Florida Senate - 2025                        COMMITTEE AMENDMENT
       Bill No. SB 1842
       
       
       
       
       
       
                                Ì3719627Î371962                         
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/26/2025           .                                
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       The Committee on Health Policy (Burton) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Present subsection (2) of section 456.0575,
    6  Florida Statutes, is redesignated as subsection (3), and a new
    7  subsection (2) is added to that section, to read:
    8         456.0575 Duty to notify patients.—
    9         (2)(a) When providing nonemergency services, as defined in
   10  s. 627.64194, to a patient, or upon referring the patient to a
   11  provider for nonemergency services, a health care practitioner
   12  or his or her employee must, at the point of service, confirm
   13  whether the referral provider participates in the provider
   14  network of the patient’s health insurer or health maintenance
   15  organization. The practitioner or his or her employee may
   16  confirm the referral provider’s participation by contacting the
   17  referral provider or the patient’s health insurer or health
   18  maintenance organization, as necessary.
   19         (b) The requirements of paragraph (a) do not apply if the
   20  patient declines the practitioner’s offer to make the
   21  confirmation or declines to share with the referral provider the
   22  name and identification number associated with his or her health
   23  insurance policy or health maintenance organization contract.
   24         (c) When making any referral, the practitioner must notify
   25  a patient in writing that services provided by an out-of-network
   26  provider or that are not covered services under the patient’s
   27  health coverage may result in additional cost-sharing
   28  responsibilities for the patient, and such notice must be
   29  documented in the patient’s medical record.
   30         (d) Failure to comply with this subsection, without good
   31  cause, shall result in disciplinary action against the health
   32  care practitioner.
   33         (e) The department may adopt rules to implement this
   34  subsection.
   35         Section 2. This act shall take effect July 1, 2025.
   36  
   37  ================= T I T L E  A M E N D M E N T ================
   38  And the title is amended as follows:
   39         Delete everything before the enacting clause
   40  and insert:
   41                        A bill to be entitled                      
   42         An act relating to out-of-network providers; amending
   43         s. 456.0575, F.S.; requiring a health care
   44         practitioner or his or her employee to confirm whether
   45         a referral provider participates in the provider
   46         network of the patient’s health insurer or health
   47         maintenance organization under certain circumstances;
   48         authorizing the practitioner or his or her employee to
   49         confirm the referral provider’s participation in a
   50         specified manner; providing applicability; requiring a
   51         health care practitioner to notify a patient in
   52         writing that certain services are not covered services
   53         under the patient’s health coverage; requiring that
   54         such notice be documented; providing for health care
   55         practitioner disciplinary action under certain
   56         conditions; authorizing the Department of Health to
   57         adopt rules; providing an effective date.