Florida Senate - 2020                                    SB 1626
       
       
        
       By Senator Flores
       
       
       
       
       
       39-01740-20                                           20201626__
    1                        A bill to be entitled                      
    2         An act relating to price transparency in health care
    3         services; creating s. 627.4303, F.S.; defining the
    4         term “health insurer”; prohibiting a health insurer
    5         from limiting a contracted health care provider’s
    6         ability to disclose certain pricing information to a
    7         patient; prohibiting a health insurer from requiring
    8         an insured to pay an amount for covered services which
    9         exceeds a certain price; providing an effective date.
   10          
   11  Be It Enacted by the Legislature of the State of Florida:
   12  
   13         Section 1. Section 627.4303, Florida Statutes, is created
   14  to read:
   15         627.4303 Price transparency in health care services.—
   16         (1) As used in this section, the term “health insurer”
   17  means a health insurer issuing major medical coverage through an
   18  individual or group policy or a health maintenance organization
   19  issuing major medical coverage through an individual or group
   20  contract.
   21         (2) In its contract with a health care provider, a health
   22  insurer may not limit the health care provider’s ability to
   23  disclose whether a patient’s cost-sharing obligation exceeds the
   24  cash price for a covered service in the absence of health
   25  insurance coverage or the availability of a more affordable
   26  service.
   27         (3) A health insurer may not require an insured to make a
   28  payment for a covered service in an amount that exceeds the cash
   29  price of the service in the absence of health insurance
   30  coverage.
   31         Section 2. This act shall take effect July 1, 2020.