The bill amends section 408.7057 of the Florida Statutes, which pertains to the statewide provider and health plan claim dispute resolution program. It introduces new exemptions from review for certain disputed claims, specifically adding criteria that exclude claims related to services initiated under specific statutes and those involving out-of-network providers if they have been submitted for resolution through the federal independent dispute resolution process.

The amendments also remove a previous exemption related to binding claim-dispute-resolution processes established by contracts prior to October 1, 2000. The effective date for this act is set for July 1, 2026. Overall, the bill aims to clarify the types of claims that can be reviewed under the dispute resolution program, thereby streamlining the process for both providers and health plans.

Statutes affected:
H 1449 Filed: 408.7057