Florida 2025 2025 Regular Session

Florida House Bill H1341 Analysis / Analysis

Filed 04/11/2025

                    STORAGE NAME: h1341a.HPP 
DATE: 4/11/2025 
 	1 
      
FLORIDA HOUSE OF REPRESENTATIVES 
BILL ANALYSIS 
This bill analysis was prepared by nonpartisan committee staff and does not constitute an official statement of legislative intent. 
BILL #: CS/HB 1341 
TITLE: Health Care Practitioner Identification 
SPONSOR(S): Gonzalez Pittman 
COMPANION BILL: CS/CS/SB 172 (Burton) 
LINKED BILLS: None 
RELATED BILLS: CS/CS/SB 172 (Burton) 
Committee References 
 Health Professions & Programs 
13 Y, 4 N, As CS 

Health & Human Services 
 
 
SUMMARY 
 
Effect of the Bill: 
CS/HB 1341 regulates titles that health care practitioners may use to identify their profession to patients and the 
public. The bill establishes a list of 32 specialist titles that cannot be used by a physician unless the physician has 
been board-certified as such, and allows the Board of Medicine and Board of Osteopathic Medicine, to add other 
titles by rule. The bill expressly prohibits other non-physician health care practitioners from using any of the listed 
specialist titles. Violation of the prohibition constitutes unlicensed practice of medicine and DOH is authorized to 
pursue enforcement remedies against the practitioner. 
 
The bill also eliminates the requirement that a health maintenance organization (HMO) disclose the identity of the 
physician who has rendered an adverse determination regarding a service to the HMO subscriber and the treating 
provider. The bill instead requires that the HMO notify the subscriber that the adverse determination was made by 
a physician with an active, unencumbered license to practice medicine or osteopathic medicine in this state and 
maintain a record of each adverse determination, including the identity of the rendering physician. 
 
Fiscal or Economic Impact: 
The Department of Health will incur an insignificant, negative fiscal impact implementing the provisions of this bill 
which current resources are adequate to absorb. 
 
  
JUMP TO SUMMARY 	ANALYSIS RELEVANT INFORMATION BILL HISTORY 
 
ANALYSIS 
EFFECT OF THE BILL: 
Health Care Professional Regulation 
 
Health care professionals are generally regulated by the Division of Medical Quality Assurance (MQA) under the 
Department of Health (DOH) in the interest of preserving the health, safety, and welfare of the public.
1 The MQA 
works in conjunction with profession-specific licensure boards and councils to license and regulate more than 40 
different health care professions.
2 DOH licenses professions as established in law, but does not regulate 
practitioner use of common terms used to denote a practitioner’s specialty. 
 
The bill increases regulation of the ways in which health care practitioners represent their professions and identify 
themselves to patients. The bill revises the legislative intent underlying the state’s regulation of health care 
professions to place emphasis on the risks posed to the public when patients are misled about a practitioner’s 
authority to practice a profession. (Section 1). 
 
                                                            
1 S. 456.003(2), F.S. 
2 Department of Health, Division of Medical Quality Assurance: Annual Report and Long-Range Plan, FY 2023-24 (2025). Available at 
https://www.floridahealth.gov/licensing-and-regulation/reports-and-publications/2024.10.28.FY23-24AR-FINAL.pdf (last visited April 7, 
2025).  JUMP TO SUMMARY 	ANALYSIS RELEVANT INFORMATION BILL HISTORY 
 	2 
Specialist Titles 
 
Under current law, physicians licensed under chapter 458, F.S., or chapter 459, F.S.,
3 may not present themselves as 
a board-certified specialist unless the physician has received formal recognition as a specialist by an appropriate 
certifying body approved by the Board of Medicine (BOM) or Board of Osteopathic Medicine (BOOM); however, 
current law does not identify specific titles that this provision applies to.
4 Furthermore, a health care practitioner 
must inform patients of the type of license under which they are practicing and are prohibited from making 
misleading, deceptive, or fraudulent representations in or related to the practice of the licensee’s profession.
5 
 
The bill establishes a list of 32 specific “specialist titles and designations,” that are reserved for use by board-
certified allopathic and osteopathic physicians, which include: 
 
• Surgeon.  
• Neurosurgeon.  
• General surgeon.  
• Anesthesiologist.  
• Cardiologist.  
• Dermatologist.  
• Endocrinologist.  
• Gastroenterologist. 
• Gynecologist.  
• Hematologist.  
• Hospitalist. 
• Intensivist.  
• Internist.  
• Laryngologist.  
• Nephrologist.  
• Neurologist.  
• Obstetrician.  
• Oncologist.  
• Ophthalmologist.  
• Orthopedic surgeon.  
• Orthopedist.  
• Otologist.  
• Otolaryngologist.  
• Otorhinolaryngologist.  
• Pathologist.  
• Pediatrician.  
• Proctologist.  
• Psychiatrist.  
• Radiologist.  
• Rheumatologist.  
• Rhinologist.  
• Urologist. (Sections 3 and 4). 
 
The bill authorizes the BOM and BOOM to, independently, adopt by rule additional specialist titles and designations 
that may not be used by a physician unless they have obtained the required board certification. (Sections 3 and 4). 
 
The bill prohibits non-physician health care practitioners from identifying themselves to patients or the general 
public with any of the 32 “specialist titles or designations,” specified in the bill. A health care practitioner who 
                                                            
3 Physicians licensed under ch. 458, F.S., are “allopathic physicians,” also known as medical doctors; physicians licensed under ch. 459, F.S., 
are “osteopathic physicians,” also known as doctors of osteopathy 
4 Ss. 458.3312, F.S., and 459.0152, F.S. 
5 S. 456.072, F.S.  JUMP TO SUMMARY 	ANALYSIS RELEVANT INFORMATION BILL HISTORY 
 	3 
violates this prohibition is considered to have engaged in the unlicensed practice of medicine, or osteopathic 
medicine, and DOH is authorized to pursue enforcement remedies against the practitioner. (Section 2). 
 
The bill specifies that a health care practitioner may identify themselves with the names and titles, and any 
corresponding designations or initials, that are expressly authorized in the practitioner’s respective practice act. 
Additionally, the bill outlines a specific manner which health care practitioners may use to identify themselves and 
use to describe their practice if the practitioner is practicing a specialty area that is authorized under the relevant 
practice act. Such a practitioner may identify themselves using the following formula: “… (name or title of the 
practitioner’s profession) …, specializing in… (name of the practitioner’s specialty) …” (Section 2). 
 
In addition to the titles authorized in each individual profession’s practice act, the bill specifies that certain health 
care practitioners may use other profession-specific titles as follows: 
 
 Chiropractic physicians, licensed under chapter 460, F.S., may use the title “chiropractic radiologist,” as 
well as titles reflecting chiropractic specialty areas in which the chiropractic physician has attained 
diplomate status as recognized by the American Chiropractic Association, the International 
Chiropractors Association, the International Academy of Clinical Neurology, or the International 
Chiropractic Pediatric Association; 
 Podiatric physicians, licensed under chapter 461, F.S., may use the titles “podiatric surgeon,” “Fellow in 
the American College of Foot and Ankle Surgeons,” as applicable; 
 Dentists, licensed under chapter 466, F.S., may use the titles and abbreviations “doctor of dental 
surgery,” “D.D.S.,” “oral surgeon,” “maxillofacial surgeon,” “oral and maxillofacial surgeon,” “O.M.S.,” 
“dental anesthesiologist,” “oral pathologist,” “oral radiologist,” as applicable; and 
 Anesthesiologist assistants, licensed under chapters 458, F.S., or 459, F.S., may use the titles 
“anesthesiologist assistant” or “certified anesthesiologist assistant” and the abbreviations “A.A.” or 
“C.A.A.,” as applicable. 
 
The bill specifies that the provisions established in the bill should not be construed to prohibit or interfere with a 
health care practitioner’s, group practice’s, or health care provider’s ability to lawfully bill Medicare or other 
federal health care program using definitions or terminology provided under applicable federal law or regulations 
for services rendered to enrolled patients. (Section 2). 
 
Physician Identity Disclosure 
 
Current law requires a health maintenance organization (HMO) to disclose the identity of the physician who has 
rendered an adverse determination regarding a service to the HMO subscriber and the treating provider. 
 
The bill eliminates the requirement that an HMO disclose the identity of the rendering physician. Instead, the bill 
requires an HMO to notify the subscriber that the adverse determination was made by a physician with an active, 
unencumbered license to practice medicine or osteopathic medicine in this state. The HMO must maintain a record 
of each adverse determination and identify the rendering physician in such record. (Section 5). 
 
The bill provides an effective date of July 1, 2025. (Section 6). 
 
RULEMAKING:  
The bill authorizes the BOM and the BOOM to adopt by rule additional specialist titles and designations which are 
subject to the restrictions established under the bill. 
 
Lawmaking is a legislative power; however, the Legislature may delegate a portion of such power to executive 
branch agencies to create rules that have the force of law. To exercise this delegated power, an agency must 
have a grant of rulemaking authority and a law to implement. 
 
FISCAL OR ECONOMIC IMPACT:  
  JUMP TO SUMMARY 	ANALYSIS RELEVANT INFORMATION BILL HISTORY 
 	4 
STATE GOVERNMENT:  
The Department of Health (DOH) will experience an increase in workload associated with the enforcement of this 
bill, which can be absorbed by current resources.
6 
 
 
RELEVANT INFORMATION 
SUBJECT OVERVIEW: 
Health Care Practitioner Licensure and Regulation 
 
The Division of Medical Quality Assurance (MQA), within the Department of Health (DOH), has general regulatory 
authority over health care practitioners.
7 The MQA works in conjunction with 22 professional boards and four 
councils to license and regulate seven types of health care facilities and more than 40 health care professions. 
Every profession is regulated by ch. 456, F.S., which provides general regulatory and licensure authority for the 
MQA, as well as a profession- or field-specific practice act which outlines requirements and standards that vary by 
profession and establishes the individual professional boards. 
 
MQA is statutorily responsible for the following professional boards and advisory councils:
8 
 
 The Board of Acupuncture, created under ch. 457, F.S.; 
 The Board of Athletic Training, created under part XIII of ch. 468, F.S.; 
 The Board of Chiropractic Medicine, created under ch. 460, F.S.; 
 The Board of Clinical Laboratory Personnel, created under part III of ch. 483, F.S.; 
 The Board of Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling, created 
under ch. 491, F.S.; 
 The Board of Dentistry, created under ch. 466, F.S.; 
 The Board of Hearing Aid Specialists, created under part II of ch. 484, F.S.; 
 The Board of Massage Therapy, created under ch. 480, F.S.; 
 The Board of Medicine, created under ch. 458, F.S.; 
 The Board of Nursing, created under part I of ch. 464, F.S.; 
 The Board of Nursing Home Administrators, created under part II of ch. 468, F.S.; 
 The Board of Occupational Therapy, created under part III of ch. 468, F.S.; 
 The Board of Opticianry, created under part I of ch. 484, F.S.; 
 The Board of Optometry, created under ch. 463, F.S.; 
 The Board of Orthotists and Prosthetists, created under part XIV of ch. 468, F.S.; 
 The Board of Osteopathic Medicine, created under ch. 459, F.S.; 
 The Board of Pharmacy, created under ch. 465, F.S.; 
 The Board of Physical Therapy Practice, created under ch. 486, F.S.; 
 The Board of Podiatric Medicine, created under ch. 461, F.S.; 
 The Board of Psychology, created under ch. 490, F.S.; 
 The Board of Respiratory Care, created under part V of ch. 468, F.S.; 
 The Board of Speech-Language Pathology and Audiology, created under part I of ch. 468, F.S.; 
 The Dietetics and Nutrition Practice Council, created under part X of ch. 468, F.S.; 
 The Electrolysis Council, created under ch. 478, F.S.; 
 The Council of Licensed Midwifery, created under ch. 467, F.S.; 
                                                            
6 Department of Health, 2025 Agency Bill Analysis: HB 1341 (2025). On file with the Health Professions & Programs Subcommittee. 
7 Pursuant to s. 456.001(4), F.S., health care practitioners are defined to include acupuncturists, physicians, physician assistants, 
chiropractors, podiatrists, naturopaths, dentists, dental hygienists, optometrists, nurses, nursing assistants, pharmacists, midwives, speech 
language pathologists, nursing home administrators, occupational therapists, respiratory therapists, dieticians, athletic trainers, orthotists, 
prosthetists, electrologists, massage therapists, clinical laboratory personnel, medical physicists, dispensers of optical devices or hearing 
aids, physical therapists, psychologists, social workers, mental health counselors, and psychotherapists, among others.  
8 Department of Health, Division of Medical Quality Assurance: Annual Report and Long-Range Plan, FY 2023-24 (2025). Available at 
https://www.floridahealth.gov/licensing-and-regulation/reports-and-publications/2024.10.28.FY23-24AR-FINAL.pdf (last visited April 7, 
2025).  JUMP TO SUMMARY 	ANALYSIS RELEVANT INFORMATION BILL HISTORY 
 	5 
 The Council on Physician Assistants, created under chs. 458 and 459, F.S. 
 
MQA also oversees the following seven health care professions for which there is no profession-specific regulatory 
board:
9 
 
 Certified Master Social Workers, as provided by s. 491.015, F.S.; 
 Emergency Medical Technicians, as provided under part III of ch. 401, F.S.; 
 Genetic Counselors, as provided under part III of ch. 483, F.S.; 
 Medical Physicists, as provided under part II of ch. 483, F.S.; 
 Naturopaths, as provided under ch. 462, F.S.;
10 
 Paramedics, as provided under part III of ch. 401, F.S.; 
 Radiologic Technologists, as provided under part IV under ch. 468, F.S.; and 
 School Psychologists, as provided under ch. 490, F.S. 
 
Practitioner Discipline 
 
Except for those professions for which there is no board, DOH and the professional boards have different roles in 
the regulatory system. Boards act as the governing body of a specified profession; they establish practice standards 
by rule, pursuant to statutory authority and directives, and determine disciplinary action against practitioners who 
have violated the practice standards. 
 
DOH receives and investigates complaints against practitioners and facilitates the legal response when necessary. 
DOH, on behalf of the boards, investigates legally sufficient complaints against practitioners.
11 Once an 
investigation is complete, DOH presents the investigatory findings to the boards. DOH recommends a course of 
action to the appropriate board’s probable cause panel
12 which may include having the file reviewed by an expert, 
issuing a closing order, or filing an administrative complaint.
13 
 
The boards determine the course of action and any disciplinary action to take against a practitioner.
14 For 
professions that have no board, DOH determines the action and discipline to take against a practitioner and issues 
the final orders.
15 DOH is responsible for ensuring that licensees comply with the terms and penalties imposed by 
the boards.
16 If a case is appealed, DOH defends the board’s (or DOH’s) final actions before the appropriate 
appellate court.
17 
 
Section 456.072, F.S., authorizes a professional board or DOH, if there is no board, to discipline a health care 
practitioner’s licensure for a number of offenses, including but not limited to: 
 
 Making misleading, deceptive, or fraudulent representations in or related to the practice of the 
licensee’s profession; or 
 Failing to identify through writing or orally to a patient the type of license under which the practitioner 
is practicing. 
 
                                                            
9 Id. 
10 Id. There are currently no naturopaths actively licensed to practice in Florida. 
11 Department of Health, Investigative Services. Available at http://www.floridahealth.gov/licensing-and-regulation/enforcement/admin-
complaint-process/isu.html (last visited April 7, 2025). 
12 See also, Department of Health, A Quick Guide to the MQA Disciplinary Process: Probable Cause Panels. Available at 
https://www.floridahealth.gov/licensing-and-regulation/enforcement/admin-complaint-process/_documents/a-quick-guide-to-the-mqa-
disciplinary-process.pdf (last visited April 7, 2025) 
13 Department of Health, Prosecution Services. Available at http://www.floridahealth.gov/licensing-and-regulation/enforcement/admin-
complaint-process/psu.html (last visited April 7, 2025). 
14 S. 456.072(2), F.S. 
15 Id. Professions which do not have a board include naturopathy, nursing assistants, midwifery, respiratory therapy, dietetics and nutrition, 
electrolysis, medical physicists, and school psychologists. 
16 Supra, note 13. 
17 Id.  JUMP TO SUMMARY 	ANALYSIS RELEVANT INFORMATION BILL HISTORY 
 	6 
Physicians are expressly subject to discipline for advertising a board-certified specialty for which they are not 
qualified. Using a term designating a medical specialty for which a non-physician practitioner has not completed a 
residency or fellowship program accredited or recognized by the Accreditation Council on Graduate Medical 
Education (ACGME) or the American Osteopathic Association (AOA) in such specialty is not expressly grounds for 
discipline under current law.
18 
 
If the board or DOH finds that a licensee committed a violation, the board or DOH may:
19 
 
 Refuse to certify, or to certify with restrictions, an application for a license; 
 Suspend or permanently revoke a license; 
 Place a restriction on the licensee’s practice or license; 
 Impose an administrative fine not to exceed $10,000 for each count or separate offense; if the violation 
is for fraud or making a false representation, a fine of $10,000 must be imposed for each count or 
separate offense; 
 Issue a reprimand or letter of concern; 
 Place the licensee on probation; 
 Require a corrective action plan; 
 Refund fees billed and collected from the patient or third party on behalf of the patient; or 
 Require the licensee to undergo remedial education. 
 
The Unlicensed Activity Unit 
 
The Unlicensed Activity (ULA) Unit protects Florida residents and visitors from the potentially serious and 
dangerous consequences of receiving medical and health care services from an unlicensed person. The ULA unit 
investigates and refers for prosecution all unlicensed health care activity complaints and allegations. The ULA unit 
works in conjunction with law enforcement and the state attorney’s offices to prosecute individuals practicing 
without a license. In many instances, unlicensed activity is a felony level criminal offense.
20 
 
The DOH assigns all ULA complaints a computer-generated complaint number for tracking purposes. If the 
allegations are determined to be legally sufficient, the matter will be forwarded to a ULA investigator whose office 
is geographically closest to the location where the alleged unlicensed activity is occurring. In cases where the 
person making the allegation has provided their identifying information, a ULA investigator will contact him or her 
to verify the allegations. The investigator may also ask for more detailed information concerning certain aspects of 
the complaint. He or she may also ask to meet with the complainant in person for a formal interview. All ULA 
investigators are empowered to take sworn statements.  
 
After discussing the allegations with the complainant, the ULA investigator will pursue all appropriate investigative 
steps (gather documents, conduct surveillance, question witnesses, etc.) in order to determine the likelihood that 
the offense(s) took place in the manner described by the complainant. In the event that a licensed health care 
provider is alleged to be somehow involved with the unlicensed activity, the ULA investigator will also coordinate 
his or her investigation with the Investigative Services Unit (ISU) regulatory investigator assigned to investigate 
the licensee.  
 
If the complainant’s allegations can be substantiated, the ULA investigation will conclude with one or more of the 
following outcomes: 
 
 The subject(s) will be issued a Cease and Desist Agreement; 
 The subject(s) will be issued a Uniform Unlicensed Activity Citation (fine); or 
 The subject(s) will be arrested by law enforcement.  
 
                                                            
18 Ss. 458.331(1)(ll) and 459.015(1)(nn), F.S. 
19 S. 456.073(1), F.S. 
20 The Department of Health, Licensing and Regulation, enforcement, Unlicensed Activity, Reporting Unlicensed Activity. Available at 
https://www.floridahealth.gov/licensing-and-regulation/enforcement/report-unlicensed-activity/index.html (last visited April 7, 2025).  JUMP TO SUMMARY 	ANALYSIS RELEVANT INFORMATION BILL HISTORY 
 	7 
If the investigation determines that the alleged acts either did not take place or if they did occur but all actions 
were lawful and proper, the investigation will be closed as unfounded. In the event that the allegation(s) cannot be 
clearly proved or disproved, the matter will be closed as unsubstantiated. In any case, a detailed investigative 
report will be prepared by the ULA investigator supporting the conclusions reached by the investigation.  
 
Under s. 456.065, F.S., investigations involving the unlicensed practice of a health care profession are criminal 
investigations that require the development of sufficient evidence (probable cause) to present to law enforcement 
or file charges with the State Attorney’s Office in the county of occurrence. While ULA investigators are non-sworn, 
many have law enforcement experience gained from prior careers as police officers and detectives. ULA 
investigators work cooperatively with many law enforcement agencies in joint investigations that are either 
initiated by the DOH or the agency concerned.
21 
 
Board Certification 
 
DOH licenses health care practitioners by profession according to the requirements established in statute and rule. 
Current law does not regulate practitioner use of use of common specialty terms such as “obstetrician,” or 
“pediatrician,” to indicate a specialized practice; instead the practice acts of individual professions recognize the 
authority of private national specialty boards for granting board certification to practitioners and prohibits the 
practitioner from holding themselves out as a “board-certified specialist,” unless the practitioner has received 
formal recognition as such.
22 
 
An allopathic physician (M.D.) may not hold himself or herself out as a board-certified specialist unless he or she 
has received formal recognition as a specialist from a specialty board of the American Board of Medical Specialties 
(ABMS) or other recognizing agency
23 approved by the BOM.
24 Similarly, an osteopathic physician (D.O.) may not 
hold himself or herself out as a board-certified specialist unless he or she has successfully completed the 
requirements for certification by the AOA or the ACGME and is certified as a specialist by a certifying agency
25 
approved by the BOOM.
26 
 
A dentist may not hold himself or herself out as a specialist, or advertise membership in or specialty recognition by 
an accrediting organization, unless the dentist has completed a specialty education program approved by the 
American Dental Association and the Commission on Dental Accreditation and the dentist is:
27 
 
 Eligible for examination by a national specialty board recognized by the American Dental Association; 
or 
 A diplomate of a national specialty board recognized by the American Dental Association. 
 
If a dentist announces or advertises a specialty practice for which there is not an approved accrediting 
organization, the dentist must clearly state that the specialty is not recognized or that the accrediting organization 
has not been approved by the American Dental Association or the Florida Board of Dentistry.
28 
 
By rule, the Board of Chiropractic Medicine (BCM) prohibits chiropractors from using deceptive, fraudulent, and 
misleading advertising. The BCM permits chiropractors to advertise that they have attained Diplomate status in a 
chiropractic specialty area recognized by the BCM. BCM-recognized specialties include those which are recognized 
                                                            
21 The Department of Health, Licensing and Regulation, enforcement, Unlicensed Activity, Investigate Complaints, available at 
https://www.floridahealth.gov/licensing-and-regulation/enforcement/report-unlicensed-activity/investigate-complaints.html (last visited 
April 6, 2025). 
22 Examples of specialties include dermatology, emergency medicine, ophthalmology, pediatric medicine, certified registered nurse 
anesthetist, clinical nurse specialist, cardiac nurse, nurse practitioner, endodontics, orthodontics, and pediatric dentistry. Examples of 
national specialty boards include The American Board of Medical Specialties and The Accreditation Board for Specialty Nursing Certification. 
23 The Board of Medicine has approved the specialty boards of the ABMS as recognizing agencies. See, Rule 64B8-11.001(1)(f), F.A.C. 
24 s. 458.3312, F.S. 
25 The Board of Osteopathic Medicine has approved the specialty boards of the ABMS and AOA as recognizing agencies. See, Rule 64B15-
14.001(h), F.A.C. 
26 S. 459.0152, F.S. 
27 S. 466.0282, F.S. A dentist may also hold himself or herself out as a specialist if the dentist has continuously held himself or herself out as a 
specialist since December 31, 1964, in a specialty recognized by the American Dental Association. 
28 S. 466.0282(3), F.S.  JUMP TO SUMMARY 	ANALYSIS RELEVANT INFORMATION BILL HISTORY 
 	8 
by the Councils of the American Chiropractic Association, the International Chiropractic Association, the 
International Academy of Clinical Neurology, or the International Chiropractic Pediatric Association.
29 
 
Health Maintenance Organizations 
 
Health maintenance organizations (HMOs) provide, either directly or through arrangements with other persons, a 
comprehensive suite of health care services which subscribers are entitled to receive pursuant to a contract.
30 The 
Florida Insurance Code
31 prescribes the rights and responsibilities of health care providers, health insurers, and 
HMOs relating to the provision of services and the payment of claims. The law prescribes a protocol for specified 
providers to use for the submission of their claims to an insurer or HMO, as well as a statutory process for insurers 
or HMOs to use for the payment or denial of the claims.
32 
 
HMOs are required to maintain an internal quality assurance program to ensure that the health care services 
provided to subscribers are rendered under reasonable standards of quality of care consistent with the prevailing 
standards of medical practice in the community. To such end, HMOs contract or employ physicians to conduct 
service utilization review and service authorization. Only a physician holding an active, unencumbered license 
issued under chapter 458, F.S., or chapter 459, F.S., may render an adverse determination regarding a service 
provided by a physician in this state. Current law requires an HMO to notify the treating provider and the 
subscriber of the adverse determination in writing. Such notification must include the utilization review criteria or 
benefits provisions used in the adverse determination, the identity of the physician who rendered the adverse 
determination, and be signed by an authorized representative of the organization or the physician who rendered 
the adverse determination. The notification must also include information on the appeal process for adverse 
determinations.
33 
 
RECENT LEGISLATION:  
 
YEAR BILL #  HOUSE SPONSOR(S) SENATE SPONSOR OTHER INFORMATION 
2024 CS/HB 1295 Massullo 	Harrell The Senate bill died in House 
Returning Messages on March 
8, 2024. 
 
2023 CS/HB 583 Massullo 	Harrell The Governor vetoed the 
Senate companion on June 2, 
2023. 
 
2022 CS/CS/HB 861 Massullo 	Rodrigues The House bill died in House 
Returning Messages on March 
14, 2022. 
 
2021 CS/HB 721 Massullo 	Rodrigues The House bill died in the 
Senate on April 30, 2021. 
 
 
                                                            
29 Rule 64B-15.001(2)(e), F.A.C. Examples of chiropractic specialties include chiropractic acupuncture, chiropractic internist, chiropractic 
and clinical nutrition, radiology chiropractic, and pediatric chiropractors. 
30 S. 641.19(12), F.S. 
31 S. 624.01, F.S., chs. 624-632, 634, 635, 636, 641, 642, 648, and 651, F.S. 
32 S. 641.3155, F.S. 
33 S. 641.51, F.S.  JUMP TO SUMMARY 	ANALYSIS RELEVANT INFORMATION BILL HISTORY 
 	9 
BILL HISTORY 
COMMITTEE REFERENCE ACTION DATE 
STAFF 
DIRECTOR/ 
POLICY CHIEF 
ANALYSIS 
PREPARED BY 
Health Professions & Programs 
Subcommittee 
13 Y, 4 N, As CS 4/10/2025 McElroy Osborne 
THE CHANGES ADOPTED BY THE 
COMMITTEE: 
 Removed provisions from the bill related to name tag and advertising 
requirements; 
 Removed the requirement in current law that a health maintenance 
organization (HMO) must include the name of the physician rendering 
an adverse determination in the written notification to the subscriber 
and treating physician; and 
 Required an HMO to include a written disclosure stating that the 
adverse determination was made by a Florida-licensed physician and 
requires the HMO to maintain a record of all adverse determinations 
including the identity of the rendering physician. 
Health & Human Services 
Committee 
    
 
------------------------------------------------------------------------------------------------------------------------------------- 
THIS BILL ANALYSIS HAS BEEN UPDATED TO INCORPORATE ALL OF THE CHANGES DESCRIBED ABOVE. 
-------------------------------------------------------------------------------------------------------------------------------------