Revising the definitions of the terms “health insurer” as “utilization review entity”; requiring utilization review entities to establish and offer a prior authorization process for accepting electronic prior authorization requests by a specified date; prohibiting payment adjudicators from downcoding health care services under certain circumstances; requiring payment adjudicators to provide certain information prior to making their initial payment or notice of denial of payment, etc.
Establishing a 3-year statute of limitations for an action to collect medical debt for services rendered by certain health care facilities; providing additional personal property exemptions from legal process for medical debts resulting from services provided in certain licensed facilities; requiring certain licensed facilities to post on their respective websites a consumer-friendly list of standard charges for a minimum number of shoppable health care services, etc.
A bill specifying that certain restrictive covenants in employment agreements relating to certain licensed physicians are not supported by a legitimate business interest; specifying that such restrictive covenants are void and unenforceable; providing applicability; defining the term "compensation"; providing an effective date.
Health Care Provider Accountability: Provides immunity to health care workers of hospitals & nursing home facilities who carry out directives of supervising health care practitioner or entity; requires AHCA to provide report on success of personal care attendant program; requires nursing home facilities to report to agency common ownership relationships they or their parent companies share with certain entities; requires agency to submit report of such reported common ownership relationships to Governor & Legislature; revises rate methodology for agency's long-term care reimbursement plan; requires agency to add quality metric to its Quality Incentive Program [...]
Health Care Provider Accountability: Provides immunity to health care workers of hospitals & nursing home facilities who carry out directives of supervising health care practitioner or entity; requires AHCA to provide report on success of personal care attendant program; requires nursing home facilities to report to agency common ownership relationships they or their parent companies share with certain entities; requires agency to submit report of such reported common ownership relationships to Governor & Legislature; revises rate methodology for agency's long-term care reimbursement plan; requires agency to add quality metric to its Quality Incentive Program [...]
