This bill aims to enhance continuity of care in health insurance contracts by amending several sections of Florida Statutes. It mandates that contracts between health insurers and contracted health care practitioners must include a joint written notice to affected policyholders at least 60 days prior to the cancellation or termination of the contract. The notice must clearly outline the policyholders' rights regarding continuation of care, applicable timelines for transition, and contact information for inquiries. Additionally, the bill authorizes the Financial Services Commission to adopt rules for enforcement and imposes administrative penalties of up to $5,000 for non-compliance.
Furthermore, the bill stipulates that when a contract is terminated, both the insurer and the health care practitioner must allow policyholders to continue their coverage and care for a specified period, not exceeding six months, or until they select a new provider. It also ensures that subscribers who have initiated prenatal care can continue their coverage until postpartum care is completed. The bill includes provisions for health maintenance organizations (HMOs) to provide similar notices and continuity of care requirements, reinforcing the obligation to adhere to the terms of the terminated contract. The act is set to take effect on July 1, 2026.
Statutes affected: S 114 Filed: 641.315, 641.51