| 16 | | - | patients; creating ss. 408.12 and 456.0625, F.S.; 3 |
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| 17 | | - | requiring certain licensees and practitioners to 4 |
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| 18 | | - | refund to a patient any overpayment within a specified 5 |
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| 19 | | - | timeframe; defining the term "tenders charges for 6 |
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| 20 | | - | reimbursement"; providing applicability; providing 7 |
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| 21 | | - | penalties; amending s. 408.813, F.S.; authorizing the 8 |
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| 22 | | - | Agency for Health Care Administration to impos e an 9 |
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| 23 | | - | administrative fine for failure to refund a patient 10 |
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| 24 | | - | overpayment; amending s. 456.072, F.S.; revising acts 11 |
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| 25 | | - | that constitute grounds for disciplinary actions for 12 |
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| 26 | | - | health care practitioners; providing an effective 13 |
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| 27 | | - | date. 14 |
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| 28 | | - | 15 |
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| 29 | | - | Be It Enacted by the Legislatur e of the State of Florida: 16 |
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| 30 | | - | 17 |
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| 31 | | - | Section 1. Section 408.12, Florida Statutes, is created to 18 |
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| 32 | | - | read: 19 |
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| 33 | | - | 408.12 Patient overpayments; refunds. — 20 |
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| 34 | | - | (1) A licensee who tenders charges for reimbursement shall 21 |
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| 35 | | - | refund to the patient the amount of any overpayment made by the 22 |
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| 36 | | - | patient to the licensee no later than 30 days after the date 23 |
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| 37 | | - | that the licensee determines that such overpayment was made. For 24 |
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| 38 | | - | purposes of this section, the term "tenders charges for 25 |
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| 16 | + | patients; creating s. 456.0625, F.S.; requiring 3 |
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| 17 | + | certain health care practitioners to refund to the 4 |
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| 18 | + | patient the amount of his or her overpayment within a 5 |
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| 19 | + | specified timeframe; providing applicability; 6 |
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| 20 | + | authorizing the applicable regulatory board, or the 7 |
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| 21 | + | Department of Health if there is no board, to adopt 8 |
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| 22 | + | rules; providing an effective date. 9 |
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| 23 | + | 10 |
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| 24 | + | Be It Enacted by the Le gislature of the State of Florida: 11 |
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| 25 | + | 12 |
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| 26 | + | Section 1. Section 456.0625, Florida Statutes, is created 13 |
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| 27 | + | to read: 14 |
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| 28 | + | 456.0625 Patient overpayments; refunds by health care 15 |
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| 29 | + | practitioners.— 16 |
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| 30 | + | (1) A health care practitioner licensed under chapter 458, 17 |
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| 31 | + | chapter 459, chapter 460, chapter 461, chapter 462, chapter 463, 18 |
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| 32 | + | chapter 464, chapter 465, chapter 466, chapter 467, chapter 478, 19 |
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| 33 | + | chapter 483, part I of chapter 484, chapter 486, chapter 490, or 20 |
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| 34 | + | chapter 491 shall refund to the patient the amount of any 21 |
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| 35 | + | overpayment made to the health care practitioner no later than 22 |
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| 36 | + | 30 days after the date that the health care practitioner 23 |
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| 37 | + | determines that the overpayment was made. 24 |
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| 38 | + | (2) This section does not apply to an overpayment subject 25 |
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| 51 | | - | reimbursement" means the licensee files a claim for 26 |
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| 52 | | - | reimbursement with any government-sponsored program or private 27 |
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| 53 | | - | health insurer or health maintenance organization for services 28 |
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| 54 | | - | rendered to the patient. 29 |
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| 55 | | - | (2) This section does not apply to an overpayment subject 30 |
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| 56 | | - | to s. 627.6131 or s. 641.3155. 31 |
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| 57 | | - | (3) A licensee who violates this section is subject to an 32 |
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| 58 | | - | administrative fine under s. 408.813. 33 |
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| 59 | | - | Section 2. Paragraph (g) is added to subsection (3) of 34 |
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| 60 | | - | section 408.813, Florida Statutes, to read: 35 |
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| 61 | | - | 408.813 Administrative fines; violations. —As a penalty for 36 |
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| 62 | | - | any violation of this p art, authorizing statutes, or applicable 37 |
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| 63 | | - | rules, the agency may impose an administrative fine. 38 |
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| 64 | | - | (3) The agency may impose an administrative fine for a 39 |
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| 65 | | - | violation that is not designated as a class I, class II, class 40 |
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| 66 | | - | III, or class IV violation. Unless otherwi se specified by law, 41 |
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| 67 | | - | the amount of the fine may not exceed $500 for each violation. 42 |
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| 68 | | - | Unclassified violations include: 43 |
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| 69 | | - | (g) Failing to refund a patient overpayment pursuant to s. 44 |
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| 70 | | - | 408.12. 45 |
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| 71 | | - | Section 3. Section 456.0625, Florida Statutes, is created 46 |
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| 72 | | - | to read: 47 |
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| 73 | | - | 456.0625 Patient overpayments; refunds. — 48 |
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| 74 | | - | (1) A health care practitioner who tenders charges for 49 |
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| 75 | | - | reimbursement, or any billing department, management company, or 50 |
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| 76 | | - | |
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| 77 | | - | CS/HB 1513 2025 |
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| 78 | | - | |
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| 79 | | - | |
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| 80 | | - | |
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| 81 | | - | CODING: Words stricken are deletions; words underlined are additions. |
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| 82 | | - | hb1513-01-c1 |
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| 83 | | - | Page 3 of 3 |
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| 84 | | - | 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 |
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| 85 | | - | |
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| 86 | | - | |
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| 87 | | - | |
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| 88 | | - | group practice that accepts payment for services rendered by the 51 |
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| 89 | | - | health care practitioner, shall refund to the patient the amount 52 |
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| 90 | | - | of any overpayment made by the patient no later than 30 days 53 |
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| 91 | | - | after the date that it was determined that an overpayment was 54 |
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| 92 | | - | made. For purposes of this section, the term "tenders charges 55 |
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| 93 | | - | for reimbursement" means the he alth care practitioner, 56 |
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| 94 | | - | department, company, or practice files a claim for reimbursement 57 |
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| 95 | | - | with any government-sponsored program or private health insurer 58 |
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| 96 | | - | or health maintenance organization for services rendered by the 59 |
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| 97 | | - | health care practitioner to the patient . 60 |
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| 98 | | - | (2) This section does not apply to an overpayment subject 61 |
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| 99 | | - | to s. 627.6131 or s. 641.3155. 62 |
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| 100 | | - | (3) A health care practitioner's violation of this section 63 |
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| 101 | | - | constitutes grounds for disciplinary action under s. 456.072. 64 |
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| 102 | | - | Section 4. Paragraph (tt) is added to subsection (1) of 65 |
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| 103 | | - | section 456.072, Florida Statutes, to read: 66 |
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| 104 | | - | 456.072 Grounds for discipline; penalties; enforcement. — 67 |
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| 105 | | - | (1) The following acts shall constitute grounds for which 68 |
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| 106 | | - | the disciplinary actions specified i n subsection (2) may be 69 |
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| 107 | | - | taken: 70 |
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| 108 | | - | (tt) Failure to comply with s. 456.0625, relating to 71 |
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| 109 | | - | refunding overpayments to patients. 72 |
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| 110 | | - | Section 5. This act shall take effect January 1, 2026. 73 |
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| 51 | + | to s. 627.6131 or s. 641.3155. 26 |
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| 52 | + | (3) The applicable b oard, or the department if there is no 27 |
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| 53 | + | board, may adopt rules to implement this section. 28 |
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| 54 | + | Section 2. This act shall take effect upon becoming a law. 29 |
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