During the 2016 Legislative Session, HB 1175 passed and became law on April 14, 2016, as Chapter 2016-234, Laws of Florida. Starting July 1, 2016, health care practitioners are required to provide a good faith estimate of anticipated charges to treat a condition if asked by the patient. The estimate must be provided to the patient or their proxy within 7 business days after receiving the request, however the practitioner is not required to adjust the estimate for any potential insurance coverage. Patients must contact their health insurer or health maintenance organization for any information relating to cost-sharing responsibilities.
While the estimate does not preclude actual charges from exceeding the estimate, failure to provide it within the required time without good cause will result in discipline against the practitioner. This includes a daily fine of $500 until the estimate is provided to the patient. Total fines may not exceed $5,000.
In addition, the new law states that every pharmacy must make health information disseminated by the Agency for Health Care Administration available on its website and notify customers in the store that this information is available online.
To read the entire bill, visit www.FLHealthSource.gov/2016-Bills.