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SB1082 • 2026

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.

925054

Committee amendment S 1082 Filed • Health Policy (Grall)

Replaced by Committee Substitute 1/27/2026

Plain English: Florida Senate - 2026 COMMITTEE AMENDMENT Bill No.

  • Florida Senate - 2026 COMMITTEE AMENDMENT Bill No.
  • SB 1082 Ì925054"Î925054 LEGISLATIVE ACTION Senate .
  • House Comm: RCS .
  • 01/27/2026 .
715760

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Withdrawn 2/5/2026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

  1. 2026-03-13 Senate

    • Died in Rules

  2. 2026-02-05 Senate

    • Now in Rules

  3. 2026-02-04 Senate

    • Favorable by Banking and Insurance; YEAS 10 NAYS 0

  4. 2026-01-30 Senate

    • On Committee agenda-- Banking and Insurance, 02/04/26, 10:30 am, 412 Knott Building

  5. 2026-01-29 Senate

    • CS by Health Policy read 1st time

  6. 2026-01-28 Senate

    • Pending reference review under Rule 4.7(2) - (Committee Substitute) • Now in Banking and Insurance

  7. 2026-01-26 Senate

    • CS by Health Policy; YEAS 10 NAYS 0

  8. 2026-01-21 Senate

    • On Committee agenda-- Health Policy, 01/26/26, 3:30 pm, 412 Knott Building

  9. 2026-01-13 Senate

    • Introduced

  10. 2026-01-12 Senate

    • Referred to Health Policy; Banking and Insurance; Rules

  11. 2026-01-05 Senate

    • 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.