The bill amends sections 627.6131 and 641.3155 of the Florida Statutes to establish a new requirement for the submission of insurance overpayment claims by psychologists. Specifically, it mandates that all claims for overpayment submitted to providers licensed under chapters 458, 459, 460, 461, or 490 must be submitted within 12 months following the health insurer's or health maintenance organization's payment of the claim. This change replaces the previous 30-month period and stipulates that claims for overpayment cannot be accepted beyond the 12-month timeframe, except in cases where providers have been convicted of fraud.

Additionally, the bill specifies that these amendments will apply to claims for services provided on or after January 1, 2026, and it is set to take effect on July 1, 2025. The inclusion of chapter 490 in the list of applicable provider licenses expands the scope of the bill to include psychologists, ensuring that they are subject to the same overpayment claim submission requirements as other healthcare providers.

Statutes affected:
S 944 c1: 627.6131, 641.3155
S 944 er: 627.6131, 641.3155