CS/HB 1513 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 refund of overpayments made by 2
patients; creating ss. 408.12 and 456.0625, F.S.; 3
requiring certain licensees and practitioners to 4
refund to a patient any overpayment within a specified 5
timeframe; defining the term "tenders charges for 6
reimbursement"; providing applicability; providing 7
penalties; amending s. 408.813, F.S.; authorizing the 8
Agency for Health Care Administration to impos e an 9
administrative fine for failure to refund a patient 10
overpayment; amending s. 456.072, F.S.; revising acts 11
that constitute grounds for disciplinary actions for 12
health care practitioners; providing an effective 13
date. 14
15
Be It Enacted by the Legislatur e of the State of Florida: 16
17
Section 1. Section 408.12, Florida Statutes, is created to 18
read: 19
408.12 Patient overpayments; refunds. — 20
(1) A licensee who tenders charges for reimbursement shall 21
refund to the patient the amount of any overpayment made by the 22
patient to the licensee no later than 30 days after the date 23
that the licensee determines that such overpayment was made. For 24
purposes of this section, the term "tenders charges for 25
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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
reimbursement" means the licensee files a claim for 26
reimbursement with any government-sponsored program or private 27
health insurer or health maintenance organization for services 28
rendered to the patient. 29
(2) This section does not apply to an overpayment subject 30
to s. 627.6131 or s. 641.3155. 31
(3) A licensee who violates this section is subject to an 32
administrative fine under s. 408.813. 33
Section 2. Paragraph (g) is added to subsection (3) of 34
section 408.813, Florida Statutes, to read: 35
408.813 Administrative fines; violations. —As a penalty for 36
any violation of this p art, authorizing statutes, or applicable 37
rules, the agency may impose an administrative fine. 38
(3) The agency may impose an administrative fine for a 39
violation that is not designated as a class I, class II, class 40
III, or class IV violation. Unless otherwi se specified by law, 41
the amount of the fine may not exceed $500 for each violation. 42
Unclassified violations include: 43
(g) Failing to refund a patient overpayment pursuant to s. 44
408.12. 45
Section 3. Section 456.0625, Florida Statutes, is created 46
to read: 47
456.0625 Patient overpayments; refunds. — 48
(1) A health care practitioner who tenders charges for 49
reimbursement, or any billing department, management company, or 50
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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
group practice that accepts payment for services rendered by the 51
health care practitioner, shall refund to the patient the amount 52
of any overpayment made by the patient no later than 30 days 53
after the date that it was determined that an overpayment was 54
made. For purposes of this section, the term "tenders charges 55
for reimbursement" means the he alth care practitioner, 56
department, company, or practice files a claim for reimbursement 57
with any government-sponsored program or private health insurer 58
or health maintenance organization for services rendered by the 59
health care practitioner to the patient . 60
(2) This section does not apply to an overpayment subject 61
to s. 627.6131 or s. 641.3155. 62
(3) A health care practitioner's violation of this section 63
constitutes grounds for disciplinary action under s. 456.072. 64
Section 4. Paragraph (tt) is added to subsection (1) of 65
section 456.072, Florida Statutes, to read: 66
456.072 Grounds for discipline; penalties; enforcement. — 67
(1) The following acts shall constitute grounds for which 68
the disciplinary actions specified i n subsection (2) may be 69
taken: 70
(tt) Failure to comply with s. 456.0625, relating to 71
refunding overpayments to patients. 72
Section 5. This act shall take effect January 1, 2026. 73