Statewide Provider and Health Plan Claim Dispute Resolution Program
Statewide Provider and Health Plan Claim Dispute Resolution Program
Passed Legislature
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
Sponsor
Grall
Last action
2026-03-13
Official status
Senate - Died in Rules
Effective date
2026-07-01
Plain English Breakdown
Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.
Statewide Provider and Health Plan Claim Dispute Resolution Program
Statewide Provider and Health Plan Claim Dispute Resolution Program; Specifying additional circumstances under which a disputed claim is not subject to review under the statewide provider and health plan claim dispute resolution program, etc.
What This Bill Does
Statewide Provider and Health Plan Claim Dispute Resolution Program; Specifying additional circumstances under which a disputed claim is not subject to review under the statewide provider and health plan claim dispute resolution program, etc.
Limits and Unknowns
This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.
Amendments
These notes stay tied to the official amendment files and metadata from the legislature.
Committee amendment S 1082 c1 • Banking and Insurance (Grall)
Withdrawn 2/5/2026
Plain English: Florida Senate - 2026 COMMITTEE AMENDMENT
Bill No.
Florida Senate - 2026 COMMITTEE AMENDMENT
Bill No.
CS for SB 1082
Ì715760'Î715760
LEGISLATIVE ACTION
Senate .
House
Comm: WD .
02/04/2026 .
Bill History
2026-03-13Senate
• Died in Rules
2026-02-05Senate
• Now in Rules
2026-02-04Senate
• Favorable by Banking and Insurance; YEAS 10 NAYS 0
2026-01-30Senate
• On Committee agenda-- Banking and Insurance, 02/04/26, 10:30 am, 412 Knott Building
2026-01-29Senate
• CS by Health Policy read 1st time
2026-01-28Senate
• Pending reference review under Rule 4.7(2) - (Committee Substitute) • Now in Banking and Insurance
2026-01-26Senate
• CS by Health Policy; YEAS 10 NAYS 0
2026-01-21Senate
• On Committee agenda-- Health Policy, 01/26/26, 3:30 pm, 412 Knott Building
2026-01-13Senate
• Introduced
2026-01-12Senate
• Referred to Health Policy; Banking and Insurance; Rules
2026-01-05Senate
• Filed
Official Summary Text
Statewide Provider and Health Plan Claim Dispute Resolution Program; Specifying additional circumstances under which a disputed claim is not subject to review under the statewide provider and health plan claim dispute resolution program, etc.
Current Bill Text
Read the full stored bill text
Florida Senate
-
2026
CS for SB 1082
By
the Committee on Health Policy; and Senators Grall and Gaetz
588-02227-26 20261082c1
1 A bill to be entitled
2 An act relating to the statewide provider and health
3 plan claim dispute resolution program; amending s.
4 408.7057, F.S.; specifying additional circumstances
5 under which a disputed claim is not subject to review
6 under the statewide provider and health plan claim
7 dispute resolution program; providing an effective
8 date.
9
10 Be It Enacted by the Legislature of the State of Florida:
11
12 Section 1. Paragraph (b) of subsection (2) of section
13 408.7057, Florida Statutes, is amended to read:
14 408.7057 Statewide provider and health plan claim dispute
15 resolution program.—
16 (2)
17 (b) The resolution organization shall review claim disputes
18 filed by contracted and noncontracted providers and health plans
19 unless the disputed claim:
20 1. Is related to interest payment;
21 2. Does not meet the jurisdictional amounts or the methods
22 of aggregation established by agency rule, as provided in
23 paragraph (a);
24 3. Is part of an internal grievance in a Medicare managed
25 care organization or a reconsideration appeal through the
26 Medicare appeals process;
27 4. Is related to a health plan that is not regulated by the
28 state;
29 5. Is part of a Medicaid fair hearing pursued under 42
30 C.F.R. ss. 431.220 et seq.;
31 6. Is the basis for an action pending in state or federal
32 court;
or
33 7. Is subject to a binding claim-dispute-resolution process
34 provided by contract entered into prior to October 1, 2000,
35 between the provider and the managed care organization
;
36
8.
Is related to services initiated pursuant to s. 395.1041
37
or 42 U.S.C. s. 1395dd and has been submitted and meets the
38
criteria for resolution through the federal independent dispute
39
resolution process; or
40
9. Is related to services rendered by out-of-network
41
providers and has been submitted and meets the criteria for
42
resolution through the
federal independent dispute resolution
43
process
.
44 Section 2. This act shall take effect July 1, 2026.