  Accidental bodily injury sustained in this state by any
821other person while occupying the owner's motor vehicle or, if a
822resident of this state, while not an occupant of a self-
823propelled vehicle, if the injury is caused by physical contact
824with such motor vehicle, provided the injured person is not
825himself or herself:
826     a.  The owner of a motor vehicle with respect to which
827security is required under ss. 627.730-627.7405; or
828     b.  Entitled to personal injury benefits from the insurer
829of the owner or owners of such a motor vehicle.
830     (e)  If two or more insurers are liable to pay personal
831injury protection benefits for the same injury to any one
832person, the maximum payable shall be as specified in subsection
833(1), and any insurer paying the benefits shall be entitled to
834recover from each of the other insurers an equitable pro rata
835share of the benefits paid and expenses incurred in processing
836the claim.
837     (f)  It is a violation of the insurance code for an insurer
838to fail to timely provide benefits as required by this section
839with such frequency as to constitute a general business
840practice.
841     (g)  Benefits shall not be due or payable to or on the
842behalf of an insured person if that person has committed, by a
843material act or omission, any insurance fraud relating to
844personal injury protection coverage under his or her policy, if
845the fraud is admitted to in a sworn statement by the insured or
846if it is established in a court of competent jurisdiction. Any
847insurance fraud shall void all coverage arising from the claim
848related to such fraud under the personal injury protection
849coverage of the insured person who committed the fraud,
850irrespective of whether a portion of the insured person's claim
851may be legitimate, and any benefits paid prior to the discovery
852of the insured person's insurance fraud shall be recoverable by
853the insurer from the person who committed insurance fraud in
854their entirety. The prevailing party is entitled to its costs
855and attorney's fees in any action in which it prevails in an
856insurer's action to enforce its right of recovery under this
857paragraph.
858     (5)  CHARGES FOR TREATMENT OF INJURED PERSONS.--
859     (a)  Any physician, hospital, clinic, or other person or
860institution lawfully rendering treatment to an injured person
861for a bodily injury covered by personal injury protection
862insurance may charge the insurer and injured party only a
863reasonable amount pursuant to this section for the services and
864supplies rendered, and the insurer providing such coverage may
865pay for such charges directly to such person or institution
866lawfully rendering such treatment, if the insured receiving such
867treatment or his or her guardian has countersigned the properly
868completed invoice, bill, or claim form approved by the office
869upon which such charges are to be paid for as having actually
870been rendered, to the best knowledge of the insured or his or
871her guardian. In no event, however, may such a charge be in
872excess of the amount the person or institution customarily
873charges for like services or supplies. With respect to a
874determination of whether a charge for a particular service,
875treatment, or otherwise is reasonable, consideration may be
876given to evidence of usual and customary charges and payments
877accepted by the provider involved in the dispute, and
878reimbursement levels in the community and various federal and
879state medical fee schedules applicable to automobile and other
880insurance coverages, and other information relevant to the
881reasonableness of the reimbursement for the service, treatment,
882or supply.
883     (b)1.  An insurer or insured is not required to pay a claim
884or charges:
885     a.  Made by a broker or by a person making a claim on
886behalf of a broker;
887     b.  For any service or treatment that was not lawful at the
888time rendered;
889     c.  To any person who knowingly submits a false or
890misleading statement relating to the claim or charges;
891     d.  With respect to a bill or statement that does not
892substantially meet the applicable requirements of paragraph (d);
893     e.  For any treatment or service that is upcoded, or that
894is unbundled when such treatment or services should be bundled,
895in accordance with paragraph (d). To facilitate prompt payment
896of lawful services, an insurer may change codes that it
897determines to have been improperly or incorrectly upcoded or
898unbundled, and may make payment based on the changed codes,
899without affecting the right of the provider to dispute the
900change by the insurer, provided that before doing so, the
901insurer must contact the health care provider and discuss the
902reasons for the insurer's change and the health care provider's
903reason for the coding, or make a reasonable good faith effort to
904do so, as documented in the insurer's file; and
905     f.  For medical services or treatment billed by a physician
906and not provided in a hospital unless such services are rendered
907by the physician or are incident to his or her professional
908services and are included on the physician's bill, including
909documentation verifying that the physician is responsible for
910the medical services that were rendered and billed.
911     2.  Charges for medically necessary cephalic thermograms,
912peripheral thermograms, spinal ultrasounds, extremity
913ultrasounds, video fluoroscopy, and surface electromyography
914shall not exceed the maximum reimbursement allowance for such
915procedures as set forth in the applicable fee schedule or other
916payment methodology established pursuant to s. 440.13.
917     3.  Allowable amounts that may be charged to a personal
918injury protection insurance insurer and insured for medically
919necessary nerve conduction testing when done in conjunction with
920a needle electromyography procedure and both are performed and
921billed solely by a physician licensed under chapter 458, chapter
922459, chapter 460, or chapter 461 who is also certified by the
923American Board of Electrodiagnostic Medicine or by a board
924recognized by the American Board of Medical Specialties or the
925American Osteopathic Association or who holds diplomate status
926with the American Chiropractic Neurology Board or its
927predecessors shall not exceed 200 percent of the allowable
928amount under the participating physician fee schedule of
929Medicare Part B for year 2001, for the area in which the
930treatment was rendered, adjusted annually on August 1 to reflect
931the prior calendar year's changes in the annual Medical Care
932Item of the Consumer Price Index for All Urban Consumers in the
933South Region as determined by the Bureau of Labor Statistics of
934the United States Department of Labor.
935     4.  Allowable amounts that may be charged to a personal
936injury protection insurance insurer and insured for medically
937necessary nerve conduction testing that does not meet the
938requirements of subparagraph 3. shall not exceed the applicable
939fee schedule or other payment methodology established pursuant
940to s. 440.13.
941     5.  Allowable amounts that may be charged to a personal
942injury protection insurance insurer and insured for magnetic
943resonance imaging services shall not exceed 175 percent of the
944allowable amount under the participating physician fee schedule
945of Medicare Part B for year 2001, for the area in which the
946treatment was rendered, adjusted annually on August 1 to reflect
947the prior calendar year's changes in the annual Medical Care
948Item of the Consumer Price Index for All Urban Consumers in the
949South Region as determined by the Bureau of Labor Statistics of
950the United States Department of Labor for the 12-month period
951ending June 30 of that year, except that allowable amounts that
952may be charged to a personal injury protection insurance insurer
953and insured for magnetic resonance imaging services provided in
954facilities accredited by the Accreditation Association for
955Ambulatory Health Care, the American College of Radiology, or
956the Joint Commission on Accreditation of Healthcare
957Organizations shall not exceed 200 percent of the allowable
958amount under the participating physician fee schedule of
959Medicare Part B for year 2001, for the area in which the
960treatment was rendered, adjusted annually on August 1 to reflect
961the prior calendar year's changes in the annual Medical Care
962Item of the Consumer Price Index for All Urban Consumers in the
963South Region as determined by the Bureau of Labor Statistics of
964the United States Department of Labor for the 12-month period
965ending June 30 of that year. This paragraph does not apply to
966charges for magnetic resonance imaging services and nerve
967conduction testing for inpatients and emergency services and
968care as defined in chapter 395 rendered by facilities licensed
969under chapter 395.
970     6.  The Department of Health, in consultation with the
971appropriate professional licensing boards, shall adopt, by rule,
972a list of diagnostic tests deemed not to be medically necessary
973for use in the treatment of persons sustaining bodily injury
974covered by personal injury protection benefits under this
975section. The initial list shall be adopted by January 1, 2004,
976and shall be revised from time to time as determined by the
977Department of Health, in consultation with the respective
978professional licensing boards. Inclusion of a test on the list
979of invalid diagnostic tests shall be based on lack of
980demonstrated medical value and a level of general acceptance by
981the relevant provider community and shall not be dependent for
982results entirely upon subjective patient response.
983Notwithstanding its inclusion on a fee schedule in this
984subsection, an insurer or insured is not required to pay any
985charges or reimburse claims for any invalid diagnostic test as
986determined by the Department of Health.
987     (c)1.  With respect to any treatment or service, other than
988medical services billed by a hospital or other provider for
989emergency services as defined in s. 395.002 or inpatient
990services rendered at a hospital-owned facility, the statement of
991charges must be furnished to the insurer by the provider and may
992not include, and the insurer is not required to pay, charges for
993treatment or services rendered more than 35 days before the
994postmark date of the statement, except for past due amounts
995previously billed on a timely basis under this paragraph, and
996except that, if the provider submits to the insurer a notice of
997initiation of treatment within 21 days after its first
998examination or treatment of the claimant, the statement may
999include charges for treatment or services rendered up to, but
1000not more than, 75 days before the postmark date of the
1001statement. The injured party is not liable for, and the provider
1002shall not bill the injured party for, charges that are unpaid
1003because of the provider's failure to comply with this paragraph.
1004Any agreement requiring the injured person or insured to pay for
1005such charges is unenforceable.
1006     2.  If, however, the insured fails to furnish the provider
1007with the correct name and address of the insured's personal
1008injury protection insurer, the provider has 35 days from the
1009date the provider obtains the correct information to furnish the
1010insurer with a statement of the charges. The insurer is not
1011required to pay for such charges unless the provider includes
1012with the statement documentary evidence that was provided by the
1013insured during the 35-day period demonstrating that the provider
1014reasonably relied on erroneous information from the insured and
1015either:
1016     a.  A denial letter from the incorrect insurer; or
1017     b.  Proof of mailing, which may include an affidavit under
1018penalty of perjury, reflecting timely mailing to the incorrect
1019address or insurer.
1020     3.  For emergency services and care as defined in s.
1021395.002 rendered in a hospital emergency department or for
1022transport and treatment rendered by an ambulance provider
1023licensed pursuant to part III of chapter 401, the provider is
1024not required to furnish the statement of charges within the time
1025periods established by this paragraph; and the insurer shall not
1026be considered to have been furnished with notice of the amount
1027of covered loss for purposes of paragraph (4)(b) until it
1028receives a statement complying with paragraph (d), or copy
1029thereof, which specifically identifies the place of service to
1030be a hospital emergency department or an ambulance in accordance
1031with billing standards recognized by the Health Care Finance
1032Administration.
1033     4.  Each notice of insured's rights under s. 627.7401 must
1034include the following statement in type no smaller than 12
1035points:
1036
1037BILLING REQUIREMENTS.--Florida Statutes provide that with
1038respect to any treatment or services, other than certain
1039hospital and emergency services, the statement of charges
1040furnished to the insurer by the provider may not include, and
1041the insurer and the injured party are not required to pay,
1042charges for treatment or services rendered more than 35 days
1043before the postmark date of the statement, except for past due
1044amounts previously billed on a timely basis, and except that, if
1045the provider submits to the insurer a notice of initiation of
1046treatment within 21 days after its first examination or
1047treatment of the claimant, the statement may include charges for
1048treatment or services rendered up to, but not more than, 75 days
1049before the postmark date of the statement.
1050     (d)  All statements and bills for medical services rendered
1051by any physician, hospital, clinic, or other person or
1052institution shall be submitted to the insurer on a properly
1053completed Centers for Medicare and Medicaid Services (CMS) 1500
1054form, UB 92 forms, or any other standard form approved by the
1055office or adopted by the commission for purposes of this
1056paragraph. All billings for such services rendered by providers
1057shall, to the extent applicable, follow the Physicians' Current
1058Procedural Terminology (CPT) or Healthcare Correct Procedural
1059Coding System (HCPCS), or ICD-9 in effect for the year in which
1060services are rendered and comply with the Centers for Medicare
1061and Medicaid Services (CMS) 1500 form instructions and the
1062American Medical Association Current Procedural Terminology
1063(CPT) Editorial Panel and Healthcare Correct Procedural Coding
1064System (HCPCS). All providers other than hospitals shall include
1065on the applicable claim form the professional license number of
1066the provider in the line or space provided for "Signature of
1067Physician or Supplier, Including Degrees or Credentials." In
1068determining compliance with applicable CPT and HCPCS coding,
1069guidance shall be provided by the Physicians' Current Procedural
1070Terminology (CPT) or the Healthcare Correct Procedural Coding
1071System (HCPCS) in effect for the year in which services were
1072rendered, the Office of the Inspector General (OIG), Physicians
1073Compliance Guidelines, and other authoritative treatises
1074designated by rule by the Agency for Health Care Administration.
1075No statement of medical services may include charges for medical
1076services of a person or entity that performed such services
1077without possessing the valid licenses required to perform such
1078services. For purposes of paragraph (4)(b), an insurer shall not
1079be considered to have been furnished with notice of the amount
1080of covered loss or medical bills due unless the statements or
1081bills comply with this paragraph, and unless the statements or
1082bills are properly completed in their entirety as to all
1083material provisions, with all relevant information being
1084provided therein.
1085     (e)1.  At the initial treatment or service provided, each
1086physician, other licensed professional, clinic, or other medical
1087institution providing medical services upon which a claim for
1088personal injury protection benefits is based shall require an
1089insured person, or his or her guardian, to execute a disclosure
1090and acknowledgment form, which reflects at a minimum that:
1091     a.  The insured, or his or her guardian, must countersign
1092the form attesting to the fact that the services set forth
1093therein were actually rendered;
1094     b.  The insured, or his or her guardian, has both the right
1095and affirmative duty to confirm that the services were actually
1096rendered;
1097     c.  The insured, or his or her guardian, was not solicited
1098by any person to seek any services from the medical provider;
1099     d.  That the physician, other licensed professional,
1100clinic, or other medical institution rendering services for
1101which payment is being claimed explained the services to the
1102insured or his or her guardian; and
1103     e.  If the insured notifies the insurer in writing of a
1104billing error, the insured may be entitled to a certain
1105percentage of a reduction in the amounts paid by the insured's
1106motor vehicle insurer.
1107     2.  The physician, other licensed professional, clinic, or
1108other medical institution rendering services for which payment
1109is being claimed has the affirmative duty to explain the
1110services rendered to the insured, or his or her guardian, so
1111that the insured, or his or her guardian, countersigns the form
1112with informed consent.
1113     3.  Countersignature by the insured, or his or her
1114guardian, is not required for the reading of diagnostic tests or
1115other services that are of such a nature that they are not
1116required to be performed in the presence of the insured.
1117     4.  The licensed medical professional rendering treatment
1118for which payment is being claimed must sign, by his or her own
1119hand, the form complying with this paragraph.
1120     5.  The original completed disclosure and acknowledgment
1121form shall be furnished to the insurer pursuant to paragraph
1122(4)(b) and may not be electronically furnished.
1123     6.  This disclosure and acknowledgment form is not required
1124for services billed by a provider for emergency services as
1125defined in s. 395.002, for emergency services and care as
1126defined in s. 395.002 rendered in a hospital emergency
1127department, or for transport and treatment rendered by an
1128ambulance provider licensed pursuant to part III of chapter 401.
1129     7.  The Financial Services Commission shall adopt, by rule,
1130a standard disclosure and acknowledgment form that shall be used
1131to fulfill the requirements of this paragraph, effective 90 days
1132after such form is adopted and becomes final. The commission
1133shall adopt a proposed rule by October 1, 2003. Until the rule
1134is final, the provider may use a form of its own which otherwise
1135complies with the requirements of this paragraph.
1136     8.  As used in this paragraph, "countersigned" means a
1137second or verifying signature, as on a previously signed
1138document, and is not satisfied by the statement "signature on
1139file" or any similar statement.
1140     9.  The requirements of this paragraph apply only with
1141respect to the initial treatment or service of the insured by a
1142provider. For subsequent treatments or service, the provider
1143must maintain a patient log signed by the patient, in
1144chronological order by date of service, that is consistent with
1145the services being rendered to the patient as claimed. The
1146requirements of this subparagraph for maintaining a patient log
1147signed by the patient may be met by a hospital that maintains
1148medical records as required by s. 395.3025 and applicable rules
1149and makes such records available to the insurer upon request.
1150     (f)  Upon written notification by any person, an insurer
1151shall investigate any claim of improper billing by a physician
1152or other medical provider. The insurer shall determine if the
1153insured was properly billed for only those services and
1154treatments that the insured actually received. If the insurer
1155determines that the insured has been improperly billed, the
1156insurer shall notify the insured, the person making the written
1157notification and the provider of its findings and shall reduce
1158the amount of payment to the provider by the amount determined
1159to be improperly billed. If a reduction is made due to such
1160written notification by any person, the insurer shall pay to the
1161person 20 percent of the amount of the reduction, up to $500. If
1162the provider is arrested due to the improper billing, then the
1163insurer shall pay to the person 40 percent of the amount of the
1164reduction, up to $500.
1165     (g)  An insurer may not systematically downcode with the
1166intent to deny reimbursement otherwise due. Such action
1167constitutes a material misrepresentation under s.
1168626.9541(1)(i)2.
1169     (6)  DISCOVERY OF FACTS ABOUT AN INJURED PERSON;
1170DISPUTES.--
1171     (a)  Every employer shall, if a request is made by an
1172insurer providing personal injury protection benefits under ss.
1173627.730-627.7405 against whom a claim has been made, furnish
1174forthwith, in a form approved by the office, a sworn statement
1175of the earnings, since the time of the bodily injury and for a
1176reasonable period before the injury, of the person upon whose
1177injury the claim is based.
1178     (b)  Every physician, hospital, clinic, or other medical
1179institution providing, before or after bodily injury upon which
1180a claim for personal injury protection insurance benefits is
1181based, any products, services, or accommodations in relation to
1182that or any other injury, or in relation to a condition claimed
1183to be connected with that or any other injury, shall, if
1184requested to do so by the insurer against whom the claim has
1185been made, furnish forthwith a written report of the history,
1186condition, treatment, dates, and costs of such treatment of the
1187injured person and why the items identified by the insurer were
1188reasonable in amount and medically necessary, together with a
1189sworn statement that the treatment or services rendered were
1190reasonable and necessary with respect to the bodily injury
1191sustained and identifying which portion of the expenses for such
1192treatment or services was incurred as a result of such bodily
1193injury, and produce forthwith, and permit the inspection and
1194copying of, his or her or its records regarding such history,
1195condition, treatment, dates, and costs of treatment; provided
1196that this shall not limit the introduction of evidence at trial.
1197Such sworn statement shall read as follows: "Under penalty of
1198perjury, I declare that I have read the foregoing, and the facts
1199alleged are true, to the best of my knowledge and belief." No
1200cause of action for violation of the physician-patient privilege
1201or invasion of the right of privacy shall be permitted against
1202any physician, hospital, clinic, or other medical institution
1203complying with the provisions of this section. The person
1204requesting such records and such sworn statement shall pay all
1205reasonable costs connected therewith. If an insurer makes a
1206written request for documentation or information under this
1207paragraph within 30 days after having received notice of the
1208amount of a covered loss under paragraph (4)(a), the amount or
1209the partial amount which is the subject of the insurer's inquiry
1210shall become overdue if the insurer does not pay in accordance
1211with paragraph (4)(b) or within 10 days after the insurer's
1212receipt of the requested documentation or information, whichever
1213occurs later. For purposes of this paragraph, the term "receipt"
1214includes, but is not limited to, inspection and copying pursuant
1215to this paragraph. Any insurer that requests documentation or
1216information pertaining to reasonableness of charges or medical
1217necessity under this paragraph without a reasonable basis for
1218such requests as a general business practice is engaging in an
1219unfair trade practice under the insurance code.
1220     (c)  In the event of any dispute regarding an insurer's
1221right to discovery of facts under this section, the insurer may
1222petition a court of competent jurisdiction to enter an order
1223permitting such discovery. The order may be made only on motion
1224for good cause shown and upon notice to all persons having an
1225interest, and it shall specify the time, place, manner,
1226conditions, and scope of the discovery. Such court may, in order
1227to protect against annoyance, embarrassment, or oppression, as
1228justice requires, enter an order refusing discovery or
1229specifying conditions of discovery and may order payments of
1230costs and expenses of the proceeding, including reasonable fees
1231for the appearance of attorneys at the proceedings, as justice
1232requires.
1233     (d)  The injured person shall be furnished, upon request, a
1234copy of all information obtained by the insurer under the
1235provisions of this section, and shall pay a reasonable charge,
1236if required by the insurer.
1237     (e)  Notice to an insurer of the existence of a claim shall
1238not be unreasonably withheld by an insured.
1239     (7)  MENTAL AND PHYSICAL EXAMINATION OF INJURED PERSON;
1240REPORTS.--
1241     (a)  Whenever the mental or physical condition of an
1242injured person covered by personal injury protection is material
1243to any claim that has been or may be made for past or future
1244personal injury protection insurance benefits, such person
1245shall, upon the request of an insurer, submit to mental or
1246physical examination by a physician or physicians. The costs of
1247any examinations requested by an insurer shall be borne entirely
1248by the insurer. Such examination shall be conducted within the
1249municipality where the insured is receiving treatment, or in a
1250location reasonably accessible to the insured, which, for
1251purposes of this paragraph, means any location within the
1252municipality in which the insured resides, or any location
1253within 10 miles by road of the insured's residence, provided
1254such location is within the county in which the insured resides.
1255If the examination is to be conducted in a location reasonably
1256accessible to the insured, and if there is no qualified
1257physician to conduct the examination in a location reasonably
1258accessible to the insured, then such examination shall be
1259conducted in an area of the closest proximity to the insured's
1260residence. Personal protection insurers are authorized to
1261include reasonable provisions in personal injury protection
1262insurance policies for mental and physical examination of those
1263claiming personal injury protection insurance benefits. An
1264insurer may not withdraw payment of a treating physician without
1265the consent of the injured person covered by the personal injury
1266protection, unless the insurer first obtains a valid report by a
1267Florida physician licensed under the same chapter as the
1268treating physician whose treatment authorization is sought to be
1269withdrawn, stating that treatment was not reasonable, related,
1270or necessary. A valid report is one that is prepared and signed
1271by the physician examining the injured person or reviewing the
1272treatment records of the injured person and is factually
1273supported by the examination and treatment records if reviewed
1274and that has not been modified by anyone other than the
1275physician. The physician preparing the report must be in active
1276practice, unless the physician is physically disabled. Active
1277practice means that during the 3 years immediately preceding the
1278date of the physical examination or review of the treatment
1279records the physician must have devoted professional time to the
1280active clinical practice of evaluation, diagnosis, or treatment
1281of medical conditions or to the instruction of students in an
1282accredited health professional school or accredited residency
1283program or a clinical research program that is affiliated with
1284an accredited health professional school or teaching hospital or
1285accredited residency program. The physician preparing a report
1286at the request of an insurer and physicians rendering expert
1287opinions on behalf of persons claiming medical benefits for
1288personal injury protection, or on behalf of an insured through
1289an attorney or another entity, shall maintain, for at least 3
1290years, copies of all examination reports as medical records and
1291shall maintain, for at least 3 years, records of all payments
1292for the examinations and reports. Neither an insurer nor any
1293person acting at the direction of or on behalf of an insurer may
1294materially change an opinion in a report prepared under this
1295paragraph or direct the physician preparing the report to change
1296such opinion. The denial of a payment as the result of such a
1297changed opinion constitutes a material misrepresentation under
1298s. 626.9541(1)(i)2.; however, this provision does not preclude
1299the insurer from calling to the attention of the physician
1300errors of fact in the report based upon information in the claim
1301file.
1302     (b)  If requested by the person examined, a party causing
1303an examination to be made shall deliver to him or her a copy of
1304every written report concerning the examination rendered by an
1305examining physician, at least one of which reports must set out
1306the examining physician's findings and conclusions in detail.
1307After such request and delivery, the party causing the
1308examination to be made is entitled, upon request, to receive
1309from the person examined every written report available to him
1310or her or his or her representative concerning any examination,
1311previously or thereafter made, of the same mental or physical
1312condition. By requesting and obtaining a report of the
1313examination so ordered, or by taking the deposition of the
1314examiner, the person examined waives any privilege he or she may
1315have, in relation to the claim for benefits, regarding the
1316testimony of every other person who has examined, or may
1317thereafter examine, him or her in respect to the same mental or
1318physical condition. If a person unreasonably refuses to submit
1319to an examination, the personal injury protection carrier is no
1320longer liable for subsequent personal injury protection
1321benefits.
1322     (8)  APPLICABILITY OF PROVISION REGULATING ATTORNEY'S
1323FEES.--With respect to any dispute under the provisions of ss.
1324627.730-627.7405 between the insured and the insurer, or between
1325an assignee of an insured's rights and the insurer, the
1326provisions of s. 627.428 shall apply, except as provided in
1327subsection (10) (11).
1328     (9)(a)  Each insurer which has issued a policy providing
1329personal injury protection benefits shall report the renewal,
1330cancellation, or nonrenewal thereof to the Department of Highway
1331Safety and Motor Vehicles within 45 days from the effective date
1332of the renewal, cancellation, or nonrenewal.  Upon the issuance
1333of a policy providing personal injury protection benefits to a
1334named insured not previously insured by the insurer thereof
1335during that calendar year, the insurer shall report the issuance
1336of the new policy to the Department of Highway Safety and Motor
1337Vehicles within 30 days.  The report shall be in such form and
1338format and contain such information as may be required by the
1339Department of Highway Safety and Motor Vehicles which shall
1340include a format compatible with the data processing
1341capabilities of said department, and the Department of Highway
1342Safety and Motor Vehicles is authorized to adopt rules necessary
1343with respect thereto. Failure by an insurer to file proper
1344reports with the Department of Highway Safety and Motor Vehicles
1345as required by this subsection or rules adopted with respect to
1346the requirements of this subsection constitutes a violation of
1347the Florida Insurance Code. Reports of cancellations and policy
1348renewals and reports of the issuance of new policies received by
1349the Department of Highway Safety and Motor Vehicles are
1350confidential and exempt from the provisions of s. 119.07(1).
1351These records are to be used for enforcement and regulatory
1352purposes only, including the generation by the department of
1353data regarding compliance by owners of motor vehicles with
1354financial responsibility coverage requirements. In addition, the
1355Department of Highway Safety and Motor Vehicles shall release,
1356upon a written request by a person involved in a motor vehicle
1357accident, by the person's attorney, or by a representative of
1358the person's motor vehicle insurer, the name of the insurance
1359company and the policy number for the policy covering the
1360vehicle named by the requesting party.  The written request must
1361include a copy of the appropriate accident form as provided in
1362s. 316.065, s. 316.066, or s. 316.068.
1363     (b)  Every insurer with respect to each insurance policy
1364providing personal injury protection benefits shall notify the
1365named insured or in the case of a commercial fleet policy, the
1366first named insured in writing that any cancellation or
1367nonrenewal of the policy will be reported by the insurer to the
1368Department of Highway Safety and Motor Vehicles.  The notice
1369shall also inform the named insured that failure to maintain
1370personal injury protection and property damage liability
1371insurance on a motor vehicle when required by law may result in
1372the loss of registration and driving privileges in this state,
1373and the notice shall inform the named insured of the amount of
1374the reinstatement fees required by s. 627.733(7).  This notice
1375is for informational purposes only, and no civil liability shall
1376attach to an insurer due to failure to provide this notice.
1377     (9)(10)  An insurer may negotiate and enter into contracts
1378with licensed health care providers for the benefits described
1379in this section, referred to in this section as "preferred
1380providers," which shall include health care providers licensed
1381under chapters 458, 459, 460, 461, and 463. The insurer may
1382provide an option to an insured to use a preferred provider at
1383the time of purchase of the policy for personal injury
1384protection benefits, if the requirements of this subsection are
1385met. If the insured elects to use a provider who is not a
1386preferred provider, whether the insured purchased a preferred
1387provider policy or a nonpreferred provider policy, the medical
1388benefits provided by the insurer shall be as required by this
1389section. If the insured elects to use a provider who is a
1390preferred provider, the insurer may pay medical benefits in
1391excess of the benefits required by this section and may waive or
1392lower the amount of any deductible that applies to such medical
1393benefits. If the insurer offers a preferred provider policy to a
1394policyholder or applicant, it must also offer a nonpreferred
1395provider policy. The insurer shall provide each policyholder
1396with a current roster of preferred providers in the county in
1397which the insured resides at the time of purchase of such
1398policy, and shall make such list available for public inspection
1399during regular business hours at the principal office of the
1400insurer within the state.
1401     (10)(11)  DEMAND LETTER.--
1402     (a)  As a condition precedent to filing any action for
1403benefits under this section, the insurer must be provided with
1404written notice of an intent to initiate litigation. Such notice
1405may not be sent until the claim is overdue, including any
1406additional time the insurer has to pay the claim pursuant to
1407paragraph (4)(b).
1408     (b)  The notice required shall state that it is a "demand
1409letter under s. 627.736(10)(11)" and shall state with
1410specificity:
1411     1.  The name of the insured upon which such benefits are
1412being sought, including a copy of the assignment giving rights
1413to the claimant if the claimant is not the insured.
1414     2.  The claim number or policy number upon which such claim
1415was originally submitted to the insurer.
1416     3.  To the extent applicable, the name of any medical
1417provider who rendered to an insured the treatment, services,
1418accommodations, or supplies that form the basis of such claim;
1419and an itemized statement specifying each exact amount, the date
1420of treatment, service, or accommodation, and the type of benefit
1421claimed to be due. A completed form satisfying the requirements
1422of paragraph (5)(d) or the lost-wage statement previously
1423submitted may be used as the itemized statement. To the extent
1424that the demand involves an insurer's withdrawal of payment
1425under paragraph (7)(a) for future treatment not yet rendered,
1426the claimant shall attach a copy of the insurer's notice
1427withdrawing such payment and an itemized statement of the type,
1428frequency, and duration of future treatment claimed to be
1429reasonable and medically necessary.
1430     (c)  Each notice required by this subsection must be
1431delivered to the insurer by United States certified or
1432registered mail, return receipt requested. Such postal costs
1433shall be reimbursed by the insurer if so requested by the
1434claimant in the notice, when the insurer pays the claim. Such
1435notice must be sent to the person and address specified by the
1436insurer for the purposes of receiving notices under this
1437subsection. Each licensed insurer, whether domestic, foreign, or
1438alien, shall file with the office designation of the name and
1439address of the person to whom notices pursuant to this
1440subsection shall be sent which the office shall make available
1441on its Internet website. The name and address on file with the
1442office pursuant to s. 624.422 shall be deemed the authorized
1443representative to accept notice pursuant to this subsection in
1444the event no other designation has been made.
1445     (d)  If, within 15 days after receipt of notice by the
1446insurer, the overdue claim specified in the notice is paid by
1447the insurer together with applicable interest and a penalty of
144810 percent of the overdue amount paid by the insurer, subject to
1449a maximum penalty of $250, no action may be brought against the
1450insurer. If the demand involves an insurer's withdrawal of
1451payment under paragraph (7)(a) for future treatment not yet
1452rendered, no action may be brought against the insurer if,
1453within 15 days after its receipt of the notice, the insurer
1454mails to the person filing the notice a written statement of the
1455insurer's agreement to pay for such treatment in accordance with
1456the notice and to pay a penalty of 10 percent, subject to a
1457maximum penalty of $250, when it pays for such future treatment
1458in accordance with the requirements of this section. To the
1459extent the insurer determines not to pay any amount demanded,
1460the penalty shall not be payable in any subsequent action. For
1461purposes of this subsection, payment or the insurer's agreement
1462shall be treated as being made on the date a draft or other
1463valid instrument that is equivalent to payment, or the insurer's
1464written statement of agreement, is placed in the United States
1465mail in a properly addressed, postpaid envelope, or if not so
1466posted, on the date of delivery. The insurer shall not be
1467obligated to pay any attorney's fees if the insurer pays the
1468claim or mails its agreement to pay for future treatment within
1469the time prescribed by this subsection.
1470     (e)  The applicable statute of limitation for an action
1471under this section shall be tolled for a period of 15 business
1472days by the mailing of the notice required by this subsection.
1473     (f)  Any insurer making a general business practice of not
1474paying valid claims until receipt of the notice required by this
1475subsection is engaging in an unfair trade practice under the
1476insurance code.
1477     (11)(12)  CIVIL ACTION FOR INSURANCE FRAUD.--An insurer
1478shall have a cause of action against any person convicted of, or
1479who, regardless of adjudication of guilt, pleads guilty or nolo
1480contendere to insurance fraud under s. 817.234, patient
1481brokering under s. 817.505, or kickbacks under s. 456.054,
1482associated with a claim for personal injury protection benefits
1483in accordance with this section. An insurer prevailing in an
1484action brought under this subsection may recover compensatory,
1485consequential, and punitive damages subject to the requirements
1486and limitations of part II of chapter 768, and attorney's fees
1487and costs incurred in litigating a cause of action against any
1488person convicted of, or who, regardless of adjudication of
1489guilt, pleads guilty or nolo contendere to insurance fraud under
1490s. 817.234, patient brokering under s. 817.505, or kickbacks
1491under s. 456.054, associated with a claim for personal injury
1492protection benefits in accordance with this section.
1493     (12)(13)  MINIMUM BENEFIT COVERAGE.--If the Financial
1494Services Commission determines that the cost savings under
1495personal injury protection insurance benefits paid by insurers
1496have been realized due to the provisions of this act, prior
1497legislative reforms, or other factors, the commission may
1498increase the minimum $10,000 benefit coverage requirement. In
1499establishing the amount of such increase, the commission must
1500determine that the additional premium for such coverage is
1501approximately equal to the premium cost savings that have been
1502realized for the personal injury protection coverage with limits
1503of $10,000.
1504     (13)(14)  FRAUD ADVISORY NOTICE.--Upon receiving notice of
1505a claim under this section, an insurer shall provide a notice to
1506the insured or to a person for whom a claim for reimbursement
1507for diagnosis or treatment of injuries has been filed, advising
1508that:
1509     (a)  Pursuant to s. 626.9892, the Department of Financial
1510Services may pay rewards of up to $25,000 to persons providing
1511information leading to the arrest and conviction of persons
1512committing crimes investigated by the Division of Insurance
1513Fraud arising from violations of s. 440.105, s. 624.15, s.
1514626.9541, s. 626.989, or s. 817.234.
1515     (b)  Solicitation of a person injured in a motor vehicle
1516crash for purposes of filing personal injury protection or tort
1517claims could be a violation of s. 817.234, s. 817.505, or the
1518rules regulating The Florida Bar and should be immediately
1519reported to the Division of Insurance Fraud if such conduct has
1520taken place.
1521     Section 14.  Notwithstanding the repeal of the Florida
1522Motor Vehicle No-Fault Law, which occurred on October 1, 2007,
1523section 627.737, Florida Statutes, is revived and reenacted to
1524read:
1525     627.737  Tort exemption; limitation on right to damages;
1526punitive damages.--
1527     (1)  Every owner, registrant, operator, or occupant of a
1528motor vehicle with respect to which security has been provided
1529as required by ss. 627.730-627.7405, and every person or
1530organization legally responsible for her or his acts or
1531omissions, is hereby exempted from tort liability for damages
1532because of bodily injury, sickness, or disease arising out of
1533the ownership, operation, maintenance, or use of such motor
1534vehicle in this state to the extent that the benefits described
1535in s. 627.736(1) are payable for such injury, or would be
1536payable but for any exclusion authorized by ss. 627.730-
1537627.7405, under any insurance policy or other method of security
1538complying with the requirements of s. 627.733, or by an owner
1539personally liable under s. 627.733 for the payment of such
1540benefits, unless a person is entitled to maintain an action for
1541pain, suffering, mental anguish, and inconvenience for such
1542injury under the provisions of subsection (2).
1543     (2)  In any action of tort brought against the owner,
1544registrant, operator, or occupant of a motor vehicle with
1545respect to which security has been provided as required by ss.
1546627.730-627.7405, or against any person or organization legally
1547responsible for her or his acts or omissions, a plaintiff may
1548recover damages in tort for pain, suffering, mental anguish, and
1549inconvenience because of bodily injury, sickness, or disease
1550arising out of the ownership, maintenance, operation, or use of
1551such motor vehicle only in the event that the injury or disease
1552consists in whole or in part of:
1553     (a)  Significant and permanent loss of an important bodily
1554function.
1555     (b)  Permanent injury within a reasonable degree of medical
1556probability, other than scarring or disfigurement.
1557     (c)  Significant and permanent scarring or disfigurement.
1558     (d)  Death.
1559     (3)  When a defendant, in a proceeding brought pursuant to
1560ss. 627.730-627.7405, questions whether the plaintiff has met
1561the requirements of subsection (2), then the defendant may file
1562an appropriate motion with the court, and the court shall, on a
1563one-time basis only, 30 days before the date set for the trial
1564or the pretrial hearing, whichever is first, by examining the
1565pleadings and the evidence before it, ascertain whether the
1566plaintiff will be able to submit some evidence that the
1567plaintiff will meet the requirements of subsection (2).  If the
1568court finds that the plaintiff will not be able to submit such
1569evidence, then the court shall dismiss the plaintiff's claim
1570without prejudice.
1571     (4)  In any action brought against an automobile liability
1572insurer for damages in excess of its policy limits, no claim for
1573punitive damages shall be allowed.
1574     Section 15.  Notwithstanding the repeal of the Florida
1575Motor Vehicle No-Fault Law, which occurred on October 1, 2007,
1576section 627.739, Florida Statutes, is revived and reenacted to
1577read:
1578     627.739  Personal injury protection; optional limitations;
1579deductibles.--
1580     (1)  The named insured may elect a deductible or modified
1581coverage or combination thereof to apply to the named insured
1582alone or to the named insured and dependent relatives residing
1583in the same household, but may not elect a deductible or
1584modified coverage to apply to any other person covered under the
1585policy.
1586     (2)  Insurers shall offer to each applicant and to each
1587policyholder, upon the renewal of an existing policy,
1588deductibles, in amounts of $250, $500, and $1,000. The
1589deductible amount must be applied to 100 percent of the expenses
1590and losses described in s. 627.736. After the deductible is met,
1591each insured is eligible to receive up to $10,000 in total
1592benefits described in s. 627.736(1). However, this subsection
1593shall not be applied to reduce the amount of any benefits
1594received in accordance with s. 627.736(1)(c).
1595     (3)  Insurers shall offer coverage wherein, at the election
1596of the named insured, the benefits for loss of gross income and
1597loss of earning capacity described in s. 627.736(1)(b) shall be
1598excluded.
1599     (4)  The named insured shall not be prevented from electing
1600a deductible under subsection (2) and modified coverage under
1601subsection (3). Each election made by the named insured under
1602this section shall result in an appropriate reduction of premium
1603associated with that election.
1604     (5)  All such offers shall be made in clear and unambiguous
1605language at the time the initial application is taken and prior
1606to each annual renewal and shall indicate that a premium
1607reduction will result from each election. At the option of the
1608insurer, the requirements of the preceding sentence are met by
1609using forms of notice approved by the office, or by providing
1610the following notice in 10-point type in the insurer's
1611application for initial issuance of a policy of motor vehicle
1612insurance and the insurer's annual notice of renewal premium:
1613 For personal injury protection insurance, the named insured may
1614elect a deductible and to exclude coverage for loss of gross
1615income and loss of earning capacity ("lost wages"). These
1616elections apply to the named insured alone, or to the named
1617insured and all dependent resident relatives. A premium
1618reduction will result from these elections. The named insured is
1619hereby advised not to elect the lost wage exclusion if the named
1620insured or dependent resident relatives are employed, since lost
1621wages will not be payable in the event of an accident.
1622     Section 16.  Notwithstanding the repeal of the Florida
1623Motor Vehicle No-Fault Law, which occurred on October 1, 2007,
1624section 627.7401, Florida Statutes, is revived and reenacted to
1625read:
1626     627.7401  Notification of insured's rights.--
1627     (1)  The commission, by rule, shall adopt a form for the
1628notification of insureds of their right to receive personal
1629injury protection benefits under the Florida Motor Vehicle No-
1630Fault Law. Such notice shall include:
1631     (a)  A description of the benefits provided by personal
1632injury protection, including, but not limited to, the specific
1633types of services for which medical benefits are paid,
1634disability benefits, death benefits, significant exclusions from
1635and limitations on personal injury protection benefits, when
1636payments are due, how benefits are coordinated with other
1637insurance benefits that the insured may have, penalties and
1638interest that may be imposed on insurers for failure to make
1639timely payments of benefits, and rights of parties regarding
1640disputes as to benefits.
1641     (b)  An advisory informing insureds that:
1642     1.  Pursuant to s. 626.9892, the Department of Financial
1643Services may pay rewards of up to $25,000 to persons providing
1644information leading to the arrest and conviction of persons
1645committing crimes investigated by the Division of Insurance
1646Fraud arising from violations of s. 440.105, s. 624.15, s.
1647626.9541, s. 626.989, or s. 817.234.
1648     2.  Pursuant to s. 627.736(5)(e)1., if the insured notifies
1649the insurer of a billing error, the insured may be entitled to a
1650certain percentage of a reduction in the amount paid by the
1651insured's motor vehicle insurer.
1652     (c)  A notice that solicitation of a person injured in a
1653motor vehicle crash for purposes of filing personal injury
1654protection or tort claims could be a violation of s. 817.234, s
1655817.505, or the rules regulating The Florida Bar and should be
1656immediately reported to the Division of Insurance Fraud if such
1657conduct has taken place.
1658     (2)  Each insurer issuing a policy in this state providing
1659personal injury protection benefits must mail or deliver the
1660notice as specified in subsection (1) to an insured within 21
1661days after receiving from the insured notice of an automobile
1662accident or claim involving personal injury to an insured who is
1663covered under the policy. The office may allow an insurer
1664additional time to provide the notice specified in subsection
1665(1) not to exceed 30 days, upon a showing by the insurer that an
1666emergency justifies an extension of time.
1667     (3)  The notice required by this section does not alter or
1668modify the terms of the insurance contract or other requirements
1669of this act.
1670     Section 17.  Notwithstanding the repeal of the Florida
1671Motor Vehicle No-Fault Law, which occurred on October 1, 2007,
1672section 627.7403, Florida Statutes, is revived and reenacted to
1673read:
1674     627.7403  Mandatory joinder of derivative claim.--In any
1675action brought pursuant to the provisions of s. 627.737 claiming
1676personal injuries, all claims arising out of the plaintiff's
1677injuries, including all derivative claims, shall be brought
1678together, unless good cause is shown why such claims should be
1679brought separately.
1680     Section 18.  Notwithstanding the repeal of the Florida
1681Motor Vehicle No-Fault Law, which occurred on October 1, 2007,
1682section 627.7405, Florida Statutes, is revived and reenacted to
1683read:
1684     627.7405  Insurers' right of
1685reimbursement.--Notwithstanding any other provisions of ss.
1686627.730-627.7405, any insurer providing personal injury
1687protection benefits on a private passenger motor vehicle shall
1688have, to the extent of any personal injury protection benefits
1689paid to any person as a benefit arising out of such private
1690passenger motor vehicle insurance, a right of reimbursement
1691against the owner or the insurer of the owner of a commercial
1692motor vehicle, if the benefits paid result from such person
1693having been an occupant of the commercial motor vehicle or
1694having been struck by the commercial motor vehicle while not an
1695occupant of any self-propelled vehicle.
1696     Section 19.  This act revives and reenacts, with
1697amendments, the Florida Motor Vehicle No-Fault Law, which
1698expired by operation of law on October 1, 2007. This act is
1699intended to be remedial and curative in nature and to minimize
1700confusion concerning the changes made by this act to ss.
1701627.730-627.7405, Florida Statutes. Therefore, the Florida Motor
1702Vehicle No-Fault Law shall continue to be codified as ss.
1703627.730-627.7405, Florida Statutes, notwithstanding the repeal
1704of those sections contained in s. 19, chapter 2003-411, Laws of
1705Florida.
1706     Section 20.  Subsections (1) and (4), paragraphs (a), (b),
1707and (c) of subsection (5), subsection (8), and paragraphs (d)
1708and (e) of subsection (10) of section 627.736, Florida Statutes,
1709as reenacted and amended by this act, are amended, subsections
1710(11), (12), and (13) of that section, as reenacted and amended
1711by this act, are renumbered as subsections (12), (13), and (14),
1712respectively, and a new subsection (11) and subsections (15) and
1713(16) are added to that section, to read:
1714     627.736  Required personal injury protection benefits;
1715exclusions; priority; claims.--
1716     (1)  REQUIRED BENEFITS.--Every insurance policy complying
1717with the security requirements of s. 627.733 shall provide
1718personal injury protection to the named insured, relatives
1719residing in the same household, persons operating the insured
1720motor vehicle, passengers in such motor vehicle, and other
1721persons struck by such motor vehicle and suffering bodily injury
1722while not an occupant of a self-propelled vehicle, subject to
1723the provisions of subsection (2) and paragraph (4)(e)(d), to a
1724limit of $10,000 for loss sustained by any such person as a
1725result of bodily injury, sickness, disease, or death arising out
1726of the ownership, maintenance, or use of a motor vehicle as
1727follows:
1728     (a)  Medical benefits.--Eighty percent of all reasonable
1729expenses for medically necessary medical, surgical, X-ray,
1730dental, and rehabilitative services, including prosthetic
1731devices, and medically necessary ambulance, hospital, and
1732nursing services. However, the medical benefits shall provide
1733reimbursement only for such services and care that are lawfully
1734provided, supervised, ordered, or prescribed by a physician
1735licensed under chapter 458 or chapter 459, a dentist licensed
1736under chapter 466, or a chiropractic physician licensed under
1737chapter 460 or that are provided by any of the following persons
1738or entities:
1739     1.  A hospital or ambulatory surgical center licensed under
1740chapter 395.
1741     2.  A person or entity licensed under ss. 401.2101-401.45
1742that provides emergency transportation and treatment.
1743     3.  An entity wholly owned by one or more physicians
1744licensed under chapter 458 or chapter 459, chiropractic
1745physicians licensed under chapter 460, or dentists licensed
1746under chapter 466 or by such practitioner or practitioners and
1747the spouse, parent, child, or sibling of that practitioner or
1748those practitioners.
1749     4.  An entity wholly owned, directly or indirectly, by a
1750hospital or hospitals.
1751     5.  A health care clinic licensed under ss. 400.990-400.995
1752that is:
1753     a.  Accredited by the Joint Commission on Accreditation of
1754Healthcare Organizations, the American Osteopathic Association,
1755the Commission on Accreditation of Rehabilitation Facilities, or
1756the Accreditation Association for Ambulatory Health Care, Inc.;
1757or
1758     b.  A health care clinic that:
1759     (I)  Has a medical director licensed under chapter 458,
1760chapter 459, or chapter 460;
1761     (II)  Has been continuously licensed for more than 3 years
1762or is a publicly traded corporation that issues securities
1763traded on an exchange registered with the United States
1764Securities and Exchange Commission as a national securities
1765exchange; and
1766     (III)  Provides at least four of the following medical
1767specialties:
1768     (A)  General medicine.
1769     (B)  Radiography.
1770     (C)  Orthopedic medicine.
1771     (D)  Physical medicine.
1772     (E)  Physical therapy.
1773     (F)  Physical rehabilitation.
1774     (G)  Prescribing or dispensing outpatient prescription
1775medication.
1776     (H)  Laboratory services.
1777
1778The Financial Services Commission shall adopt by rule the form
1779that must be used by an insurer and a health care provider
1780specified in subparagraph 3., subparagraph 4., or subparagraph
17815. to document that the health care provider meets the criteria
1782of this paragraph, which rule must include a requirement for a
1783sworn statement or affidavit Such benefits shall also include
1784necessary remedial treatment and services recognized and
1785permitted under the laws of the state for an injured person who
1786relies upon spiritual means through prayer alone for healing, in
1787accordance with his or her religious beliefs; however, this
1788sentence does not affect the determination of what other
1789services or procedures are medically necessary.
1790     (b)  Disability benefits.--Sixty percent of any loss of
1791gross income and loss of earning capacity per individual from
1792inability to work proximately caused by the injury sustained by
1793the injured person, plus all expenses reasonably incurred in
1794obtaining from others ordinary and necessary services in lieu of
1795those that, but for the injury, the injured person would have
1796performed without income for the benefit of his or her
1797household. All disability benefits payable under this provision
1798shall be paid not less than every 2 weeks.
1799     (c)  Death benefits.--Death benefits equal to the lesser of
1800$5,000 or the remainder of unused personal injury protection
1801benefits per individual. The insurer may pay such benefits to
1802the executor or administrator of the deceased, to any of the
1803deceased's relatives by blood or legal adoption or connection by
1804marriage, or to any person appearing to the insurer to be
1805equitably entitled thereto.
1806
1807Only insurers writing motor vehicle liability insurance in this
1808state may provide the required benefits of this section, and no
1809such insurer shall require the purchase of any other motor
1810vehicle coverage other than the purchase of property damage
1811liability coverage as required by s. 627.7275 as a condition for
1812providing such required benefits. Insurers may not require that
1813property damage liability insurance in an amount greater than
1814$10,000 be purchased in conjunction with personal injury
1815protection. Such insurers shall make benefits and required
1816property damage liability insurance coverage available through
1817normal marketing channels. Any insurer writing motor vehicle
1818liability insurance in this state who fails to comply with such
1819availability requirement as a general business practice shall be
1820deemed to have violated part IX of chapter 626, and such
1821violation shall constitute an unfair method of competition or an
1822unfair or deceptive act or practice involving the business of
1823insurance; and any such insurer committing such violation shall
1824be subject to the penalties afforded in such part, as well as
1825those which may be afforded elsewhere in the insurance code.
1826     (4)  BENEFITS; WHEN DUE.--Benefits due from an insurer
1827under ss. 627.730-627.7405 shall be primary, except that
1828benefits received under any workers' compensation law shall be
1829credited against the benefits provided by subsection (1) and
1830shall be due and payable as loss accrues, upon receipt of
1831reasonable proof of such loss and the amount of expenses and
1832loss incurred which are covered by the policy issued under ss.
1833627.730-627.7405. When the Agency for Health Care Administration
1834provides, pays, or becomes liable for medical assistance under
1835the Medicaid program related to injury, sickness, disease, or
1836death arising out of the ownership, maintenance, or use of a
1837motor vehicle, benefits under ss. 627.730-627.7405 shall be
1838subject to the provisions of the Medicaid program.
1839     (a)  An insurer may require written notice to be given as
1840soon as practicable after an accident involving a motor vehicle
1841with respect to which the policy affords the security required
1842by ss. 627.730-627.7405.
1843     (b)  Personal injury protection insurance benefits paid
1844pursuant to this section shall be overdue if not paid within 30
1845days after the insurer is furnished written notice of the fact
1846of a covered loss and of the amount of same. If such written
1847notice is not furnished to the insurer as to the entire claim,
1848any partial amount supported by written notice is overdue if not
1849paid within 30 days after such written notice is furnished to
1850the insurer. Any part or all of the remainder of the claim that
1851is subsequently supported by written notice is overdue if not
1852paid within 30 days after such written notice is furnished to
1853the insurer. When an insurer pays only a portion of a claim or
1854rejects a claim, the insurer shall provide at the time of the
1855partial payment or rejection an itemized specification of each
1856item that the insurer had reduced, omitted, or declined to pay
1857and any information that the insurer desires the claimant to
1858consider related to the medical necessity of the denied
1859treatment or to explain the reasonableness of the reduced
1860charge, provided that this shall not limit the introduction of
1861evidence at trial; and the insurer shall include the name and
1862address of the person to whom the claimant should respond and a
1863claim number to be referenced in future correspondence. However,
1864notwithstanding the fact that written notice has been furnished
1865to the insurer, any payment shall not be deemed overdue when the
1866insurer has reasonable proof to establish that the insurer is
1867not responsible for the payment. For the purpose of calculating
1868the extent to which any benefits are overdue, payment shall be
1869treated as being made on the date a draft or other valid
1870instrument which is equivalent to payment was placed in the
1871United States mail in a properly addressed, postpaid envelope
1872or, if not so posted, on the date of delivery. This paragraph
1873does not preclude or limit the ability of the insurer to assert
1874that the claim was unrelated, was not medically necessary, or
1875was unreasonable or that the amount of the charge was in excess
1876of that permitted under, or in violation of, subsection (5).
1877Such assertion by the insurer may be made at any time, including
1878after payment of the claim or after the 30-day time period for
1879payment set forth in this paragraph.
1880     (c)  Upon receiving notice of an accident that is
1881potentially covered by personal injury protection benefits, the
1882insurer must reserve $5,000 of personal injury protection
1883benefits for payment to physicians licensed under chapter 458 or
1884chapter 459 or dentists licensed under chapter 466 who provide
1885emergency services and care, as defined in s. 395.002(9), or who
1886provide hospital inpatient care. The amount required to be held
1887in reserve may be used only to pay claims from such physicians
1888or dentists until 30 days after the date the insurer receives
1889notice of the accident. After the 30-day period, any amount of
1890the reserve for which the insurer has not received notice of a
1891claim from a physician or dentist who provided emergency
1892services and care or who provided hospital inpatient care may
1893then be used by the insurer to pay other claims. The time
1894periods specified in paragraph (b) for required payment of
1895personal injury protection benefits shall be tolled for the
1896period of time that an insurer is required by this paragraph to
1897hold payment of a claim that is not from a physician or dentist
1898who provided emergency services and care or who provided
1899hospital inpatient care to the extent that the personal injury
1900protection benefits not held in reserve are insufficient to pay
1901the claim. This paragraph does not require an insurer to
1902establish a claim reserve for insurance accounting purposes.
1903     (d)(c)  All overdue payments shall bear simple interest at
1904the rate established under s. 55.03 or the rate established in
1905the insurance contract, whichever is greater, for the year in
1906which the payment became overdue, calculated from the date the
1907insurer was furnished with written notice of the amount of
1908covered loss. Interest shall be due at the time payment of the
1909overdue claim is made.
1910     (e)(d)  The insurer of the owner of a motor vehicle shall
1911pay personal injury protection benefits for:
1912     1.  Accidental bodily injury sustained in this state by the
1913owner while occupying a motor vehicle, or while not an occupant
1914of a self-propelled vehicle if the injury is caused by physical
1915contact with a motor vehicle.
1916     2.  Accidental bodily injury sustained outside this state,
1917but within the United States of America or its territories or
1918possessions or Canada, by the owner while occupying the owner's
1919motor vehicle.
1920     3.  Accidental bodily injury sustained by a relative of the
1921owner residing in the same household, under the circumstances
1922described in subparagraph 1. or subparagraph 2., provided the
1923relative at the time of the accident is domiciled in the owner's
1924household and is not himself or herself the owner of a motor
1925vehicle with respect to which security is required under ss.
1926627.730-627.7405.
1927     4.  Accidental bodily injury sustained in this state by any
1928other person while occupying the owner's motor vehicle or, if a
1929resident of this state, while not an occupant of a self-
1930propelled vehicle, if the injury is caused by physical contact
1931with such motor vehicle, provided the injured person is not
1932himself or herself:
1933     a.  The owner of a motor vehicle with respect to which
1934security is required under ss. 627.730-627.7405; or
1935     b.  Entitled to personal injury benefits from the insurer
1936of the owner or owners of such a motor vehicle.
1937     (f)(e)  If two or more insurers are liable to pay personal
1938injury protection benefits for the same injury to any one
1939person, the maximum payable shall be as specified in subsection
1940(1), and any insurer paying the benefits shall be entitled to
1941recover from each of the other insurers an equitable pro rata
1942share of the benefits paid and expenses incurred in processing
1943the claim.
1944     (g)(f)  It is a violation of the insurance code for an
1945insurer to fail to timely provide benefits as required by this
1946section with such frequency as to constitute a general business
1947practice.
1948     (h)(g)  Benefits shall not be due or payable to or on the
1949behalf of an insured person if that person has committed, by a
1950material act or omission, any insurance fraud relating to
1951personal injury protection coverage under his or her policy, if
1952the fraud is admitted to in a sworn statement by the insured or
1953if it is established in a court of competent jurisdiction. Any
1954insurance fraud shall void all coverage arising from the claim
1955related to such fraud under the personal injury protection
1956coverage of the insured person who committed the fraud,
1957irrespective of whether a portion of the insured person's claim
1958may be legitimate, and any benefits paid prior to the discovery
1959of the insured person's insurance fraud shall be recoverable by
1960the insurer from the person who committed insurance fraud in
1961their entirety. The prevailing party is entitled to its costs
1962and attorney's fees in any action in which it prevails in an
1963insurer's action to enforce its right of recovery under this
1964paragraph.
1965     (5)  CHARGES FOR TREATMENT OF INJURED PERSONS.--
1966     (a)1.  Any physician, hospital, clinic, or other person or
1967institution lawfully rendering treatment to an injured person
1968for a bodily injury covered by personal injury protection
1969insurance may charge the insurer and injured party only a
1970reasonable amount pursuant to this section for the services and
1971supplies rendered, and the insurer providing such coverage may
1972pay for such charges directly to such person or institution
1973lawfully rendering such treatment, if the insured receiving such
1974treatment or his or her guardian has countersigned the properly
1975completed invoice, bill, or claim form approved by the office
1976upon which such charges are to be paid for as having actually
1977been rendered, to the best knowledge of the insured or his or
1978her guardian. In no event, however, may such a charge be in
1979excess of the amount the person or institution customarily
1980charges for like services or supplies. With respect to a
1981determination of whether a charge for a particular service,
1982treatment, or otherwise is reasonable, consideration may be
1983given to evidence of usual and customary charges and payments
1984accepted by the provider involved in the dispute, and
1985reimbursement levels in the community and various federal and
1986state medical fee schedules applicable to automobile and other
1987insurance coverages, and other information relevant to the
1988reasonableness of the reimbursement for the service, treatment,
1989or supply.
1990     2.  The insurer may limit reimbursement to 80 percent of
1991the following schedule of maximum charges:
1992     a.  For emergency transport and treatment by providers
1993licensed under chapter 401, 200 percent of Medicare.
1994     b.  For emergency services and care provided by a hospital
1995licensed under chapter 395, 75 percent of the hospital's usual
1996and customary charges.
1997     c.  For emergency services and care rendered by a physician
1998or dentist and related hospital inpatient services rendered by a
1999physician or dentist, the usual and customary charges in the
2000community.
2001     d.  For hospital inpatient services, other than emergency
2002services and care, 200 percent of the Medicare Part A
2003prospective payment applicable to the specific hospital
2004providing the inpatient services.
2005     e.  For hospital outpatient services, other than emergency
2006services and care, 200 percent of the Medicare Part A Ambulatory
2007Payment Classification for the specific hospital providing the
2008outpatient services.
2009     f.  For all other medical services, supplies, and care, 200
2010percent of the applicable Medicare Part B fee schedule. However,
2011if such services, supplies, or care are not reimbursable under
2012Medicare Part B, the insurer may limit reimbursement to 80
2013percent of the maximum reimbursable allowance under workers'
2014compensation, as determined under s. 440.13 and rules adopted
2015thereunder which are in effect at the time such services,
2016supplies, or care are provided. Services, supplies, or care that
2017are not reimbursable under Medicare or workers' compensation are
2018not required to be reimbursed by the insurer.
2019     3.  For purposes of subparagraph 2., the applicable fee
2020schedule or payment limitation under Medicare is the fee
2021schedule or payment limitation in effect at the time the
2022services, supplies, or care were rendered and for the area in
2023which such services were rendered, except that it may not be
2024less than the applicable Medicare Part B fee schedule for
2025medical services, supplies, and care subject to Medicare Part B.
2026     4.  Subparagraph 2. does not allow the insurer to apply any
2027limitation on the number of treatments or other utilization
2028limits that apply under Medicare or workers' compensation. An
2029insurer that applies the allowable payment limitations of
2030subparagraph 2. must reimburse a provider who lawfully provided
2031care or treatment under the scope of his or her license,
2032regardless of whether such provider would be entitled to
2033reimbursement under Medicare due to restrictions or limitations
2034on the types or discipline of health care providers who may be
2035reimbursed for particular procedures or procedure codes.
2036     5.  If an insurer limits payment as authorized by
2037subparagraph 2., the person providing such services, supplies,
2038or care may not bill or attempt to collect from the insured any
2039amount in excess of such limits, except for amounts that are not
2040covered by the insured's personal injury protection coverage due
2041to the coinsurance amount or maximum policy limits.
2042     (b)1.  An insurer or insured is not required to pay a claim
2043or charges:
2044     a.  Made by a broker or by a person making a claim on
2045behalf of a broker;
2046     b.  For any service or treatment that was not lawful at the
2047time rendered;
2048     c.  To any person who knowingly submits a false or
2049misleading statement relating to the claim or charges;
2050     d.  With respect to a bill or statement that does not
2051substantially meet the applicable requirements of paragraph (d);
2052     e.  For any treatment or service that is upcoded, or that
2053is unbundled when such treatment or services should be bundled,
2054in accordance with paragraph (d). To facilitate prompt payment
2055of lawful services, an insurer may change codes that it
2056determines to have been improperly or incorrectly upcoded or
2057unbundled, and may make payment based on the changed codes,
2058without affecting the right of the provider to dispute the
2059change by the insurer, provided that before doing so, the
2060insurer must contact the health care provider and discuss the
2061reasons for the insurer's change and the health care provider's
2062reason for the coding, or make a reasonable good faith effort to
2063do so, as documented in the insurer's file; and
2064     f.  For medical services or treatment billed by a physician
2065and not provided in a hospital unless such services are rendered
2066by the physician or are incident to his or her professional
2067services and are included on the physician's bill, including
2068documentation verifying that the physician is responsible for
2069the medical services that were rendered and billed.
2070     2.  Charges for medically necessary cephalic thermograms,
2071peripheral thermograms, spinal ultrasounds, extremity
2072ultrasounds, video fluoroscopy, and surface electromyography
2073shall not exceed the maximum reimbursement allowance for such
2074procedures as set forth in the applicable fee schedule or other
2075payment methodology established pursuant to s. 440.13.
2076     3.  Allowable amounts that may be charged to a personal
2077injury protection insurance insurer and insured for medically
2078necessary nerve conduction testing when done in conjunction with
2079a needle electromyography procedure and both are performed and
2080billed solely by a physician licensed under chapter 458, chapter
2081459, chapter 460, or chapter 461 who is also certified by the
2082American Board of Electrodiagnostic Medicine or by a board
2083recognized by the American Board of Medical Specialties or the
2084American Osteopathic Association or who holds diplomate status
2085with the American Chiropractic Neurology Board or its
2086predecessors shall not exceed 200 percent of the allowable
2087amount under the participating physician fee schedule of
2088Medicare Part B for year 2001, for the area in which the
2089treatment was rendered, adjusted annually on August 1 to reflect
2090the prior calendar year's changes in the annual Medical Care
2091Item of the Consumer Price Index for All Urban Consumers in the
2092South Region as determined by the Bureau of Labor Statistics of
2093the United States Department of Labor.
2094     4.  Allowable amounts that may be charged to a personal
2095injury protection insurance insurer and insured for medically
2096necessary nerve conduction testing that does not meet the
2097requirements of subparagraph 3. shall not exceed the applicable
2098fee schedule or other payment methodology established pursuant
2099to s. 440.13.
2100     5.  Allowable amounts that may be charged to a personal
2101injury protection insurance insurer and insured for magnetic
2102resonance imaging services shall not exceed 175 percent of the
2103allowable amount under the participating physician fee schedule
2104of Medicare Part B for year 2001, for the area in which the
2105treatment was rendered, adjusted annually on August 1 to reflect
2106the prior calendar year's changes in the annual Medical Care
2107Item of the Consumer Price Index for All Urban Consumers in the
2108South Region as determined by the Bureau of Labor Statistics of
2109the United States Department of Labor for the 12-month period
2110ending June 30 of that year, except that allowable amounts that
2111may be charged to a personal injury protection insurance insurer
2112and insured for magnetic resonance imaging services provided in
2113facilities accredited by the Accreditation Association for
2114Ambulatory Health Care, the American College of Radiology, or
2115the Joint Commission on Accreditation of Healthcare
2116Organizations shall not exceed 200 percent of the allowable
2117amount under the participating physician fee schedule of
2118Medicare Part B for year 2001, for the area in which the
2119treatment was rendered, adjusted annually on August 1 to reflect
2120the prior calendar year's changes in the annual Medical Care
2121Item of the Consumer Price Index for All Urban Consumers in the
2122South Region as determined by the Bureau of Labor Statistics of
2123the United States Department of Labor for the 12-month period
2124ending June 30 of that year. This paragraph does not apply to
2125charges for magnetic resonance imaging services and nerve
2126conduction testing for inpatients and emergency services and
2127care as defined in chapter 395 rendered by facilities licensed
2128under chapter 395.
2129     2.6.  The Department of Health, in consultation with the
2130appropriate professional licensing boards, shall adopt, by rule,
2131a list of diagnostic tests deemed not to be medically necessary
2132for use in the treatment of persons sustaining bodily injury
2133covered by personal injury protection benefits under this
2134section. The initial list shall be adopted by January 1, 2004,
2135and shall be revised from time to time as determined by the
2136Department of Health, in consultation with the respective
2137professional licensing boards. Inclusion of a test on the list
2138of invalid diagnostic tests shall be based on lack of
2139demonstrated medical value and a level of general acceptance by
2140the relevant provider community and shall not be dependent for
2141results entirely upon subjective patient response.
2142Notwithstanding its inclusion on a fee schedule in this
2143subsection, an insurer or insured is not required to pay any
2144charges or reimburse claims for any invalid diagnostic test as
2145determined by the Department of Health.
2146     (c)1.  With respect to any treatment or service, other than
2147medical services billed by a hospital or other provider for
2148emergency services as defined in s. 395.002 or inpatient
2149services rendered at a hospital-owned facility, the statement of
2150charges must be furnished to the insurer by the provider and may
2151not include, and the insurer is not required to pay, charges for
2152treatment or services rendered more than 35 days before the
2153postmark date or electronic transmission date of the statement,
2154except for past due amounts previously billed on a timely basis
2155under this paragraph, and except that, if the provider submits
2156to the insurer a notice of initiation of treatment within 21
2157days after its first examination or treatment of the claimant,
2158the statement may include charges for treatment or services
2159rendered up to, but not more than, 75 days before the postmark
2160date of the statement. The injured party is not liable for, and
2161the provider shall not bill the injured party for, charges that
2162are unpaid because of the provider's failure to comply with this
2163paragraph. Any agreement requiring the injured person or insured
2164to pay for such charges is unenforceable.
2165     2.  If, however, the insured fails to furnish the provider
2166with the correct name and address of the insured's personal
2167injury protection insurer, the provider has 35 days from the
2168date the provider obtains the correct information to furnish the
2169insurer with a statement of the charges. The insurer is not
2170required to pay for such charges unless the provider includes
2171with the statement documentary evidence that was provided by the
2172insured during the 35-day period demonstrating that the provider
2173reasonably relied on erroneous information from the insured and
2174either:
2175     a.  A denial letter from the incorrect insurer; or
2176     b.  Proof of mailing, which may include an affidavit under
2177penalty of perjury, reflecting timely mailing to the incorrect
2178address or insurer.
2179     3.  For emergency services and care as defined in s.
2180395.002 rendered in a hospital emergency department or for
2181transport and treatment rendered by an ambulance provider
2182licensed pursuant to part III of chapter 401, the provider is
2183not required to furnish the statement of charges within the time
2184periods established by this paragraph; and the insurer shall not
2185be considered to have been furnished with notice of the amount
2186of covered loss for purposes of paragraph (4)(b) until it
2187receives a statement complying with paragraph (d), or copy
2188thereof, which specifically identifies the place of service to
2189be a hospital emergency department or an ambulance in accordance
2190with billing standards recognized by the Health Care Finance
2191Administration.
2192     4.  Each notice of insured's rights under s. 627.7401 must
2193include the following statement in type no smaller than 12
2194points:
2195
2196BILLING REQUIREMENTS.--Florida Statutes provide that with
2197respect to any treatment or services, other than certain
2198hospital and emergency services, the statement of charges
2199furnished to the insurer by the provider may not include, and
2200the insurer and the injured party are not required to pay,
2201charges for treatment or services rendered more than 35 days
2202before the postmark date of the statement, except for past due
2203amounts previously billed on a timely basis, and except that, if
2204the provider submits to the insurer a notice of initiation of
2205treatment within 21 days after its first examination or
2206treatment of the claimant, the statement may include charges for
2207treatment or services rendered up to, but not more than, 75 days
2208before the postmark date of the statement.
2209     (8)  APPLICABILITY OF PROVISION REGULATING ATTORNEY'S
2210FEES.--With respect to any dispute under the provisions of ss.
2211627.730-627.7405 between the insured and the insurer, or between
2212an assignee of an insured's rights and the insurer, the
2213provisions of s. 627.428 shall apply, except as provided in
2214subsections subsection (10) and (15).
2215     (10)  DEMAND LETTER.--
2216     (d)  If, within 30 15 days after receipt of notice by the
2217insurer, the overdue claim specified in the notice is paid by
2218the insurer together with applicable interest and a penalty of
221910 percent of the overdue amount paid by the insurer, subject to
2220a maximum penalty of $250, no action may be brought against the
2221insurer. If the demand involves an insurer's withdrawal of
2222payment under paragraph (7)(a) for future treatment not yet
2223rendered, no action may be brought against the insurer if,
2224within 30 15 days after its receipt of the notice, the insurer
2225mails to the person filing the notice a written statement of the
2226insurer's agreement to pay for such treatment in accordance with
2227the notice and to pay a penalty of 10 percent, subject to a
2228maximum penalty of $250, when it pays for such future treatment
2229in accordance with the requirements of this section. To the
2230extent the insurer determines not to pay any amount demanded,
2231the penalty shall not be payable in any subsequent action. For
2232purposes of this subsection, payment or the insurer's agreement
2233shall be treated as being made on the date a draft or other
2234valid instrument that is equivalent to payment, or the insurer's
2235written statement of agreement, is placed in the United States
2236mail in a properly addressed, postpaid envelope, or if not so
2237posted, on the date of delivery. The insurer is shall not be
2238obligated to pay any attorney's fees if the insurer pays the
2239claim or mails its agreement to pay for future treatment within
2240the time prescribed by this subsection.
2241     (e)  The applicable statute of limitation for an action
2242under this section shall be tolled for a period of 30 15
2243business days by the mailing of the notice required by this
2244subsection.
2245     (11)  FAILURE TO PAY VALID CLAIMS; UNFAIR OR DECEPTIVE
2246PRACTICE.--
2247     (a)  If an insurer fails to pay valid claims for personal
2248injury protection with such frequency so as to indicate a
2249general business practice, the insurer is engaging in a
2250prohibited unfair or deceptive practice that is subject to the
2251penalties provided in s. 626.9521 and the office has the powers
2252and duties specified in ss. 626.9561-626.9601 with respect
2253thereto.
2254     (b)  Notwithstanding s. 501.212, the Department of Legal
2255Affairs may investigate and initiate actions for a violation of
2256this subsection, including, but not limited to, the powers and
2257duties specified in part II of chapter 501.
2258     (15)  ALL CLAIMS BROUGHT IN A SINGLE ACTION.--In any civil
2259action to recover personal injury protection benefits brought by
2260a claimant pursuant to this section against an insurer, all
2261claims related to the same health care provider for the same
2262injured person shall be brought in one action, unless good cause
2263is shown why such claims should be brought separately. If the
2264court determines that a civil action is filed for a claim that
2265should have been brought in a prior civil action, the court may
2266not award attorney's fees to the claimant.
2267     (16)  SECURE ELECTRONIC DATA TRANSFER.--If all parties
2268mutually and expressly agree, a notice, documentation,
2269transmission, or communication of any kind required or
2270authorized under ss. 627.730-627.7405 may be transmitted
2271electronically if it is transmitted by secure electronic data
2272transfer that is consistent with state and federal privacy and
2273security laws.
2274     Section 21.  Application of the Florida Motor Vehicle No-
2275Fault Law.--
2276     (1)  Any person subject to the requirements of ss. 627.730-
2277627.7405, Florida Statutes, the Florida Motor Vehicle No-Fault
2278Law, as revived and amended by this act, must maintain security
2279for personal injury protection as required by the Florida Motor
2280Vehicle No-Fault Law, as revived and amended by this act,
2281beginning on January 1, 2008.
2282     (2)  Any personal injury protection policy in effect on or
2283after January 1, 2008, shall be deemed to incorporate the
2284provisions of the Florida Motor Vehicle No-Fault Law, as revived
2285and amended by this act.
2286     (3)  An insurer shall continue to use the personal injury
2287protection forms and rates that were in effect on September 30,
22882007, until new forms or rates are used as authorized by law.
2289     (4)  Each motor vehicle insurer shall provide personal
2290injury protection coverage to each of its motor vehicle insureds
2291who is subject to subsection (1) beginning on January 1, 2008.
2292With respect to a person who does not have a personal injury
2293protection policy in effect on such date, the initial
2294endorsement shall not be considered a new policy and shall be
2295issued for a period that terminates on the same date as the
2296person's other motor vehicle insurance coverage. Except as
2297modified by the insured, the deductibles and exclusions that
2298applied to the insured's previous personal injury protection
2299coverage with that insurer shall apply to the new personal
2300injury protection coverage. The insurer is not required to
2301provide the coverage if the insured does not pay the required
2302premium by January 1, 2008, or such later date that the insurer
2303may allow.
2304     (5)  No later than November 15, 2007, each motor vehicle
2305insurer shall provide notice of the provisions of this section
2306to each motor vehicle insured who is subject to subsection (1).
2307The notice is not subject to approval by the Office of Insurance
2308Regulation approval. The notice must clearly inform the
2309policyholder:
2310     (a)  That beginning on January 1, 2008, Florida law
2311requires the policyholder to maintain personal injury protection
2312("PIP") insurance coverage and that this insurance pays covered
2313medical expenses for injuries sustained in a motor vehicle crash
2314by the policyholder, passengers, and relatives residing in the
2315policyholder's household.
2316     (b)  That if the policyholder does not maintain personal
2317injury protection coverage, the State of Florida may suspend the
2318policyholder's driver's license and vehicle registration.
2319     (c)  That if the policyholder already has personal injury
2320protection coverage, that coverage will be amended effective
2321January 1, 2008, to incorporate legally required changes without
2322any additional premium and that the policyholder is not required
2323to take any further action.
2324     (d)  That, if the policyholder does not currently have
2325personal injury protection coverage, the current motor vehicle
2326policy will be amended to incorporate the required personal
2327injury protection coverage effective January 1, 2008.
2328     (e)  The additional premium that is due, if any, and the
2329date that it is due, which may be no earlier than January 1,
23302008.
2331     (f)  That if the policyholder has any questions, the name
2332and phone number of whom they should contact.
2333     (6)  This section does not apply the Florida Motor Vehicle
2334No-Fault law, as revived an amended by this act, prior to
2335January 1, 2008. However, for lawsuits for injuries arising out
2336of an auto accident that occurs between the effective date of
2337this act and December 31, 2007, inclusive, the limitation on
2338lawsuits and tort immunity provided in s. 627.737, Florida
2339Statutes, shall apply if, and only if, the plaintiff and the
2340defendant are insured for personal injury protection coverage
2341that meets the requirements of Florida Motor Vehicle No-Fault
2342Law that was in effect on September 30, 2007.
2343     (7)  The Legislature finds that in order to protect the
2344public health, safety, and welfare, it is necessary to revise or
2345endorse policies in effect on January 1, 2008, to add personal
2346injury protection coverage as required by this section, and to
2347provide a uniform date for motor vehicle owners to obtain or
2348continue such coverage and for insurance policies to provide
2349such coverage. In order to avoid revising in-force policies,
2350enforcement would depend on policyholders electing to add such
2351coverage, or providing a nonuniform date for coverage to be
2352mandatory as policies renew which results in unequal treatment
2353under the law, or delaying the effective date for at least 1
2354year to provide a uniform date after all policies have renewed,
2355any of which options would result in a much greater number of
2356uninsured vehicles, an inability of accident victims to obtain
2357medical care, a greater level of uncompensated medical care,
2358higher costs to other public and private health care systems,
2359and greater numbers of persons being subject to penalties for
2360noncompliance.
2361     (8)  The Legislature recognizes that the Florida Motor
2362Vehicle No-Fault Law was repealed on October 1, 2007, and that
2363vehicle owners are not required to maintain personal injury
2364protection coverage on or after that date until January 1, 2008.
2365Notwithstanding any other law, an insurer is not required to
2366report the issuance, cancellation, or nonrenewal of personal
2367injury protection coverage occurring between October 1, 2007,
2368and December 31, 2007, inclusive, to the Department of Highway
2369Safety and Motor Vehicles. Any law requiring personal injury
2370protection coverage or providing sanctions for failure to
2371maintain or demonstrate proof of such coverage does not apply
2372during this time period. However, this subsection does not
2373relieve a motor vehicle owner from responsibility for
2374maintaining property damage liability coverage as required by
2375law and does not relieve an insurer from reporting the issuance,
2376cancellation, or nonrenewal of property damage liability
2377coverage as required by law.
2378     Section 22.  If any provision of this act or its
2379application to any person or circumstance is held invalid, the
2380invalidity does not affect other provisions or applications of
2381the act which can be given effect without the invalid provision
2382or application, and to this end the provisions of this act are
2383declared severable.
2384     Section 23.  This act shall take effect upon becoming a
2385law, except that sections 8 through 20 of this act shall take
2386effect January 1, 2008.
2387
2388======= T I T L E  A M E N D M E N T ==========
2389     Remove the entire title and insert:
2390
A bill to be entitled
2391An act relating to motor vehicle insurance; amending s.
2392316.646, F.S.; requiring each person operating a motor
2393vehicle to have in his or her possession proof of property
2394damage liability coverage; conforming a cross-reference to
2395changes made by the act; amending s. 320.02, F.S.;
2396clarifying the requirements concerning insurance and
2397liability coverage for certain motor vehicles registered
2398in this state; amending s. 321.245, F.S., relating to the
2399disposition of certain funds in the Highway Safety
2400Operating Trust Fund; conforming a cross-reference;
2401amending s. 324.022, F.S.; revising provisions requiring
2402the owner or operator of a motor vehicle to maintain
2403property damage liability coverage; specifying the
2404requirements that apply to such a policy; providing
2405definitions; requiring that a nonresident owner or
2406registrant of a motor vehicle maintain property damage
2407liability coverage if the motor vehicle is in the state
2408longer than a specified period; providing an exception for
2409a member of the United States Armed Forces who is on
2410active duty outside the United States; creating s.
2411324.0221, F.S.; requiring insurers to report to the
2412Department of Highway Safety and Motor Vehicles the
2413renewal, cancellation, or nonrenewal of a policy providing
2414personal injury protection coverage or motor vehicle
2415property damage liability coverage; authorizing the
2416department to adopt rules for the reports; providing that
2417failure to report as required is a violation of the
2418Florida Insurance Code; requiring that an insurer notify
2419the named insured that a cancelled or nonrenewed policy
2420will be reported to the department; requiring that the
2421department suspend the registration and driver's license
2422of an owner or registrant of a motor vehicle who fails to
2423maintain the required liability coverage; providing for
2424the reinstatement of a registration or driver's license
2425upon payment of certain fees; requiring that a person
2426obtain noncancelable coverage following such
2427reinstatement; providing for the deposit and use of
2428reinstatement fees; amending ss. 627.7275 and 627.7295,
2429F.S., relating to motor vehicle insurance policies and
2430contracts; conforming provisions to changes made by the
2431act; reviving and reenacting ss. 627.730, 627.731,
2432627.732, 627.734, 627.737, 627.739, 627.7401, 627.7403,
2433and 627.7405, F.S., and reviving, reenacting, and amending
2434ss. 627.733 and 627.736, the Florida Motor Vehicle No-
2435Fault Law, notwithstanding the repeal of such law provided
2436in s. 19, chapter 2003-411, Laws of Florida; deleting
2437certain provisions relating to the suspension and
2438reinstatement of a driver's license and registration and
2439notice to the Department of Highway Safety and Motor
2440Vehicles; conforming provisions to changes made by the
2441act; providing legislative intent with respect to the
2442reenactment and codification of the Florida Motor Vehicle
2443No-Fault Law, notwithstanding its prior repeal; amending
2444s. 627.736, F.S., as reenacted and amended; revising
2445provisions governing the medical benefits provided as
2446required personal injury protection benefits; providing
2447medical benefits for services and care ordered or
2448prescribed by a physician or chiropractor or provided by
2449certain persons or entities that meet certain
2450requirements; requiring the Financial services Commission
2451to adopt rules; revising a limitation on the amount of
2452death benefits payable; requiring personal injury
2453protection insurers to reserve benefits for certain
2454providers for a specified period; tolling the time period
2455for the insurer to pay claims from other providers;
2456authorizing an insurer to limit reimbursement for personal
2457injury protection benefits to a specified percentage of a
2458schedule of maximum charges; prohibiting provider from
2459billing or attempting to collect amounts in excess of such
2460limits, except for amounts that are not covered by
2461personal injury protection coverage; deleting provisions
2462specifying allowable amounts for certain tests and
2463services; providing for electronic transmission of certain
2464statements; revising the application of a specified
2465provision concerning attorney's fees; extending the period
2466during which an insurer may pay an overdue claim following
2467receipt of a demand letter without incurring a penalty;
2468providing for penalties to be imposed against certain
2469insurers for failing to pay claims for personal injury
2470protection; authorizing the Department of Legal Affairs to
2471investigate violations and initiate enforcement action;
2472requiring that all claims related to the same health care
2473provider for the same injured person be brought in one act
2474unless good cause is shown; authorizing notices and
2475communications required or authorized under the Florida
2476Motor Vehicle No-Fault Law to be transmitted
2477electronically under certain conditions; requiring persons
2478subject to the Florida Motor Vehicle No-Fault Law, as
2479revived and amended by this act, to maintain security for
2480personal injury protection beginning on a specified date;
2481providing that personal injury protection policy in effect
2482on or after a specified date are deemed to incorporate the
2483Florida Motor Vehicle No-Fault Law, as revived and amended
2484by this act; requiring that insurers continue to use
2485certain forms and rates until new forms or rates are used
2486as authorized by law; requiring that insurers provide
2487notice of the requirement for personal injury protection
2488coverage or add an endorsement to the policy providing
2489such coverage; requiring specified notice to certain
2490insureds as of a specified date; providing intent
2491concerning application of revived and amended provisions
2492prior to a specified date; providing legislative findings;
2493providing that a person purchasing a motor vehicle
2494insurance policy without personal injury protection
2495coverage is exempt from the requirement for such coverage
2496for a specified period; providing for severability;
2497providing effective dates.


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