1 | A bill to be entitled |
2 | An act relating to professional liability claims; amending |
3 | s. 627.912, F.S.; revising requirements for professional |
4 | liability claims and actions; providing definitions; |
5 | requiring certain absence of claims submission reports to |
6 | be filed under certain circumstances; providing an |
7 | effective date. |
8 |
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9 | Be It Enacted by the Legislature of the State of Florida: |
10 |
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11 | Section 1. Subsection (1) of section 627.912, Florida |
12 | Statutes, is amended to read: |
13 | 627.912 Professional liability claims and actions; reports |
14 | by insurers and health care providers; annual report by |
15 | office.-- |
16 | (1)(a) Each self-insurer authorized under s. 627.357 and |
17 | each commercial self-insurance fund authorized under s. 624.462, |
18 | authorized insurer, surplus lines insurer, risk retention group, |
19 | and joint underwriting association providing professional |
20 | liability insurance to a practitioner of medicine licensed under |
21 | chapter 458, to a practitioner of osteopathic medicine licensed |
22 | under chapter 459, to a podiatric physician licensed under |
23 | chapter 461, to a dentist licensed under chapter 466, to a |
24 | hospital licensed under chapter 395, to a crisis stabilization |
25 | unit licensed under part IV of chapter 394, to a health |
26 | maintenance organization certificated under part I of chapter |
27 | 641, to clinics included in chapter 390, or to an ambulatory |
28 | surgical center as defined in s. 395.002, and each insurer |
29 | providing professional liability insurance to a member of The |
30 | Florida Bar shall report to the office any written claim or |
31 | action for damages for personal injuries claimed to have been |
32 | caused by error, omission, or negligence in the performance of |
33 | such insured's professional services or based on a claimed |
34 | performance of professional services without consent, if the |
35 | claim has been closed and resulted in: |
36 | 1. A final judgment in any amount. |
37 | 2. A fully executed settlement agreement in any amount. |
38 | 3. A final disposition of a medical malpractice claim |
39 | resulting in no indemnity payment and $2,500 or more paid in |
40 | loss adjustment expenses on behalf of the insured. |
41 | (b) For purposes of this section, the term: |
42 | 1. "Claim" means a notice of intent to initiate |
43 | litigation, a summons and complaint, or a written demand from a |
44 | person or his or her legal representative stating an intention |
45 | to pursue an action for damages against a person described in |
46 | paragraph (a). |
47 | 2. "Closed claim" means: |
48 | a. Any judgment that has been entered against any health |
49 | care provider identified in paragraph (a) for which all appeals |
50 | as a matter of right have been exhausted or for which the time |
51 | period for filing such an appeal has expired; |
52 | b. The execution of an agreement between a health care |
53 | provider identified in paragraph (a) or an entity required to |
54 | report under that paragraph and a recipient of professional |
55 | services by the provider to settle damages purported to arise |
56 | from the provision of professional services, which agreement |
57 | includes the payment of at least $1; or |
58 | c. The final payment of any money by any of the entities |
59 | required to report under paragraph (a) on behalf of any health |
60 | care provider identified in that paragraph for damages purported |
61 | to arise from professional services rendered. |
62 | (c) In any calendar year in which no claim or action for |
63 | damages has been closed, the entity shall file a no claim |
64 | submission report. Each no claim submission report shall be |
65 | filed with the office no later than April 1 of each calendar |
66 | year for the preceding calendar year. However, if a reporting |
67 | entity submits a no claim submission report for a particular |
68 | calendar year and subsequently discovers that its report was |
69 | submitted in error, the reporting entity shall promptly notify |
70 | the office of the error and take steps as directed by the office |
71 | to make the needed corrections. |
72 | (d)(b) Each health care practitioner and health care |
73 | facility listed in paragraph (a) must report any claim or action |
74 | for damages as described in paragraph (a), if the claim is not |
75 | otherwise required to be reported by an insurer or other |
76 | insuring entity. |
77 |
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78 | Reports under this subsection shall be filed with the office no |
79 | later than 30 days following the occurrence of any event listed |
80 | in paragraph (a) or any claim or closed claim. |
81 | Section 2. This act shall take effect July 1, 2009. |