Florida SB 1082: Diesel Exhaust Fluid

Bill Text

1082 
Statewide Provider and Health Plan Claim Dispute Resolution Program 
2026-01-28T05:08:13Z 
Specifying additional circumstances under which a disputed claim is not subject to review under the statewide provider and health plan claim dispute resolution program, etc. 
Committee Substitute 1 
2026 
S 
2026-07-01T00:00:00Z 
GB 
General Bill 
c1 

 Florida Senate - 2026 CS for SB 1082 

 By the Committee on Health Policy; and Senators Grall and Gaetz 

 588-02227-26 20261082c1 
 1 A bill to be entitled 
 2 An act relating to the statewide provider and health 
 3 plan claim dispute resolution program; amending s. 
 4 408.7057, F.S.; specifying additional circumstances 
 5 under which a disputed claim is not subject to review 
 6 under the statewide provider and health plan claim 
 7 dispute resolution program; providing an effective 
 8 date. 
 9 
 10 Be It Enacted by the Legislature of the State of Florida: 
 11 
 12 Section 1. Paragraph (b) of subsection (2) of section 
 13 408.7057, Florida Statutes, is amended to read: 
 14 408.7057 Statewide provider and health plan claim dispute 
 15 resolution program.— 
 16 (2) 
 17 (b) The resolution organization shall review claim disputes 
 18 filed by contracted and noncontracted providers and health plans 
 19 unless the disputed claim: 
 20 1. Is related to interest payment; 
 21 2. Does not meet the jurisdictional amounts or the methods 
 22 of aggregation established by agency rule, as provided in 
 23 paragraph (a); 
 24 3. Is part of an internal grievance in a Medicare managed 
 25 care organization or a reconsideration appeal through the 
 26 Medicare appeals process; 
 27 4. Is related to a health plan that is not regulated by the 
 28 state; 
 29 5. Is part of a Medicaid fair hearing pursued under 42 
 30 C.F.R. ss. 431.220 et seq.; 
 31 6. Is the basis for an action pending in state or federal 
 32 court; or 
 33 7. Is subject to a binding claim-dispute-resolution process 
 34 provided by contract entered into prior to October 1, 2000, 
 35 between the provider and the managed care organization; 
 36 8. Is related to services initiated pursuant to s. 395.1041 
 37 or 42 U.S.C. s. 1395dd and has been submitted and meets the 
 38 criteria for resolution through the federal independent dispute 
 39 resolution process; or 
 40 9. Is related to services rendered by out-of-network 
 41 providers and has been submitted and meets the criteria for 
 42 resolution through the federal independent dispute resolution 
 43 process. 
 44 Section 2. This act shall take effect July 1, 2026.