Florida Senate - 2016 SB 526
By Senator Grimsley
21-00570A-16 2016526__
1 A bill to be entitled
2 An act relating to reimbursement of Medicaid
3 providers; amending s. 409.901, F.S.; defining the
4 term “usual and customary charge” for purposes of
5 Medicaid billing; providing applicability; providing
6 an effective date.
7
8 Be It Enacted by the Legislature of the State of Florida:
9
10 Section 1. Subsection (29) is added to section 409.901,
11 Florida Statutes, to read:
12 409.901 Definitions; ss. 409.901-409.920.—As used in ss.
13 409.901-409.920, except as otherwise specifically provided, the
14 term:
15 (29) “Usual and customary charge” means the amount
16 routinely billed by a provider or supplier to an uninsured
17 consumer for services or goods before application of any
18 discount, rebate, or supplemental plan. The term does not
19 include free or discounted charges for services or goods based
20 upon a person’s uninsured or indigent status or other financial
21 hardship.
22 Section 2. The changes made by this act to s. 409.901,
23 Florida Statutes, are intended to clarify existing law and are
24 remedial in nature.
25 Section 3. This act shall take effect July 1, 2016.