Florida Senate - 2015                                    SB 1306
       
       
        
       By Senator Bradley
       
       
       
       
       
       7-01123B-15                                           20151306__
    1                        A bill to be entitled                      
    2         An act relating to insurance fraud; amending s.
    3         400.9905, F.S.; revising requirements for a health
    4         care clinic to receive certain insurance
    5         reimbursement; repealing s. 400.993, F.S., relating to
    6         the operation or reporting of unlicensed health care
    7         clinics; amending s. 400.9935, F.S.; revising the
    8         responsibilities of a health care clinic; revising and
    9         providing penalties for making unlawful charges,
   10         operating or failing to report an unlicensed clinic,
   11         filing false or misleading information related to a
   12         clinic license application, and other violations of
   13         such responsibilities; revising and providing
   14         penalties for violations of certificate of exemption
   15         requirements; requiring the Agency for Health Care
   16         Administration to adopt rules; amending s. 627.736,
   17         F.S.; requiring certain clinics to have a certificate
   18         of exemption to receive reimbursement under the
   19         Florida Motor Vehicle No-Fault Law under specified
   20         circumstances; amending s. 626.9891, F.S.; defining
   21         terms; requiring insurers to establish insurance fraud
   22         special investigative units; providing requirements
   23         for such units; revising insurance fraud detection
   24         requirements for insurers; providing penalties for
   25         failure to comply with such requirements; authorizing
   26         the Office of Insurance Regulation to adopt rules;
   27         amending ss. 627.351 and 641.3915, F.S.; requiring
   28         Citizens Property Insurance Corporation and health
   29         maintenance organizations, respectively, to comply
   30         with certain insurance fraud detection provisions;
   31         amending s. 626.9894, F.S.; conforming provisions to
   32         changes made by the act; repealing s. 626.9895, F.S.,
   33         relating to the establishment of a motor vehicle
   34         insurance fraud direct-support organization; amending
   35         s. 921.0022, F.S.; conforming provisions of the
   36         offense severity ranking chart of the Criminal
   37         Punishment Code to changes made by the act; providing
   38         an effective date.
   39          
   40  Be It Enacted by the Legislature of the State of Florida:
   41  
   42         Section 1. Subsection (4) of section 400.9905, Florida
   43  Statutes, is amended to read:
   44         400.9905 Definitions.—
   45         (4) “Clinic” means an entity where health care services are
   46  provided to individuals and which tenders charges for
   47  reimbursement for such services, including a mobile clinic and a
   48  portable equipment provider. As used in this part, the term does
   49  not include and the licensure requirements of this part do not
   50  apply to:
   51         (a) Entities licensed or registered by the state under
   52  chapter 395; entities licensed or registered by the state and
   53  providing only health care services within the scope of services
   54  authorized under their respective licenses under ss. 383.30
   55  383.335, chapter 390, chapter 394, chapter 397, this chapter
   56  except part X, chapter 429, chapter 463, chapter 465, chapter
   57  466, chapter 478, part I of chapter 483, chapter 484, or chapter
   58  651; end-stage renal disease providers authorized under 42
   59  C.F.R. part 405, subpart U; providers certified under 42 C.F.R.
   60  part 485, subpart B or subpart H; or any entity that provides
   61  neonatal or pediatric hospital-based health care services or
   62  other health care services by licensed practitioners solely
   63  within a hospital licensed under chapter 395.
   64         (b) Entities that own, directly or indirectly, entities
   65  licensed or registered by the state pursuant to chapter 395;
   66  entities that own, directly or indirectly, entities licensed or
   67  registered by the state and providing only health care services
   68  within the scope of services authorized pursuant to their
   69  respective licenses under ss. 383.30-383.335, chapter 390,
   70  chapter 394, chapter 397, this chapter except part X, chapter
   71  429, chapter 463, chapter 465, chapter 466, chapter 478, part I
   72  of chapter 483, chapter 484, or chapter 651; end-stage renal
   73  disease providers authorized under 42 C.F.R. part 405, subpart
   74  U; providers certified under 42 C.F.R. part 485, subpart B or
   75  subpart H; or any entity that provides neonatal or pediatric
   76  hospital-based health care services by licensed practitioners
   77  solely within a hospital licensed under chapter 395.
   78         (c) Entities that are owned, directly or indirectly, by an
   79  entity licensed or registered by the state pursuant to chapter
   80  395; entities that are owned, directly or indirectly, by an
   81  entity licensed or registered by the state and providing only
   82  health care services within the scope of services authorized
   83  pursuant to their respective licenses under ss. 383.30-383.335,
   84  chapter 390, chapter 394, chapter 397, this chapter except part
   85  X, chapter 429, chapter 463, chapter 465, chapter 466, chapter
   86  478, part I of chapter 483, chapter 484, or chapter 651; end
   87  stage renal disease providers authorized under 42 C.F.R. part
   88  405, subpart U; providers certified under 42 C.F.R. part 485,
   89  subpart B or subpart H; or any entity that provides neonatal or
   90  pediatric hospital-based health care services by licensed
   91  practitioners solely within a hospital under chapter 395.
   92         (d) Entities that are under common ownership, directly or
   93  indirectly, with an entity licensed or registered by the state
   94  pursuant to chapter 395; entities that are under common
   95  ownership, directly or indirectly, with an entity licensed or
   96  registered by the state and providing only health care services
   97  within the scope of services authorized pursuant to their
   98  respective licenses under ss. 383.30-383.335, chapter 390,
   99  chapter 394, chapter 397, this chapter except part X, chapter
  100  429, chapter 463, chapter 465, chapter 466, chapter 478, part I
  101  of chapter 483, chapter 484, or chapter 651; end-stage renal
  102  disease providers authorized under 42 C.F.R. part 405, subpart
  103  U; providers certified under 42 C.F.R. part 485, subpart B or
  104  subpart H; or any entity that provides neonatal or pediatric
  105  hospital-based health care services by licensed practitioners
  106  solely within a hospital licensed under chapter 395.
  107         (e) An entity that is exempt from federal taxation under 26
  108  U.S.C. s. 501(c)(3) or (4), an employee stock ownership plan
  109  under 26 U.S.C. s. 409 that has a board of trustees at least
  110  two-thirds of which are Florida-licensed health care
  111  practitioners and provides only physical therapy services under
  112  physician orders, any community college or university clinic,
  113  and any entity owned or operated by the federal or state
  114  government, including agencies, subdivisions, or municipalities
  115  thereof.
  116         (f) A sole proprietorship, group practice, partnership, or
  117  corporation that provides health care services by physicians
  118  covered by s. 627.419, that is directly supervised by one or
  119  more of such physicians, and that is wholly owned by one or more
  120  of those physicians or by a physician and the spouse, parent,
  121  child, or sibling of that physician.
  122         (g) A sole proprietorship, group practice, partnership, or
  123  corporation that provides health care services by licensed
  124  health care practitioners under chapter 457, chapter 458,
  125  chapter 459, chapter 460, chapter 461, chapter 462, chapter 463,
  126  chapter 466, chapter 467, chapter 480, chapter 484, chapter 486,
  127  chapter 490, chapter 491, or part I, part III, part X, part
  128  XIII, or part XIV of chapter 468, or s. 464.012, and that is
  129  wholly owned by one or more licensed health care practitioners,
  130  or the licensed health care practitioners set forth in this
  131  paragraph and the spouse, parent, child, or sibling of a
  132  licensed health care practitioner if one of the owners who is a
  133  licensed health care practitioner is supervising the business
  134  activities and is legally responsible for the entity’s
  135  compliance with all federal and state laws. However, a health
  136  care practitioner may not supervise services beyond the scope of
  137  the practitioner’s license, except that, for the purposes of
  138  this part, a clinic owned by a licensee in s. 456.053(3)(b)
  139  which provides only services authorized pursuant to s.
  140  456.053(3)(b) may be supervised by a licensee specified in s.
  141  456.053(3)(b).
  142         (h) Clinical facilities affiliated with an accredited
  143  medical school at which training is provided for medical
  144  students, residents, or fellows.
  145         (i) Entities that provide only oncology or radiation
  146  therapy services by physicians licensed under chapter 458 or
  147  chapter 459 or entities that provide oncology or radiation
  148  therapy services by physicians licensed under chapter 458 or
  149  chapter 459 which are owned by a corporation whose shares are
  150  publicly traded on a recognized stock exchange.
  151         (j) Clinical facilities affiliated with a college of
  152  chiropractic accredited by the Council on Chiropractic Education
  153  at which training is provided for chiropractic students.
  154         (k) Entities that provide licensed practitioners to staff
  155  emergency departments or to deliver anesthesia services in
  156  facilities licensed under chapter 395 and that derive at least
  157  90 percent of their gross annual revenues from the provision of
  158  such services. Entities claiming an exemption from licensure
  159  under this paragraph must provide documentation demonstrating
  160  compliance.
  161         (l) Orthotic, prosthetic, pediatric cardiology, or
  162  perinatology clinical facilities or anesthesia clinical
  163  facilities that are not otherwise exempt under paragraph (a) or
  164  paragraph (k) and that are a publicly traded corporation or are
  165  wholly owned, directly or indirectly, by a publicly traded
  166  corporation. As used in this paragraph, a publicly traded
  167  corporation is a corporation that issues securities traded on an
  168  exchange registered with the United States Securities and
  169  Exchange Commission as a national securities exchange.
  170         (m) Entities that are owned by a corporation that has $250
  171  million or more in total annual sales of health care services
  172  provided by licensed health care practitioners where one or more
  173  of the persons responsible for the operations of the entity is a
  174  health care practitioner who is licensed in this state and who
  175  is responsible for supervising the business activities of the
  176  entity and is responsible for the entity’s compliance with state
  177  law for purposes of this part.
  178         (n) Entities that employ 50 or more licensed health care
  179  practitioners licensed under chapter 458 or chapter 459 where
  180  the billing for medical services is under a single tax
  181  identification number. The application for exemption under this
  182  subsection shall contain information that includes: the name,
  183  residence, and business address and phone number of the entity
  184  that owns the practice; a complete list of the names and contact
  185  information of all the officers and directors of the
  186  corporation; the name, residence address, business address, and
  187  medical license number of each licensed Florida health care
  188  practitioner employed by the entity; the corporate tax
  189  identification number of the entity seeking an exemption; a
  190  listing of health care services to be provided by the entity at
  191  the health care clinics owned or operated by the entity and a
  192  certified statement prepared by an independent certified public
  193  accountant which states that the entity and the health care
  194  clinics owned or operated by the entity have not received
  195  payment for health care services under personal injury
  196  protection insurance coverage for the preceding year. If the
  197  agency determines that an entity which is exempt under this
  198  subsection has received payments for medical services under
  199  personal injury protection insurance coverage, the agency may
  200  deny or revoke the exemption from licensure under this
  201  subsection.
  202  
  203  Notwithstanding this subsection, an entity is shall be deemed a
  204  clinic and must be licensed under this part in order to receive
  205  reimbursement under the Florida Motor Vehicle No-Fault Law, ss.
  206  627.730-627.7405, unless the entity is exempted under s.
  207  627.736(5)(h)1. and, if required under s. 627.736(5)(h)2., has
  208  obtained a valid certificate of exemption 627.736(5)(h).
  209         Section 2. Section 400.993, Florida Statutes, is repealed.
  210         Section 3. Subsections (3), (4), and (6) of section
  211  400.9935, Florida Statutes, are amended to read:
  212         400.9935 Clinic responsibilities.—
  213         (3) A charge All charges or reimbursement claim claims made
  214  by or on behalf of a clinic that is required to be licensed
  215  under this part, but that is not so licensed, or that is
  216  otherwise operating in violation of this part or rules of the
  217  agency, regardless of whether a service is rendered or whether
  218  the charge or reimbursement claim is paid, is an, are unlawful
  219  charge charges, and is therefore are noncompensable and
  220  unenforceable. A person who knowingly makes or causes to be made
  221  an unlawful charge commits theft within the meaning of, and
  222  punishable as provided in, s. 812.014.
  223         (4)(a) Regardless of whether notification is provided by
  224  the agency under In addition to the requirements of s. 408.812,
  225  a any person commits a felony of the third degree, punishable as
  226  provided in s. 775.082, s. 775.083, or s. 775.084, if the person
  227  knowingly:
  228         1. Establishes, owns, operates, manages, or maintains
  229  establishing, operating, or managing an unlicensed clinic
  230  otherwise required to be licensed under this part or part II of
  231  chapter 408;, or
  232         2. Offers or advertises services that require licensure as
  233  a clinic under this part or part II of chapter 408 without a
  234  license.
  235         (b) If the agency provides notification under s. 408.812
  236  of, or if a person is arrested for, a violation of subparagraph
  237  (a)1. or subparagraph (a)2., each day during which a violation
  238  of subparagraph (a)1. or subparagraph (a)2. occurs constitutes a
  239  separate offense.
  240         (c) A person convicted of a second or subsequent violation
  241  of subparagraph (a)1. or subparagraph (a)2. commits a felony of
  242  the second degree, punishable as provided in s. 775.082, s.
  243  775.083, or s. 775.084. If the agency provides notification of,
  244  or if a person is arrested for, a violation of this paragraph,
  245  each day that this paragraph is violated thereafter constitutes
  246  a separate offense. For purposes of this paragraph, the term
  247  “convicted” means a determination of guilt which is the result
  248  of a trial or the entry of a plea of guilty or nolo contendere,
  249  regardless of whether adjudication is withheld.
  250         (d) In addition to the requirements of part II of chapter
  251  408, a health care provider who is aware of the operation of an
  252  unlicensed clinic shall report the clinic to the agency. Failure
  253  to report a clinic that the provider knows or has reasonable
  254  cause to suspect is unlicensed shall be reported to the
  255  provider’s licensing board.
  256         (e) A person commits a felony of the third degree,
  257  punishable as provided in s. 775.082, s. 775.083, or s. 775.084,
  258  if the any person who knowingly:
  259         1. Files a false or misleading license application or
  260  license renewal application, or files false or misleading
  261  information related to such application or agency department
  262  rule; or
  263         2. Fails to report information to the agency as required by
  264  s. 408.810(3), commits a felony of the third degree, punishable
  265  as provided in s. 775.082, s. 775.083, or s. 775.084.
  266         (6)(a)A Any person or entity providing health care
  267  services which is not a clinic, as defined under s. 400.9905,
  268  may voluntarily apply, and an entity subject to s.
  269  627.736(5)(h)2. shall apply, for a certificate of exemption from
  270  licensure under its exempt status with the agency on a form that
  271  sets forth its name and the address of each physical location
  272  where services are provided or names and addresses, a statement
  273  of the reasons why it cannot be defined as a clinic, and other
  274  information deemed necessary by the agency. An exemption is not
  275  transferable. The agency may charge an applicant for an initial
  276  a certificate of exemption or for a renewal certificate of
  277  exemption in an amount equal to $100 or the actual cost of
  278  processing the certificate, whichever is less. An entity seeking
  279  an initial or renewal a certificate of exemption must publish
  280  and maintain a schedule of charges for the medical services
  281  offered to patients. The schedule must include the prices
  282  charged to an uninsured person paying for such services by cash,
  283  check, credit card, or debit card. The schedule must be posted
  284  in a conspicuous place in the reception area of the entity and
  285  must include, but is not limited to, the 50 services most
  286  frequently provided by the entity. The schedule may group
  287  services by three price levels, listing services in each price
  288  level. The posting must be at least 15 square feet in size. As a
  289  condition precedent to receiving an initial or renewal a
  290  certificate of exemption, an applicant must provide to the
  291  agency documentation of compliance with this paragraph these
  292  requirements.
  293         (b) A separate certificate of exemption must be obtained
  294  for each physical location where services are provided
  295  regardless of whether the location is operated under the same
  296  business name or management as another location.
  297         (c) A certificate of exemption issued on or before June 30,
  298  2015, expires on June 30, 2017. An initial or renewal
  299  certificate of exemption issued on or after July 1, 2015,
  300  expires 2 years after the date of issuance.
  301         (d) A clinic shall notify the agency of any change to
  302  information set forth in an application for an initial or
  303  renewal certificate of exemption at least 10 days before the
  304  change takes effect. A failure to comply with this paragraph
  305  renders the clinic unlicensed.
  306         (e) If a change to a person’s or entity’s exempt status
  307  occurs which causes the person or entity to no longer qualify
  308  for an exemption from licensure as a clinic, the person’s or
  309  entity’s certificate of exemption expires on the date the
  310  disqualification occurs. In such case, the clinic must file with
  311  the agency an application for licensure under this part within 5
  312  days after becoming a clinic. Failure to timely file an
  313  application for licensure within 5 days after becoming a clinic
  314  renders the clinic unlicensed and subject to sanctions under
  315  this part and part II of chapter 408.
  316         (f) An entity subject to s. 627.736(5)(h)2. which does not
  317  have a valid certificate of exemption is deemed a clinic that
  318  must be licensed under this part to receive reimbursement under
  319  ss. 627.730-627.7405. Failure of such entity to have a valid
  320  certificate of exemption or license under this part renders the
  321  entity an unlicensed clinic that is subject to sanctions under
  322  this part and part II of chapter 408.
  323         (g) A person commits a felony of the third degree,
  324  punishable as provided in s. 775.082, s. 775.083, or s. 775.084,
  325  if the person knowingly files a false or misleading initial or
  326  renewal application for a certificate of exemption or files
  327  false or misleading information related to such application or
  328  agency rule.
  329         (h) The agency shall adopt rules to implement this
  330  subsection, including rules establishing initial and renewal
  331  application procedures.
  332         Section 4. Paragraph (h) of subsection (5) of section
  333  627.736, Florida Statutes, is amended to read:
  334         627.736 Required personal injury protection benefits;
  335  exclusions; priority; claims.—
  336         (5) CHARGES FOR TREATMENT OF INJURED PERSONS.—
  337         (h)1. As provided in s. 400.9905, an entity excluded from
  338  the definition of a clinic shall be deemed a clinic and must be
  339  licensed under part X of chapter 400 in order to receive
  340  reimbursement under ss. 627.730-627.7405. However, this
  341  licensing requirement does not apply to:
  342         a.1. An entity wholly owned by a physician licensed under
  343  chapter 458 or chapter 459, or by the physician and the spouse,
  344  parent, child, or sibling of the physician;
  345         b.2. An entity wholly owned by a dentist licensed under
  346  chapter 466, or by the dentist and the spouse, parent, child, or
  347  sibling of the dentist;
  348         c.3. An entity wholly owned by a chiropractic physician
  349  licensed under chapter 460, or by the chiropractic physician and
  350  the spouse, parent, child, or sibling of the chiropractic
  351  physician;
  352         d.4. A hospital or ambulatory surgical center licensed
  353  under chapter 395;
  354         e.5. An entity that wholly owns or is wholly owned,
  355  directly or indirectly, by a hospital or hospitals licensed
  356  under chapter 395; or
  357         f.6. An entity that is a clinical facility affiliated with
  358  an accredited medical school at which training is provided for
  359  medical students, residents, or fellows.
  360         2. An entity that is exempted from licensure under sub
  361  subparagraph 1.a., sub-subparagraph 1.b., or sub-subparagraph
  362  1.c. and that treats 10 or more patients, or seeks reimbursement
  363  of $100,000 or more, under ss. 627.730–627.7405 during any 12
  364  month period may not receive reimbursement under those sections
  365  unless it has a valid certificate of exemption from licensure
  366  under s. 400.9935(6) and agency rule.
  367         Section 5. Section 626.9891, Florida Statutes, is amended
  368  to read:
  369         626.9891 Insurer special anti-fraud investigative units;
  370  reporting requirements; penalties for noncompliance.—
  371         (1) As used in this section, the term:
  372         (a) “Division” means the Division of Insurance Fraud within
  373  the Department of Financial Services.
  374         (b) “Insurance fraud” means a fraudulent insurance act as
  375  described in s. 626.989(1)(a) or any other act or practice that,
  376  upon conviction, constitutes a felony or misdemeanor under the
  377  Florida Insurance Code, chapter 440, s. 817.234, or s. 817.505.
  378         (c) “Red flag” means facts, circumstances, or events that,
  379  individually or in combination, support an inference that
  380  insurance fraud is being or has been committed.
  381         (d) “Report of suspected insurance fraud” means the
  382  insurer’s submission of reports or information pertinent to
  383  suspected insurance fraud to the division as required by ss.
  384  440.105, 626.989, 627.351, 627.711, and 627.736.
  385         (e)“SIU” means a special investigative unit.
  386         (f) “Suspected insurance fraud” means having knowledge or a
  387  belief that insurance fraud is being or has been committed.
  388         (2)(1) Every insurer that is admitted to do business and
  389  that issues insurance policies in this state who in the previous
  390  calendar year, at any time during that year, had $10 million or
  391  more in direct premiums written shall:
  392         (a) Establish and maintain a unit or division within the
  393  company, or contract for the establishment and maintenance of,
  394  an SIU that is responsible for the detection, investigation, and
  395  reporting of suspected insurance fraud. Each SIU shall:
  396         1. Be separate from the insurer’s underwriting, claims
  397  adjusting, and other units.
  398         2. Establish written procedures for the:
  399         a. Detection of suspected insurance fraud in applications,
  400  claims, and other documents or information, which includes the
  401  identification of red flags, by underwriting, claims adjusting,
  402  and SIU personnel.
  403         b. Investigation and reporting of suspected insurance fraud
  404  by SIU personnel.
  405         3. Be composed of personnel who have documented knowledge
  406  of:
  407         a. The insurer’s procedures for underwriting, issuing, and
  408  renewing policies and handling insurance claims.
  409         b. Insurance fraud law.
  410         c. The written procedures required by subparagraph 3. to
  411  investigate possible fraudulent claims by insureds or by persons
  412  making claims for services or repairs against policies held by
  413  insureds; or
  414         (b) Annually provide anti-fraud training for its
  415  underwriting, claims adjusting, and SIU personnel which
  416  addresses the detection, referral, investigation, and reporting
  417  of suspected insurance fraud for the types of insurance lines
  418  written by the insurer Contract with others to investigate
  419  possible fraudulent claims for services or repairs against
  420  policies held by insureds.
  421         (c) Electronically An insurer subject to this subsection
  422  shall file the following information with the division of
  423  Insurance Fraud of the department on or before September 1,
  424  2015:
  425         1. The name, title, telephone number, and e-mail address of
  426  the individual responsible for the management of the insurer’s
  427  SIU.
  428         2. A written description of the insurer’s procedures
  429  required by subparagraph (a)2.
  430         3. If the insurer has contracted for the establishment and
  431  maintenance of the SIU, July 1, 1996, a detailed description of
  432  the unit or division established pursuant to paragraph (a) or a
  433  copy of the contract and related documents required by paragraph
  434  (b). A contract for the establishment and maintenance of an SIU
  435  does not relieve the insurer of any obligation under this
  436  section.
  437         (d) Electronically file the following information with the
  438  division on or before September 1, 2016, and annually
  439  thereafter:
  440         1. A copy of any change to the documents required to be
  441  filed under subparagraphs (c)1. and (c)2. or a written statement
  442  indicating that no changes have occurred.
  443         2. A description of the anti-fraud training completed by
  444  the underwriting, claims adjusting, and SIU personnel of the
  445  insurer during the previous calendar year.
  446         (2) Every insurer admitted to do business in this state,
  447  which in the previous calendar year had less than $10 million in
  448  direct premiums written, must adopt an anti-fraud plan and file
  449  it with the Division of Insurance Fraud of the department on or
  450  before July 1, 1996. An insurer may, in lieu of adopting and
  451  filing an anti-fraud plan, comply with the provisions of
  452  subsection (1).
  453         (3) Each insurers anti-fraud plans shall include:
  454         (a) A description of the insurer’s procedures for detecting
  455  and investigating possible fraudulent insurance acts;
  456         (b) A description of the insurer’s procedures for the
  457  mandatory reporting of possible fraudulent insurance acts to the
  458  Division of Insurance Fraud of the department;
  459         (c) A description of the insurer’s plan for anti-fraud
  460  education and training of its claims adjusters or other
  461  personnel; and
  462         (d) A written description or chart outlining the
  463  organizational arrangement of the insurer’s anti-fraud personnel
  464  who are responsible for the investigation and reporting of
  465  possible fraudulent insurance acts.
  466         (3)(4)An Any insurer shall comply with this section within
  467  3 months after receipt of its who obtains a certificate of
  468  authority after July 1, 1995, shall have 18 months in which to
  469  comply with the requirements of this section.
  470         (4)(5)Additional costs incurred by For purposes of this
  471  section, the term “unit or division” includes the assignment of
  472  fraud investigation to employees whose principal
  473  responsibilities are the investigation and disposition of
  474  claims. If an insurer to establish and maintain or contract for
  475  the establishment and maintenance of an SIU creates a distinct
  476  unit or division, hires additional employees, or contracts with
  477  another entity to fulfill the requirements of this section, the
  478  additional cost incurred must be included as an administrative
  479  expense for ratemaking purposes.
  480         (5)(6) Each insurer issuing writing workers’ compensation
  481  insurance policies in this state shall electronically file a
  482  report with to the division department, on or before September
  483  1, 2017, and annually thereafter August 1 of each year, on its
  484  experience in implementing an SIU and maintaining an anti-fraud
  485  investigative unit or an anti-fraud plan. For the previous
  486  calendar year, the report must include, at a minimum, for each
  487  line of insurance for policies issued in this state:
  488         (a) The number of policies in effect dollar amount of
  489  recoveries and losses attributable to workers’ compensation
  490  fraud delineated by the type of fraud: claimant, employer,
  491  provider, agent, or other.
  492         (b) The amount of direct premiums written for policies.
  493         (c) The number of applications received for policies.
  494         (d) The number of claims filed.
  495         (e) The number of applications and claims:
  496         1. Referred to SIU personnel.
  497         2. Investigated by SIU personnel.
  498         3. Denied, withdrawn, or mitigated after investigation.
  499         (f)(b) The number of reports of suspected insurance fraud
  500  submitted to the division referrals to the Bureau of Workers’
  501  Compensation Fraud for the prior year.
  502         (g) The number of cases of suspected insurance fraud
  503  referred to:
  504         1. Law enforcement agencies other than the division.
  505         2. Other entities such as insurance fraud associations.
  506         (h) The number of cases involving suspected insurance fraud
  507  which were civilly litigated.
  508         (i) The dollar amounts:
  509         1. Of the insurer’s exposure for claims in which there was
  510  suspected insurance fraud.
  511         2. Paid by the insurer for claims in which there was
  512  suspected insurance fraud.
  513         3. Recovered by the insurer through restitution resulting
  514  from criminally prosecuted insurance fraud cases.
  515         4. Recovered by the insurer through judgments or
  516  settlements resulting from civilly litigated insurance fraud
  517  cases.
  518         5. Paid by the insurer for judgments or settlements
  519  resulting from civilly litigated insurance fraud cases.
  520         (c) A description of the organization of the anti-fraud
  521  investigative unit, if applicable, including the position titles
  522  and descriptions of staffing.
  523         (j)(d) The rationale for the level of staffing and
  524  resources being provided for the SIU anti-fraud investigative
  525  unit, which may include objective criteria such as number of
  526  policies written, number of applications and claims received on
  527  an annual basis, volume of suspected fraudulent applications and
  528  claims currently being detected, other factors, and an
  529  assessment of optimal caseload that can be handled by an
  530  investigator on an annual basis.
  531         (e) The inservice education and training provided to
  532  underwriting and claims personnel to assist in identifying and
  533  evaluating instances of suspected fraudulent activity in
  534  underwriting or claims activities.
  535         (k)(f) A description of a public awareness program provided
  536  by the insurer which is focused on the costs and frequency of
  537  insurance fraud and methods by which the public can prevent it.
  538         (6)(a) The division shall review the electronic filings
  539  received under this section to determine whether an insurer is
  540  in compliance with paragraphs (2)(c) and (2)(d) and subsection
  541  (5), and the office shall conduct examinations pursuant to s.
  542  624.3161 to determine whether an insurer is compliant with
  543  paragraphs (2)(a) and (2)(b).
  544         (b)(7) If an insurer fails to:
  545         1. Timely file with the division information in compliance
  546  with paragraph (2)(c) or paragraph (2)(d) or a report in
  547  compliance with subsection (5), the division shall impose an
  548  administrative fine of not more than $2,000 per day for such
  549  failure until the division determines that the insurer is in
  550  compliance.
  551         2.Submit a final acceptable anti-fraud plan or anti-fraud
  552  investigative unit description, fails to Implement the
  553  requirements for its SIU in compliance with paragraph (2)(a) or
  554  paragraph (2)(b) provisions of a plan or an anti-fraud
  555  investigative unit description, or otherwise refuses to comply
  556  with the provisions of this section, the department, office
  557  shall, or commission may:
  558         (a) impose an administrative fine of not more than $2,000
  559  per day for such failure by an insurer to submit an acceptable
  560  anti-fraud plan or anti-fraud investigative unit description,
  561  until the department, office determines that, or commission
  562  deems the insurer is to be in compliance;
  563         (b) Impose an administrative fine for failure by an insurer
  564  to implement or follow the provisions of an anti-fraud plan or
  565  anti-fraud investigative unit description; or
  566         (c) Impose the provisions of both paragraphs (a) and (b).
  567         (7) An insurer claiming that documents or other information
  568  submitted to the division or office under this section contain a
  569  trade secret shall comply with s. 624.4213.
  570         (8) The department and office may adopt rules to administer
  571  this section.
  572         Section 6. Paragraph (k) of subsection (6) of section
  573  627.351, Florida Statutes, is amended to read:
  574         627.351 Insurance risk apportionment plans.—
  575         (6) CITIZENS PROPERTY INSURANCE CORPORATION.—
  576         (k)1. The corporation shall comply with the requirements
  577  for an insurer that is admitted to do business and that issues
  578  insurance policies in this state as set forth in establish and
  579  maintain a unit or division to investigate possible fraudulent
  580  claims by insureds or by persons making claims for services or
  581  repairs against policies held by insureds; or it may contract
  582  with others to investigate possible fraudulent claims for
  583  services or repairs against policies held by the corporation
  584  pursuant to s. 626.9891. The corporation must comply with
  585  reporting requirements of s. 626.9891. An employee of the
  586  corporation shall notify the corporation’s Office of the
  587  Inspector General and the Division of Insurance Fraud within 48
  588  hours after having information that would lead a reasonable
  589  person to suspect that fraud may have been committed by any
  590  employee of the corporation.
  591         2. The corporation shall establish a unit or division
  592  responsible for receiving and responding to consumer complaints,
  593  which unit or division is the sole responsibility of a senior
  594  manager of the corporation.
  595         Section 7. Section 641.3915, Florida Statutes, is amended
  596  to read:
  597         641.3915 Health maintenance organization special anti-fraud
  598  plans and investigative units.—Each authorized health
  599  maintenance organization and applicant for a certificate of
  600  authority shall comply with the provisions of ss. 626.989 and
  601  626.9891 as though such organization or applicant were an
  602  authorized insurer that is admitted to do business and that
  603  issues insurance policies in this state. For purposes of this
  604  section, the reference to the year 1996 in s. 626.9891 means the
  605  year 2000 and the reference to the year 1995 means the year
  606  1999.
  607         Section 8. Subsection (5) of section 626.9894, Florida
  608  Statutes, is amended to read:
  609         626.9894 Gifts and grants.—
  610         (5) Notwithstanding s. 216.301 and pursuant to s. 216.351,
  611  any balance of moneys deposited into the Insurance Regulatory
  612  Trust Fund pursuant to this section or s. 626.9895 remaining at
  613  the end of any fiscal year is available for carrying out the
  614  duties and responsibilities of the division. The department may
  615  request annual appropriations from the grants and donations
  616  received pursuant to this section or s. 626.9895 and cash
  617  balances in the Insurance Regulatory Trust Fund for the purpose
  618  of carrying out its duties and responsibilities related to the
  619  division’s anti-fraud efforts, including the funding of
  620  dedicated prosecutors and related personnel.
  621         Section 9. Section 626.9895, Florida Statutes, is repealed.
  622         Section 10. Paragraphs (c) and (f) of subsection (3) of
  623  section 921.0022, Florida Statutes, are amended to read:
  624         921.0022 Criminal Punishment Code; offense severity ranking
  625  chart.—
  626         (3) OFFENSE SEVERITY RANKING CHART
  627         (c) LEVEL 3
  628  
  629  
  630  FloridaStatute    FelonyDegree           Description            
  631  119.10(2)(b)         3rd   Unlawful use of confidential information from police reports.
  632  316.066 (3)(b)-(d)   3rd   Unlawfully obtaining or using confidential crash reports.
  633  316.193(2)(b)        3rd   Felony DUI, 3rd conviction.       
  634  316.1935(2)          3rd   Fleeing or attempting to elude law enforcement officer in patrol vehicle with siren and lights activated.
  635  319.30(4)            3rd   Possession by junkyard of motor vehicle with identification number plate removed.
  636  319.33(1)(a)         3rd   Alter or forge any certificate of title to a motor vehicle or mobile home.
  637  319.33(1)(c)         3rd   Procure or pass title on stolen vehicle.
  638  319.33(4)            3rd   With intent to defraud, possess, sell, etc., a blank, forged, or unlawfully obtained title or registration.
  639  327.35(2)(b)         3rd   Felony BUI.                       
  640  328.05(2)            3rd   Possess, sell, or counterfeit fictitious, stolen, or fraudulent titles or bills of sale of vessels.
  641  328.07(4)            3rd   Manufacture, exchange, or possess vessel with counterfeit or wrong ID number.
  642  376.302(5)           3rd   Fraud related to reimbursement for cleanup expenses under the Inland Protection Trust Fund.
  643  379.2431 (1)(e)5.    3rd   Taking, disturbing, mutilating, destroying, causing to be destroyed, transferring, selling, offering to sell, molesting, or harassing marine turtles, marine turtle eggs, or marine turtle nests in violation of the Marine Turtle Protection Act.
  644  379.2431 (1)(e)6.    3rd   Soliciting to commit or conspiring to commit a violation of the Marine Turtle Protection Act.
  645  400.9935(4)(a) or (b)   3rd   Operating a clinic, or offering services requiring licensure, without a license or filing false license application or other required information.
  646  400.9935(4)(e)       3rd   Filing a false license application or other required information or failing to report information.
  647  400.9935(6)(g)       3rd   Filing a false application or other required information.
  648  440.1051(3)          3rd   False report of workers’ compensation fraud or retaliation for making such a report.
  649  501.001(2)(b)        2nd   Tampers with a consumer product or the container using materially false/misleading information.
  650  624.401(4)(a)        3rd   Transacting insurance without a certificate of authority.
  651  624.401(4)(b)1.      3rd   Transacting insurance without a certificate of authority; premium collected less than $20,000.
  652  626.902(1)(a) & (b)   3rd   Representing an unauthorized insurer.
  653  697.08               3rd   Equity skimming.                  
  654  790.15(3)            3rd   Person directs another to discharge firearm from a vehicle.
  655  806.10(1)            3rd   Maliciously injure, destroy, or interfere with vehicles or equipment used in firefighting.
  656  806.10(2)            3rd   Interferes with or assaults firefighter in performance of duty.
  657  810.09(2)(c)         3rd   Trespass on property other than structure or conveyance armed with firearm or dangerous weapon.
  658  812.014(2)(c)2.      3rd   Grand theft; $5,000 or more but less than $10,000.
  659  812.0145(2)(c)       3rd   Theft from person 65 years of age or older; $300 or more but less than $10,000.
  660  815.04(5)(b)         2nd   Computer offense devised to defraud or obtain property.
  661  817.034(4)(a)3.      3rd   Engages in scheme to defraud (Florida Communications Fraud Act), property valued at less than $20,000.
  662  817.233              3rd   Burning to defraud insurer.       
  663  817.234 (8)(b) & (c)   3rd   Unlawful solicitation of persons involved in motor vehicle accidents.
  664  817.234(11)(a)       3rd   Insurance fraud; property value less than $20,000.
  665  817.236              3rd   Filing a false motor vehicle insurance application.
  666  817.2361             3rd   Creating, marketing, or presenting a false or fraudulent motor vehicle insurance card.
  667  817.413(2)           3rd   Sale of used goods as new.        
  668  817.505(4)           3rd   Patient brokering.                
  669  828.12(2)            3rd   Tortures any animal with intent to inflict intense pain, serious physical injury, or death.
  670  831.28(2)(a)         3rd   Counterfeiting a payment instrument with intent to defraud or possessing a counterfeit payment instrument.
  671  831.29               2nd   Possession of instruments for counterfeiting driver licenses or identification cards.
  672  838.021(3)(b)        3rd   Threatens unlawful harm to public servant.
  673  843.19               3rd   Injure, disable, or kill police dog or horse.
  674  860.15(3)            3rd   Overcharging for repairs and parts.
  675  870.01(2)            3rd   Riot; inciting or encouraging.    
  676  893.13(1)(a)2.       3rd   Sell, manufacture, or deliver cannabis (or other s. 893.03(1)(c), (2)(c)1., (2)(c)2., (2)(c)3., (2)(c)5., (2)(c)6., (2)(c)7., (2)(c)8., (2)(c)9., (3), or (4) drugs).
  677  893.13(1)(d)2.       2nd   Sell, manufacture, or deliver s. 893.03(1)(c), (2)(c)1., (2)(c)2., (2)(c)3., (2)(c)5., (2)(c)6., (2)(c)7., (2)(c)8., (2)(c)9., (3), or (4) drugs within 1,000 feet of university.
  678  893.13(1)(f)2.       2nd   Sell, manufacture, or deliver s. 893.03(1)(c), (2)(c)1., (2)(c)2., (2)(c)3., (2)(c)5., (2)(c)6., (2)(c)7., (2)(c)8., (2)(c)9., (3), or (4) drugs within 1,000 feet of public housing facility.
  679  893.13(6)(a)         3rd   Possession of any controlled substance other than felony possession of cannabis.
  680  893.13(7)(a)8.       3rd   Withhold information from practitioner regarding previous receipt of or prescription for a controlled substance.
  681  893.13(7)(a)9.       3rd   Obtain or attempt to obtain controlled substance by fraud, forgery, misrepresentation, etc.
  682  893.13(7)(a)10.      3rd   Affix false or forged label to package of controlled substance.
  683  893.13(7)(a)11.      3rd   Furnish false or fraudulent material information on any document or record required by chapter 893.
  684  893.13(8)(a)1.       3rd   Knowingly assist a patient, other person, or owner of an animal in obtaining a controlled substance through deceptive, untrue, or fraudulent representations in or related to the practitioner’s practice.
  685  893.13(8)(a)2.       3rd   Employ a trick or scheme in the practitioner’s practice to assist a patient, other person, or owner of an animal in obtaining a controlled substance.
  686  893.13(8)(a)3.       3rd   Knowingly write a prescription for a controlled substance for a fictitious person.
  687  893.13(8)(a)4.       3rd   Write a prescription for a controlled substance for a patient, other person, or an animal if the sole purpose of writing the prescription is a monetary benefit for the practitioner.
  688  918.13(1)(a)         3rd   Alter, destroy, or conceal investigation evidence.
  689  944.47 (1)(a)1. & 2.   3rd   Introduce contraband to correctional facility.
  690  944.47(1)(c)         2nd   Possess contraband while upon the grounds of a correctional institution.
  691  985.721              3rd   Escapes from a juvenile facility (secure detention or residential commitment facility).
  692         (f) LEVEL 6
  693  
  694  
  695  FloridaStatute    FelonyDegree           Description            
  696  316.027(2)(b)        2nd   Leaving the scene of a crash involving serious bodily injury.
  697  316.193(2)(b)        3rd   Felony DUI, 4th or subsequent conviction.
  698  400.9935(4)(c)       2nd   Operating a clinic, or offering services requiring licensure, without a license.
  699  499.0051(3)          2nd   Knowing forgery of pedigree papers.
  700  499.0051(4)          2nd   Knowing purchase or receipt of prescription drug from unauthorized person.
  701  499.0051(5)          2nd   Knowing sale or transfer of prescription drug to unauthorized person.
  702  775.0875(1)          3rd   Taking firearm from law enforcement officer.
  703  784.021(1)(a)        3rd   Aggravated assault; deadly weapon without intent to kill.
  704  784.021(1)(b)        3rd   Aggravated assault; intent to commit felony.
  705  784.041              3rd   Felony battery; domestic battery by strangulation.
  706  784.048(3)           3rd   Aggravated stalking; credible threat.
  707  784.048(5)           3rd   Aggravated stalking of person under 16.
  708  784.07(2)(c)         2nd   Aggravated assault on law enforcement officer.
  709  784.074(1)(b)        2nd   Aggravated assault on sexually violent predators facility staff.
  710  784.08(2)(b)         2nd   Aggravated assault on a person 65 years of age or older.
  711  784.081(2)           2nd   Aggravated assault on specified official or employee.
  712  784.082(2)           2nd   Aggravated assault by detained person on visitor or other detainee.
  713  784.083(2)           2nd   Aggravated assault on code inspector.
  714  787.02(2)            3rd   False imprisonment; restraining with purpose other than those in s. 787.01.
  715  790.115(2)(d)        2nd   Discharging firearm or weapon on school property.
  716  790.161(2)           2nd   Make, possess, or throw destructive device with intent to do bodily harm or damage property.
  717  790.164(1)           2nd   False report of deadly explosive, weapon of mass destruction, or act of arson or violence to state property.
  718  790.19               2nd   Shooting or throwing deadly missiles into dwellings, vessels, or vehicles.
  719  794.011(8)(a)        3rd   Solicitation of minor to participate in sexual activity by custodial adult.
  720  794.05(1)            2nd   Unlawful sexual activity with specified minor.
  721  800.04(5)(d)         3rd   Lewd or lascivious molestation; victim 12 years of age or older but less than 16 years of age; offender less than 18 years.
  722  800.04(6)(b)         2nd   Lewd or lascivious conduct; offender 18 years of age or older.
  723  806.031(2)           2nd   Arson resulting in great bodily harm to firefighter or any other person.
  724  810.02(3)(c)         2nd   Burglary of occupied structure; unarmed; no assault or battery.
  725  810.145(8)(b)        2nd   Video voyeurism; certain minor victims; 2nd or subsequent offense.
  726  812.014(2)(b)1.      2nd   Property stolen $20,000 or more, but less than $100,000, grand theft in 2nd degree.
  727  812.014(6)           2nd   Theft; property stolen $3,000 or more; coordination of others.
  728  812.015(9)(a)        2nd   Retail theft; property stolen $300 or more; second or subsequent conviction.
  729  812.015(9)(b)        2nd   Retail theft; property stolen $3,000 or more; coordination of others.
  730  812.13(2)(c)         2nd   Robbery, no firearm or other weapon (strong-arm robbery).
  731  817.4821(5)          2nd   Possess cloning paraphernalia with intent to create cloned cellular telephones.
  732  825.102(1)           3rd   Abuse of an elderly person or disabled adult.
  733  825.102(3)(c)        3rd   Neglect of an elderly person or disabled adult.
  734  825.1025(3)          3rd   Lewd or lascivious molestation of an elderly person or disabled adult.
  735  825.103(3)(c)        3rd   Exploiting an elderly person or disabled adult and property is valued at less than $10,000.
  736  827.03(2)(c)         3rd   Abuse of a child.                 
  737  827.03(2)(d)         3rd   Neglect of a child.               
  738  827.071(2) & (3)     2nd   Use or induce a child in a sexual performance, or promote or direct such performance.
  739  836.05               2nd   Threats; extortion.               
  740  836.10               2nd   Written threats to kill or do bodily injury.
  741  843.12               3rd   Aids or assists person to escape. 
  742  847.011              3rd   Distributing, offering to distribute, or possessing with intent to distribute obscene materials depicting minors.
  743  847.012              3rd   Knowingly using a minor in the production of materials harmful to minors.
  744  847.0135(2)          3rd   Facilitates sexual conduct of or with a minor or the visual depiction of such conduct.
  745  914.23               2nd   Retaliation against a witness, victim, or informant, with bodily injury.
  746  944.35(3)(a)2.       3rd   Committing malicious battery upon or inflicting cruel or inhuman treatment on an inmate or offender on community supervision, resulting in great bodily harm.
  747  944.40               2nd   Escapes.                          
  748  944.46               3rd   Harboring, concealing, aiding escaped prisoners.
  749  944.47(1)(a)5.       2nd   Introduction of contraband (firearm, weapon, or explosive) into correctional facility.
  750  951.22(1)            3rd   Intoxicating drug, firearm, or weapon introduced into county facility.
  751         Section 11. This act shall take effect July 1, 2015.