FLA LEG Psychologist Claim Overpay

Updated on: May 26, 2025

Latest Event


  • May 2025 FLA LEG Governor Approval
  • On May 20, 2025, FLA LEG bill approved by governor, assigned Chapter 2025-45.

On Apr. 29, FLA LEG passed bill revising provisions re overpayments.

  • FLA LEG passed SB 944, re insurance overpayment claims submitted to psychologists.
  • Makes amendments to FL INS XXXVII-VI-627.6131 and FL INS XXXVII-I-641.3155.
  • Bill Provisions
  • Updates reference language within the amended sections to include chapter 490.
  • Sections mandate that all claims for overpayment submitted to a provider must be submitted to provider within 12 months after health insurer’s payment of the claim.
  • Specifies that provisions apply to claims for services provided on or after Jan. 1, 2026.
  • Legislative History
  • On Feb. 20, 2025, bill introduced in Senate; on Apr. 3, 2025, bill was passed in Senate.
  • On Apr. 3, 2025, bill introduced in House; on Apr. 29, 2025, bill was passed in House.
  • Effectiveness
  • Upon approval, this act shall take effect Jul. 1, 2025.
  • May 2025 FLA LEG Governor Approval
  • On May 20, 2025, FLA LEG bill approved by governor, assigned Chapter 2025-45.
Regulators
FLA LEG
Entity Types
Ins
Reference
Ch. 2025-45, 5/20/2025; Bill, SB944, 4/29/2025; Citation: *FL INS* XXXVII-VI-627.6131, XXXVII-I-641.3155;
Functions
Claims/Accelerated Benefits; Compliance; Reporting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Apr 29, 2025
Effective Date
Jul 1, 2025
Rule ID
252845
Linked to
N/A
Reg. Last Update
May 20, 2025
Report Section
US Consumer