CS/HB 475 2025
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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 ambulatory surgical centers; 2
amending s. 395.301, F.S.; providing a penalty for 3
failure by an ambulatory surgical center to timely 4
provide a good faith estimate; requiring the Agency 5
for Health Care Administration to notify the Division 6
of Law Revision upon the adoption of certain federal 7
rules; providing an effective date. 8
9
Be It Enacted by the Legislature of the State of Florida: 10
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Section 1. Paragraph (c) of subsection (1) of section 12
395.301, Florida Statutes, is amended to read: 13
395.301 Price transparency; itemized patient statement or 14
bill; patient admission status notification. — 15
(1) A facility licensed under this chapter shall p rovide 16
timely and accurate financial information and quality of service 17
measures to patients and prospective patients of the facility, 18
or to patients' survivors or legal guardians, as appropriate. 19
Such information shall be provided in accordance with this 20
section and rules adopted by the agency pursuant to this chapter 21
and s. 408.05. Licensed facilities operating exclusively as 22
state facilities are exempt from this subsection. 23
(c)1. Before providing any nonemergency medical services, 24
each licensed facilit y shall provide in writing or by electronic 25
CS/HB 475 2025
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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
means a good faith estimate of reasonably anticipated charges by 26
the facility for the treatment of a patient's or prospective 27
patient's specific condition. The facility is not required to 28
adjust the estimate for any potential insurance coverage. The 29
facility must provide the estimate to the patient's health 30
insurer, as defined in s. 627.446(1), and the patient at least 3 31
business days before the date such service is to be provided, 32
but no later than 1 business day after the date such service is 33
scheduled or, in the case of a service scheduled at least 10 34
business days in advance, no later than 3 business days after 35
the date the service is scheduled. The facility must provide the 36
estimate to the patient no later tha n 3 business days after the 37
date the patient requests an estimate. The estimate may be based 38
on the descriptive service bundles developed by the agency under 39
s. 408.05(3)(c) unless the patient or prospective patient 40
requests a more personalized and specifi c estimate that accounts 41
for the specific condition and characteristics of the patient or 42
prospective patient. The facility shall inform the patient or 43
prospective patient that he or she may contact his or her health 44
insurer for additional information conc erning cost-sharing 45
responsibilities. 46
2. In the estimate, the facility shall provide to the 47
patient or prospective patient information on the facility's 48
financial assistance policy, including the application process, 49
payment plans, and discounts and the facility's charity care 50
CS/HB 475 2025
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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
policy and collection procedures. 51
3. The estimate shall clearly identify any facility fees 52
and, if applicable, include a statement notifying the patient or 53
prospective patient that a facility fee is included in the 54
estimate, the purpose of the fee, and that the patient may pay 55
less for the procedure or service at another facility or in 56
another health care setting. 57
4. The facility shall notify the patient or prospective 58
patient of any revision to the estimate. 59
5. In the estimate, the facility must notify the patient 60
or prospective patient that services may be provided in the 61
health care facility by the facility as well as by other health 62
care providers that may separately bill the patient, if 63
applicable. 64
6. Failure to timely pr ovide the estimate pursuant to this 65
paragraph by a hospital shall result in a daily fine of $1,000 66
until the estimate is provided to the patient or prospective 67
patient and the health insurer. The total fine per patient 68
estimate may not exceed $10,000. 69
7. Failure to timely provide the estimate pursuant to this 70
paragraph by an ambulatory surgical center shall result in a 71
daily fine of $250 until the estimate is provided to the patient 72
or prospective patient and the health insurer. The total fine 73
per patient estimate may not exceed $2,500. 74
Section 2. The changes made by this act to s. 395.301, 75
CS/HB 475 2025
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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
Florida Statutes, are not effective until the United States 76
Department of Health and Human Services, the United States 77
Department of Labor, and the United States De partment of the 78
Treasury issue a final rule pertaining to good faith estimates 79
required by section 2799B -6 of the Public Health Services Act. 80
The Agency for Health Care Administration shall notify the 81
Division of Law Revision upon the adoption of the final rule. 82
Section 3. This act shall take effect upon becoming a law. 83