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 an exemption from review for certain disputed claims, specifically adding new criteria that exclude claims related to out-of-network hospital services that have been submitted for resolution through the federal independent dispute resolution process, provided that the claim amount is $50,000 or less. Additionally, it removes the previous provision that exempted claims subject to a binding claim-dispute-resolution process established by contract prior to October 1, 2000.

The effective date for this bill is set for July 1, 2026. The changes aim to streamline the dispute resolution process by clarifying which claims are eligible for review and ensuring that certain out-of-network claims are handled through the appropriate federal channels.

Statutes affected:
H 1449 Filed: 408.7057
H 1449 c1: 408.7057
H 1449 e1: 408.7057