Title: Price Transparency in Contracts

Summary: Defining the term "health insurer"; providing that a contract between a health insurer and a health care provider may not limit certain disclosures and must prohibit the insurer from requiring payments for services from an insured which exceed certain amounts, etc.

Full Text:
An act relating to price transparency in contracts; creating s. 627.4303, F.S.; defining the term  health insurer ; providing that a contract between a health insurer and a health care provider may not limit certain disclosures and must prohibit the insurer from requiring payments for services from an insured which exceed certain amounts; providing an effective date. Be It Enacted by the Legislature of the State of Florida: Section 1. Section 627.4303, Florida Statutes, is created to read: 627.4303   Price transparency in contracts between health insurers and health care providers.  (1)   As used in this section, the term  health insurer  has the same meaning as in s. 627.4301. (2)   A contract between a health insurer and a health care provider may not limit a provider s ability to disclose whether a patient s cost-sharing obligation exceeds the retail price for a covered service or to disclose the availability of a more affordable service. (3)   A contract between a health insurer and a health care provider must prohibit the insurer from requiring an insured to make a payment for a service in an amount that exceeds the retail price of the service in the absence of health insurance. Section 2. This act shall take effect July 1, 2019.