Florida legislation · 2026 Regular Session
Florida H1023: Insurance Claims Payments to Health Care Providers
Status: Failed, March 13, 2026
Requires AHCA to establish program to assist health care providers & health plans in resolving claims of denied prior authorization requests; provides that program is mandatory; revises list of claims that are not reviewed by program; prohibits respondents from avoiding default by refusing to participate in review process; prohibits contracts between health care providers & health insurers & HMOs from specifying credit card payments to providers as only acceptable method for payments; authorizes use of electronic funds transfers by health insurers & HMOs for payments to providers; provides notification requirements; prohibits health insurers & HMOs from charging fees for automated clearinghouse transfers as claims payments to providers; prohibits health insurers & HMOs from denying claims subsequently submitted by providers for procedures that were included in prior authorizations; provides exceptions.
What the bill says
An act relating to insurance claims payments to health care providers; amending s. 408.7057, F.S.; defining the terms "claim dispute" and "denied prior authorization request"; requiring the Agency for Health Care Administration to establish a program to assist health care providers and health plans in resolving claims of denied prior authorization requests; providing that the program is mandatory; revising the list of claims that are not reviewed by the program; prohibiting respondents from avoiding default by refusing to participate in the review process…
From the introduced text, January 6, 2026:
A bill to be entitled An act relating to insurance claims payments to health care providers; amending s. 408.7057, F.S.; defining the terms "claim dispute" and "denied prior authorization request"; requiring the Agency for Health Care Administration to establish a program to assist health care providers and health plans in resolving claims of denied prior authorization requests; providing that the program is mandatory; revising the list of claims that are not reviewed by the program; prohibiting respondents from avoiding default by refusing to participate in the review process; requiring health plans to reimburse health care providers' costs in bringing claims under certain circumstances; requiring the agency to adopt rules; amending ss. 627.6131 and 641.315, F.S.; prohibiting contracts between health care providers and health insurers and health maintenance organizations, respectively, from specifying credit card payments to providers as the only acceptable method for payments; authorizing use of electronic funds transfers by health insurers and health maintenance organizations, respectively, for payments to providers under certain circumstances; providing notification requirements; prohibiting health insurers and health maintenance words underlined are additions. hb1023-00 FLORIDAHOUSEOFREPRESENTATIVES HB 1023 2026 organizations, respectively, from charging fees for automated clearinghouse transfers as claims payments to providers; providing an exception; providing applicability; prohibiting health insurers and health maintenance organizations, respectively, from denying claims subsequently submitted by providers for procedures that were …
Sponsors
- Black, Dean (R, HD-015) · primary sponsor
Latest actions
- : Died in Health Care Facilities & Systems Subcommittee
- : 1st Reading (Original Filed Version)
- : Now in Health Care Facilities & Systems Subcommittee
- : Referred to Health & Human Services Committee
- : Referred to Insurance & Banking Subcommittee
- : Referred to Health Care Facilities & Systems Subcommittee
- : Filed
Common questions
- What is H1023?
- H1023 is a bill in the Florida Legislature (2026 Regular Session): Insurance Claims Payments to Health Care Providers.
- What does H1023 do?
- In its own words: An act relating to insurance claims payments to health care providers; amending s. 408.7057, F.S.; defining the terms "claim dispute" and "denied prior authorization request"; requiring the Agency for Health Care Administration to establish a program to assist health care providers and health plans in resolving claims of denied prior authorization requests; providing that the program is mandatory; revising the list of claims that are not reviewed by the program; prohibiting respondents from avoiding default by refusing to participate in the review process…
- What is the status of H1023?
- Failed as of March 13, 2026. Latest action: Died in Health Care Facilities & Systems Subcommittee (March 13, 2026).
- Who sponsored H1023?
- Black, Dean (R, HD-015).
- Where is the official record for H1023?
- On the Florida Legislature website: https://www.flsenate.gov/Session/Bill/2026/1023
Source: official Florida record. Tracked by Delilah, AI for legislation across all 50 states and Congress.