HB 1335 2023
CODING: Words stricken are deletions; words underlined are additions.
hb1335-00
Page 1 of 2
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
A bill to be entitled 1
An act relating to the payment of health insurance 2
claims; amending ss. 627.6131 and 641.3155, F.S.; 3
prohibiting a health insurer or health maintenance 4
organization from retroactively denying a claim at any 5
time because of ineligibility of the insured or 6
subscriber, respectively; specifying an exception; 7
providing applicability; providing an effective date. 8
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Be It Enacted by the Legislature of the Sta te of Florida: 10
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Section 1. Subsection (11) of section 627.6131, Florida 12
Statutes, is amended to read: 13
627.6131 Payment of claims. — 14
(11) A health insurer may not retroactively deny a claim 15
because of insured ineligibility at any time, except a healt h 16
insurer may retroactively deny a claim for insured ineligibility 17
within 1 year after the date of payment of the claim if the 18
provider was convicted of fraud pursuant to s. 817.234. This 19
subsection applies to policies entered into or renewed on or 20
after January 1, 2024 more than 1 year after the date of payment 21
of the claim. 22
Section 2. Subsection (10) of section 641.3155, Florida 23
Statutes, is amended to read: 24
641.3155 Prompt payment of claims. — 25
HB 1335 2023
CODING: Words stricken are deletions; words underlined are additions.
hb1335-00
Page 2 of 2
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
(10) A health maintenance organization may not 26
retroactively deny a claim because of subscriber ineligibility 27
at any time, except a health maintenance organization may 28
retroactively deny a claim for subscriber ineligibility within 1 29
year after the date of payment of the claim if the provider was 30
convicted of fraud pursuant to s. 817.234. This subsection 31
applies to contracts entered into or renewed on or after January 32
1, 2024 more than 1 year after the date of payment of the claim . 33
Section 3. This act shall take effect July 1, 2023. 34