HB 1097: Health Insurer Accountability
GENERAL BILL by Berfield ; (CO-INTRODUCERS) Gonzalez Pittman
Health Insurer Accountability; Requires health plan to participate in filed claim dispute; provides penalties for failure to respond to claim; requires AHCA to notify certain entity within specified timeframe when health plan fails to pay provider; requires health plan to pay provider within specified timeframe after agency's order; provides credentialing requirements for managed care plan; requires each managed care plan to identify to agency & OIR any ownership interest of affiliation of any kind with certain entities; provides requirements for identification of such information; removes provision requiring results of certain audit reports to be dispositive; requires managed care contracts to include provider notifications regarding certain denials of coverage; prohibits insurer from denying certain claims; provides notification requirements & penalties.
Last Action: 1/13/2026 House - 1st Reading (Original Filed Version)
Bill Text: PDF
Bill History
| Date | Chamber | Action |
|---|---|---|
| 1/7/2026 | House |
• Filed |
| 1/12/2026 | House |
• Referred to Health Care Facilities & Systems Subcommittee • Referred to Insurance & Banking Subcommittee • Referred to Health & Human Services Committee • Now in Health Care Facilities & Systems Subcommittee |
| 1/13/2026 | House |
• 1st Reading (Original Filed Version) |