Florida · House Bill 1015 · 2026 Regular Session

Insurance Claims Payments to Health Care Providers

HB 1015 Sponsored by Hillary Cassel Died in committee

  1. Introduced Jan 5, 2026
  2. In committee Jan 12, 2026
  3. Passed the House  
  4. Passed the Senate  
  5. To the governor  
  6. Became law Jul 1, 2026

What it does

The legislature's own summary of the bill, or its official long title.

Insurance Claims Payments to Health Care Providers; Prohibits payment adjudicators from downcoding health care services under certain circumstances; requires health insurers to ensure that their downcoding policies are updated & to ensure compliance with specified provisions on downcoding; authorizes investigations & actions against noncompliance; provides certain presumption in favor of physicians' determination…

Read the full title (124 words)

Insurance Claims Payments to Health Care Providers; Prohibits payment adjudicators from downcoding health care services under certain circumstances; requires health insurers to ensure that their downcoding policies are updated & to ensure compliance with specified provisions on downcoding; authorizes investigations & actions against noncompliance; provides certain presumption in favor of physicians' determination regarding patients' diagnoses & service orders; provides calculations of interests on health insurers' nonpayment & underpayment due to downcoding; provides causes of action for health care providers; prohibits utilization review entities from implementing new requirements, restrictions, & changes on prior authorizations under certain circumstances; provides requirements for adverse determinations made by such entities on health care providers' claims; revises requirements & timeframes for responses from health insurers & HMOs to submitted claims.

Every action

7 steps, oldest first, as the legislature records them.

  1. HouseFiled
  2. CommitteeReferred to Insurance & Banking Subcommittee · House Insurance & Banking Subcommittee
  3. CommitteeReferred to Health Care Facilities & Systems Subcommittee · House Health Care Facilities & Systems Subcommittee
  4. CommitteeReferred to Commerce Committee · House Commerce Committee
  5. CommitteeNow in Insurance & Banking Subcommittee · House Insurance & Banking Subcommittee
  6. House1st Reading (Original Filed Version)
  7. CommitteeDied in Insurance & Banking Subcommittee · House Insurance & Banking Subcommittee

Roll calls

No recorded votes on this bill yet.

Sponsors

The member who introduced it.

From Florida's official records (flsenate.gov), checked Nov 2, 2026. Text links go to the official versions; LegiList does not copy bill text.