Florida HB 1449: Campbellton-Graceville Hospital District, Jackson County

Bill Text

CS/HB 1449, Engrossed 1 2026

CODING: Words stricken are deletions; words underlined are additions.
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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 the statewide provider and health 2
plan claim dispute resolution program; amending s. 3
408.7057, F.S.; providing an exemption from review for 4
certain disputed claims; providing an effective date. 5
6
Be It Enacted by the Legislature of the State of Florida: 7
8
Section 1. Paragraph (b) of subsection (2) of section 9
408.7057, Florida Statutes, is amended to read: 10
408.7057 Statewide provider and health plan claim dispute 11
resolution program.— 12
(2) 13
(b) The resolution organization shall review claim 14
disputes filed by contracted and noncontracted providers and 15
health plans unless the disputed claim: 16
1. Is related to interest payment; 17
2. Does not meet the jurisdictional amounts or the methods 18
of aggregation established by agency rule, as provided in 19
paragraph (a); 20
3. Is part of an internal grievance in a Medicare managed 21
care organization or a reconsideration appeal through the 22
Medicare appeals process; 23
4. Is related to a health plan that is not regulated by 24
the state; 25

CS/HB 1449, Engrossed 1 2026

CODING: Words stricken are deletions; words underlined are additions.
hb1449 -02-e1
Page 2 of 2
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

5. Is part of a Medicaid fair hearing pursued under 42 26
C.F.R. ss. 431.220 et seq.; 27
6. Is the basis for an action pending in state or federal 28
court; or 29
7. Is subject to a binding claim-dispute-resolution 30
process provided by contract entered into prior to October 1, 31
2000, between the provider and the managed care organization; or 32
8. Is related to out-of-network hospital services 33
initiated pursuant to s. 395.1041 or 42 U.S.C. s. 1395dd and has 34
been submitted for resolution through the federal independent 35
dispute resolution process, provided that such claim is less 36
than or equal to $50,000. 37
Section 2. This act shall take effect July 1, 2026. 38