Florida 2025 Regular Session

Florida House Bill H1437 Latest Draft

Bill / Introduced Version Filed 02/28/2025

                               
 
HB 1437   	2025 
 
 
 
CODING: Words stricken are deletions; words underlined are additions. 
hb1437-00 
Page 1 of 6 
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 attorney fees and costs for motor 2 
vehicle personal injury protection benefits; amending 3 
s. 627.736, F.S.; providing that prevailing parties in 4 
suits by certain health care providers for overdue 5 
medical benefits under motor vehicle personal injury 6 
protection policies are entitled to reasonable 7 
attorney fees and costs; providing an effective date. 8 
 9 
Be It Enacted by the Legislature of the State of Florida: 10 
 11 
 Section 1.  Paragraph (f) is added to subsection (10) of 12 
section 627.736, Florida Statutes, and paragraph (a) of 13 
subsection (1) of that section is republished, to read: 14 
 627.736  Required personal injury protection benefits; 15 
exclusions; priority; claims.— 16 
 (1)  REQUIRED BENEFITS. —An insurance policy complying with 17 
the security requirements of s. 627.733 must provide personal 18 
injury protection to the named insured, relatives residing in 19 
the same household unless excluded under s. 627.747, pe rsons 20 
operating the insured motor vehicle, passengers in the motor 21 
vehicle, and other persons struck by the motor vehicle and 22 
suffering bodily injury while not an occupant of a self -23 
propelled vehicle, subject to subsection (2) and paragraph 24 
(4)(e), to a limit of $10,000 in medical and disability benefits 25     
 
HB 1437   	2025 
 
 
 
CODING: Words stricken are deletions; words underlined are additions. 
hb1437-00 
Page 2 of 6 
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 
 
 
 
and $5,000 in death benefits resulting from bodily injury, 26 
sickness, disease, or death arising out of the ownership, 27 
maintenance, or use of a motor vehicle as follows: 28 
 (a)  Medical benefits. —Eighty percent of all reasonable 29 
expenses for medically necessary medical, surgical, X -ray, 30 
dental, and rehabilitative services, including prosthetic 31 
devices and medically necessary ambulance, hospital, and nursing 32 
services if the individual receives initial services an d care 33 
pursuant to subparagraph 1. within 14 days after the motor 34 
vehicle accident. The medical benefits provide reimbursement 35 
only for: 36 
 1.  Initial services and care that are lawfully provided, 37 
supervised, ordered, or prescribed by a physician licensed u nder 38 
chapter 458 or chapter 459, a dentist licensed under chapter 39 
466, a chiropractic physician licensed under chapter 460, or an 40 
advanced practice registered nurse registered under s. 464.0123 41 
or that are provided in a hospital or in a facility that owns, 42 
or is wholly owned by, a hospital. Initial services and care may 43 
also be provided by a person or entity licensed under part III 44 
of chapter 401 which provides emergency transportation and 45 
treatment. 46 
 2.  Upon referral by a provider described in subparagrap h 47 
1., followup services and care consistent with the underlying 48 
medical diagnosis rendered pursuant to subparagraph 1. which may 49 
be provided, supervised, ordered, or prescribed only by a 50     
 
HB 1437   	2025 
 
 
 
CODING: Words stricken are deletions; words underlined are additions. 
hb1437-00 
Page 3 of 6 
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 
 
 
 
physician licensed under chapter 458 or chapter 459, a 51 
chiropractic physician licensed under chapter 460, a dentist 52 
licensed under chapter 466, or an advanced practice registered 53 
nurse registered under s. 464.0123, or, to the extent permitted 54 
by applicable law and under the supervision of such physician, 55 
osteopathic physician, chiropractic physician, or dentist, by a 56 
physician assistant licensed under chapter 458 or chapter 459 or 57 
an advanced practice registered nurse licensed under chapter 58 
464. Followup services and care may also be provided by the 59 
following persons or enti ties: 60 
 a.  A hospital or ambulatory surgical center licensed under 61 
chapter 395. 62 
 b.  An entity wholly owned by one or more physicians 63 
licensed under chapter 458 or chapter 459, chiropractic 64 
physicians licensed under chapter 460, advanced practice 65 
registered nurses registered under s. 464.0123, or dentists 66 
licensed under chapter 466 or by such practitioners and the 67 
spouse, parent, child, or sibling of such practitioners. 68 
 c.  An entity that owns or is wholly owned, directly or 69 
indirectly, by a hospital or ho spitals. 70 
 d.  A physical therapist licensed under chapter 486, based 71 
upon a referral by a provider described in this subparagraph. 72 
 e.  A health care clinic licensed under part X of chapter 73 
400 which is accredited by an accrediting organization whose 74 
standards incorporate comparable regulations required by this 75     
 
HB 1437   	2025 
 
 
 
CODING: Words stricken are deletions; words underlined are additions. 
hb1437-00 
Page 4 of 6 
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 
 
 
 
state, or 76 
 (I)  Has a medical director licensed under chapter 458, 77 
chapter 459, or chapter 460; 78 
 (II)  Has been continuously licensed for more than 3 years 79 
or is a publicly traded corporation that issues securities 80 
traded on an exchange registered with the United States 81 
Securities and Exchange Commission as a national securities 82 
exchange; and 83 
 (III)  Provides at least four of the following medical 84 
specialties: 85 
 (A)  General medicine. 86 
 (B)  Radiography. 87 
 (C)  Orthopedic medicine. 88 
 (D)  Physical medicine. 89 
 (E)  Physical therapy. 90 
 (F)  Physical rehabilitation. 91 
 (G)  Prescribing or dispensing outpatient prescription 92 
medication. 93 
 (H)  Laboratory services. 94 
 3.  Reimbursement for services and care provided in 95 
subparagraph 1. or subparagraph 2. up to $10,000 if a physician 96 
licensed under chapter 458 or chapter 459, a dentist licensed 97 
under chapter 466, a physician assistant licensed under chapter 98 
458 or chapter 459, or an advanced practice registered nurse 99 
licensed under chapter 464 has determined that the injured 100     
 
HB 1437   	2025 
 
 
 
CODING: Words stricken are deletions; words underlined are additions. 
hb1437-00 
Page 5 of 6 
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 
 
 
 
person had an emergency medical condition. 101 
 4.  Reimbursement for services and care provided in 102 
subparagraph 1. or subparagraph 2. is limited to $2,500 if a 103 
provider listed in subparagraph 1. or subp aragraph 2. determines 104 
that the injured person did not have an emergency medical 105 
condition. 106 
 5.  Medical benefits do not include massage therapy as 107 
defined in s. 480.033 or acupuncture as defined in s. 457.102, 108 
regardless of the person, entity, or licensee providing massage 109 
therapy or acupuncture, and a licensed massage therapist or 110 
licensed acupuncturist may not be reimbursed for medical 111 
benefits under this section. 112 
 6.  The Financial Services Commission shall adopt by rule 113 
the form that must be used by an insurer and a health care 114 
provider specified in sub -subparagraph 2.b., sub -subparagraph 115 
2.c., or sub-subparagraph 2.e. to document that the health care 116 
provider meets the criteria of this paragraph. Such rule must 117 
include a requirement for a sworn stateme nt or affidavit. 118 
 119 
Only insurers writing motor vehicle liability insurance in this 120 
state may provide the required benefits of this section, and 121 
such insurer may not require the purchase of any other motor 122 
vehicle coverage other than the purchase of property damage 123 
liability coverage as required by s. 627.7275 as a condition for 124 
providing such benefits. Insurers may not require that property 125     
 
HB 1437   	2025 
 
 
 
CODING: Words stricken are deletions; words underlined are additions. 
hb1437-00 
Page 6 of 6 
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 
 
 
 
damage liability insurance in an amount greater than $10,000 be 126 
purchased in conjunction with personal injury protectio n. Such 127 
insurers shall make benefits and required property damage 128 
liability insurance coverage available through normal marketing 129 
channels. An insurer writing motor vehicle liability insurance 130 
in this state who fails to comply with such availability 131 
requirement as a general business practice violates part IX of 132 
chapter 626, and such violation constitutes an unfair method of 133 
competition or an unfair or deceptive act or practice involving 134 
the business of insurance. An insurer committing such violation 135 
is subject to the penalties provided under that part, as well as 136 
those provided elsewhere in the insurance code. 137 
 (10)  DEMAND LETTER; ATTORNEY FEES AND COSTS .— 138 
 (f)  If the insurer fails to pay an overdue medical benefit 139 
for any service or care described in subp aragraph (1)(a)1. or 140 
subparagraph (1)(a)2. and the provider who rendered the service 141 
or care files a lawsuit, the prevailing party, by judgment or 142 
decree at the trial or appellate court, is entitled to 143 
reasonable attorney fees and costs. 144 
 Section 2. This act shall take effect July 1, 2025. 145