Florida Senate - 2025                              CS for SB 944
       
       
        
       By the Committee on Banking and Insurance; and Senator Davis
       
       
       
       
       
       597-02252-25                                           2025944c1
    1                        A bill to be entitled                      
    2         An act relating to insurance overpayment claims
    3         submitted to psychologists; amending ss. 627.6131 and
    4         641.3155, F.S.; requiring that insurance overpayment
    5         claims submitted to psychologists be submitted within
    6         a specified timeframe; providing applicability;
    7         providing an effective date.
    8          
    9  Be It Enacted by the Legislature of the State of Florida:
   10  
   11         Section 1. Subsection (18) of section 627.6131, Florida
   12  Statutes, is amended to read:
   13         627.6131 Payment of claims.—
   14         (18) Notwithstanding the 30-month period provided in
   15  subsection (6), all claims for overpayment submitted to a
   16  provider licensed under chapter 458, chapter 459, chapter 460,
   17  chapter 461, or chapter 466, or chapter 490 must be submitted to
   18  the provider within 12 months after the health insurer’s payment
   19  of the claim. A claim for overpayment may not be permitted
   20  beyond 12 months after the health insurer’s payment of a claim,
   21  except that claims for overpayment may be sought beyond that
   22  time from providers convicted of fraud pursuant to s. 817.234.
   23         Section 2. Subsection (16) of section 641.3155, Florida
   24  Statutes, is amended to read:
   25         641.3155 Prompt payment of claims.—
   26         (16) Notwithstanding the 30-month period provided in
   27  subsection (5), all claims for overpayment submitted to a
   28  provider licensed under chapter 458, chapter 459, chapter 460,
   29  chapter 461, or chapter 466, or chapter 490 must be submitted to
   30  the provider within 12 months after the health maintenance
   31  organization’s payment of the claim. A claim for overpayment may
   32  not be permitted beyond 12 months after the health maintenance
   33  organization’s payment of a claim, except that claims for
   34  overpayment may be sought beyond that time from providers
   35  convicted of fraud pursuant to s. 817.234.
   36         Section 3. The amendments made by this act to ss.
   37  627.6131(18) and 641.3155(16), Florida Statutes, apply to claims
   38  for services provided on or after January 1, 2026.
   39         Section 4. This act shall take effect July 1, 2025.