Florida legislation · 2026 Regular Session
Florida S1198: Health Insurance Claims
Status: Failed, March 13, 2026
Expanding the scope of the statewide provider and health plan claim dispute resolution program to include resolution of denied prior authorization requests; providing that participation in the program is mandatory and prohibiting providers and health plans from opting out of the claim dispute resolution process; prohibiting contracts between certain physicians and health insurers and health maintenance organizations, respectively, from specifying credit card payments to physicians as the only acceptable method for payments; authorizing use of electronic funds transfers by health insurers and health maintenance organizations, respectively, for payments to physicians under certain circumstances, etc.
What the bill says
An act relating to health insurance claims; amending s. 408.7057, F.S.; defining the term "denied prior authorization request"; expanding the scope of the statewide provider and health plan claim dispute resolution program to include resolution of denied prior authorization requests; providing that participation in the program is mandatory and prohibiting providers and health plans from opting out of the claim dispute resolution process; revising circumstances under which a claim dispute is exempt from the program's claim dispute resolution process…
From the introduced text, January 6, 2026:
A bill to be entitled An act relating to health insurance claims; amending s. 408.7057, F.S.; defining the term "denied prior authorization request"; expanding the scope of the statewide provider and health plan claim dispute resolution program to include resolution of denied prior authorization requests; providing that participation in the program is mandatory and prohibiting providers and health plans from opting out of the claim dispute resolution process; revising circumstances under which a claim dispute is exempt from the program's claim dispute resolution process; providing that respondents in claim disputes may not avoid imposition of a default by declining to participate in the claim dispute resolution process; providing for reimbursement of reasonable costs to providers if the health plan is determined to be the nonprevailing party in a claim dispute involving a denied prior authorization request; requiring the Agency for Health Care Administration to adopt certain rules; amending ss. 627.6131 and 641.315, F.S.; prohibiting contracts between certain physicians and health insurers and health maintenance organizations, respectively, from specifying credit card payments to physicians as the only acceptable method for payments; authorizing use of electronic funds transfers by health insurers and health maintenance organizations, respectively, for payments to physicians under certain circumstances; providing notification requirements; prohibiting health insurers and health maintenance organizations, respectively, from charging fees for automated clearinghouse transfers as …
Sponsors
- Massullo, Ralph (R, SD-011) · primary sponsor
Latest actions
- : Died in Banking and Insurance
- : Introduced
- : Referred to Banking and Insurance; Appropriations Committee on Health and Human Services; Rules
- : Filed
Subjects: Appropriations Committee on Health and Human Services, Rules, Banking and Insurance
Common questions
- What is S1198?
- S1198 is a bill in the Florida Legislature (2026 Regular Session): Health Insurance Claims.
- What does S1198 do?
- In its own words: An act relating to health insurance claims; amending s. 408.7057, F.S.; defining the term "denied prior authorization request"; expanding the scope of the statewide provider and health plan claim dispute resolution program to include resolution of denied prior authorization requests; providing that participation in the program is mandatory and prohibiting providers and health plans from opting out of the claim dispute resolution process; revising circumstances under which a claim dispute is exempt from the program's claim dispute resolution process…
- What is the status of S1198?
- Failed as of March 13, 2026. Latest action: Died in Banking and Insurance (March 13, 2026).
- Who sponsored S1198?
- Massullo, Ralph (R, SD-011).
- Where is the official record for S1198?
- On the Florida Legislature website: https://www.flsenate.gov/Session/Bill/2026/1198
Source: official Florida record. Tracked by Delilah, AI for legislation across all 50 states and Congress.