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House Staff Analysis: PCS for CS/HB 487, Department of Financial Services

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Congressional materials
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2023 3220 Commerce Committee Proposed Committee Bill Analyses Fn Pcs0487 Com
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2023 3220 Commerce Committee Proposed Committee Bill Analyses Fn Pcs0487 Com

Summary

A Florida House of Representatives staff analysis of the PCS for CS/HB 487, relating to the Department of Financial Services, sponsored by the Commerce Committee and dated April 15, 2023. The summary lists the bill's changes, including triennial rather than annual hurricane-related reporting by DFS, revisions to the property insurance claims mediation program, elimination of temporary bail bond licenses, and a State Fire Marshal direct support organization. The full analysis describes DFS divisions and the effect of the bill on accounting, consumer services, and insurance agent and agency licensing. The fiscal section reports an insignificant reduction in state revenues from eliminating the reinsurance intermediary fee, no local government impact, and a warranty association reserve of $100 million instead of $10 million.

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Cite this document

“House Staff Analysis: PCS for CS/HB 487, Department of Financial Services.” Original at www.flhouse.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2023-3220-commerce-committee-proposed-committee-bill-analyses-fn-pcs0487-com/, SHA-256 7d43808f4859ddc092d7b3135738c7bba09b5ffb2516f624e42067a0c26a2061.

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                                  HOUSE OF REPRESENTATIVES STAFF ANALYSIS
BILL #:     PCS for CS/HB 487 Department of Financial Services
SPONSOR(S): Commerce Committee
TIED BILLS:       IDEN./SIM. BILLS: CS/CS/SB 1158

    REFERENCE                                                   ACTION                  ANALYST            STAFF DIRECTOR or
                                                                                                           BUDGET/POLICY CHIEF

    Orig. Comm.: Commerce Committee                                                     Lloyd              Hamon


                                                SUMMARY ANALYSIS
The Chief Financial Officer (CFO) is an elected member of the Cabinet, serves as the state’s chief fiscal
officer, and is designated as the State Fire Marshal. The CFO is the head of the Department of Financial
Services (DFS). Changes made by the bill include:
 Providing that county agencies, municipalities, and special districts must have adequate controls over
     tangible property.
 Changing the frequency of a required hurricane-related report by DFS from annual to triennial.
 Requiring insurers to bear certain costs and make certain elections prior to mediation of claims;
 Authorizing the suspension of agent appointments by insurers for non-payment of costs;
 Revising various requirements applicable to the DFS property insurance claims mediation program;
 Reducing certain administrative obligations of title agents and agencies; changing certain continuing
     education requirements; reducing barriers to licensing;
 Expanding the circumstances when DFS can suspend, revoke, or refuse to renew or continue the licenses
     and the types of criminal offenses that can disqualify an insurance agent licensee;
 Allowing reciprocal non-resident licenses in certain circumstances;
 Eliminating temporary bail bond licenses and creating a means to convert to regular bail bond agent
     licenses; specifying the qualifications of a primary bail bond agent;
 Converting bail bond agency registration to licensure;
 Improving processing of insolvent insurer estates;
 Authorizing a State Fire Marshal direct support organization, which is repealed in five years, unless saved
     by subsequent legislative action;
 Allowing any governmental employee to participate in the Deferred Compensation Plan;
 Ratifying the 2020 Workers’ Compensation Health Care Provider Reimbursement Manual; eliminating the
     need for future Reimbursement Manual ratifications;
 Creating term limits, ethical requirements, and other improvements to specified Boards; authorizing the
     CFO to remove Board members in certain circumstances;
 Exempting travel-related transportation protection agreements for the preparation and return of human
     remains from regulation as a preneed funeral contract or insurance.
 Prohibiting certain practices in the issuance of collateral protection insurance;
 Increasing the reserve requirement for warranty associations;

The bill has an insignificant fiscal impact on state government revenues and expenditures and no impact on
local government. It has indeterminate impacts on the private sector.

Except as expressly specified in the bill, it is effective upon becoming law.




This docum ent does not reflect the intent or official position of the bill sponsor or House of Representatives .
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                                                    FULL ANALYSIS

                                             I. SUBSTANTIVE ANALYSIS

    A. EFFECT OF PROPOSED CHANGES:
         ORGANIZATION OF THE DEPARTMENT OF FINANCIAL SERVICES

         The Chief Financial Officer (CFO) is an elected member of the Cabinet, serves as the state’s chief
         fiscal officer,1 and is designated as the State Fire Marshal. The CFO is the head of the Department of
         Financial Services (DFS). Effective January 2003, the Department of Insurance, Treasury, State Fire
         Marshal, and the Department of Banking and Finance merged to form DFS. DFS consists of 13
         divisions and several specialized offices.2 DFS is composed of the following divisions and independent
         office:
               Accounting and Auditing;
               Consumer Services;
               Funeral, Cemetery, and Consumer Services;
               Insurance Agent and Agency Services;
               Investigative and Forensic Services;3
               Public Assistance Fraud;
               Rehabilitation and Liquidation;
               Risk Management;
               State Fire Marshal;
               Treasury;
               Unclaimed Property;
               Workers’ Compensation;
               Administration; and the
               Office of Insurance Consumer Advocate.

         Division of Accounting and Auditing

         The mission of the Division of Accounting and Auditing is to safeguard public assets, settle the state’s
         financial obligations, report financial information, and improve accountability of the state.4 The Division
         includes the Bureau of Unclaimed Property and the Office of Fiscal Integrity. It is also empowered by
         statute to “examine, audit, adjust, and settle the accounts of all the officers of this state, and any other
         person in anywise entrusted with, or who may have received any property, funds, or moneys of this
         state, or who may be in anywise indebted or accountable to this state for any property, funds, or
         moneys, and require such officer or persons to render full accounts thereof, and to yield up such
         property or funds according to law, or pay such moneys into the treasury of this state, or to such officer
         or agent of the state as may be appointed to receive the same, and on failure so to do, to cause to be
         instituted and prosecuted proceedings, criminal or civil, at law or in equity, against such persons,
         according to law.”5 In executing this power, the Division has the authority to conduct investigations, as
         necessary inside and outside of the state, and refer any suspected criminal conduct to the appropriate
         law enforcement and prosecutorial agency.

         Every state and local government entity provides its financial information to DFS annually, so DFS can
         prepare annual financial statements for the state of Florida and provide an online clearinghouse for the
         financial statements of every county, municipality, and special district in Florida. The Florida Open
         Financial Statement System is open to public inspection. 6

1 Art. IV, s. 4, Fla. Const.
2 S. 20.121, F.S.
3 This division includes the Bureau of Forensic Services;Bureau of Fire, Arson, and Explosives Investigations; Office of
Fiscal Integrity; Bureau of Insurance Fraud; and Bureau of Workers’ Compensation Fraud.
4 FLORIDA DEPARTMENT OF FINANCIAL S ERVICES, Accounting & Auditing, http://www.myfloridacfo.com/Division/AA/ (last

visited Mar. 19, 2023).
5 S. 17.04, F.S.
6 S. 218.32(1)(h), F.S.
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          Effect of the Bill

          The bill makes the following changes within the purview of the Division of Accounting and Auditing:
              Adds county agencies, municipalities, and special districts 7 to those public entities that must
                  have adequate controls over tangible property.

          Division of Consumer Services

          The Division of Consumer Services deals with consumer issues and complaints related to the
          jurisdiction of DFS and the Office of Insurance Regulation (OIR). The Division:
             Receives inquiries and complaints from consumers;
             Prepares and disseminates information as DFS deems appropriate to inform or assist consumers;
             Provides direct assistance and advocacy for consumers; and
             Reports potential violations of law or applicable rules by a person or entity licensed by DFS or
                OIR to the appropriate division within DFS or OIR, as appropriate.8

          Effect of the Bill

          The bill:
               Mandates that a property insurer either make a claim determination or elect to repair under
                    applicable law prior to participating in mediation allowed by statute.
               Allows DFS to suspend an insurer’s ability to appoint agents to represent the insurer if the
                    insurer does not pay required mediation fees timely.
               Removes a requirement that DFS adopt rules governing qualifications, denials of application,
                    suspension, revocation of approval, and penalties applicable to mediators related to DFS
                    property insurance claim mediation program.
               Provides that mediation costs must be reasonable, that the insurer bears all such costs, but
                    requires the policyholder must pay the costs of rescheduling mediations in certain
                    circumstances. If an insurer representative attends a mediation, but lacks authority to settle the
                    claim, the insurer is deemed to have not appeared, in which case the insurer must pay the
                    insured’s actual costs of attendance and the cost of rescheduling the mediation, including DFS’
                    costs. If the per-mediation-event administrative fee is not paid timely, the mediation
                    administrator may request that DFS suspend the insurer’s ability to appoint agents to represent
                    the insurer.
               Removes mediation-related tolling of time to file a lawsuit on the disputed claim.
               Deletes a requirement that the policy include details on requirements for filing of first-party
                    claims mediation.
               Repeals mediation program requirements, including:
                        o That the mediation must be a formal process;
                        o Mediators be randomly selected, with options and process to handle rejections of the
                             selected mediator; and,
                        o Equal sharing of costs.

          Division of Insurance Agent and Agency Services

          The DFS Division of Insurance Agent and Agency Services is responsible for the licensing and
          regulation of insurance agents, adjusters, insurance agencies, as well as related personnel and
          business entities.9

          No person may be, act as, or advertise, or hold himself/herself out to be an insurance agent, insuranc e
          adjuster, or customer representative unless he or she is currently licensed by DFS and appointed by an


7 As defined in s. 189.12, F.S.
8 S. 20.121(2)(h),    F.S.
9 Ch. 626, parts I, II, III,   IV, V, VI, VIII, IX, and XIII, F.S.
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        appropriate appointing entity or person.10 There are several types of insurance representatives. These
        include:
              General lines agents,
              Life insurance agents,
              Health insurance agents,
              Title insurance agents,
              Personal lines agents, and
              Unaffiliated insurance agents.11

        General Lines Agent

        A general lines agent12 is one who sells the following lines of insurance: property; 13 casualty,14 including
        commercial liability insurance underwritten by a risk retention group, a commercial self-insurance
        fund,15 or a workers’ compensation self-insurance fund;16 surety;17 health;18 and, marine.19 The general
        lines agent may only transact health insurance for an insurer that the general lines agent also
        represents for property and casualty insurance. If the general lines agent wishes to represent health
        insurers that are not also property and casualty insurers, they must be licensed as a health insurance
        agent.20

        Title Agents and Agencies
        Title insurance insures owners of real property (owner’s policy) or others having an interest in real
        property, as well as lenders (mortgagee policies) against loss by encumbrance, defective title,
        invalidity, or adverse claim to title. It is a policy issued by a title insurer that, after evaluating a search of
        title, insures against a number of covered risks, including title defects or liens that are not identified as
        exceptions. In Florida, title insurers operate on a monoline basis, meaning that the insurer can only
        transact title insurance and cannot transact any other type of insurance. 21

        Bail Bond Agents

        Currently, a person may not act as a bail bond agent or temporary bail bond agent unless qualified,
        licensed, and appointed.22 A person also may not represent himself or herself to be a bail enforcement
        agent, bounty hunter, or other similar title, and a person, other than a certified law enforcement officer,
        may not apprehend, detain, or arrest a principal on a bond unless qualified, licensed, and appointed.23

        Effect of the Bill

        The bill makes the following changes related to agents and agencies:

        Generally –
            Removes the requirement that applicants be fingerprinted at a designated examination center;
              but, retains the remaining fingerprinting options that include a law enforcement agency or other
              DFS-approved entity.

10 S. 626.112,  F.S.
11 S. 626.015,  F.S.
12 S. 626.015(5), F.S.
13 S. 624.604, F.S.
14 S. 624.605, F.S.
15 As defined in s. 624.462, F.S.
16 Pursuant to s. 624.4621, F.S.
17 S. 626.606, F.S.
18 Ss. 624.603 and 627.6482, F.S.
19 S. 624.607, F.S.
20 S. 626.829, F.S.
21 S. 627.786, F.S.
22 S. 648.30(1), F.S.
23 S. 648.30(2) and (3), F.S.
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              Relieves title insurance, life insurance, and annuity insurance agents and agencies from the
               requirement that they notice all active policyholders of an office closure that is more than 30
               days because the related policies are not continually serviced by the agent or agency.
              Clarifies that a licensee that possesses an advanced degree beyond a Bachelor’s degree is
               eligible for a reduced continuing education requirement; six hours every two years, rather than
               20 hours every two years, or other variations thereof depending on experience and credential.
              Removes a prohibition on licensees holding a limited license in motor vehicle damage and
               mechanical breakdown insurance, industrial fire insurance, burglary insurance, or credit
               insurance from holding multiple licenses.
              Expands the type of criminal background that allows DFS to suspend, revoke, or refuse to
               renew or continue the license or appointment of a licensee to include a misdemeanor related to
               the financial services business, this is in addition to any felony or crime punishable by one year
               or more in prison.
              Allows DFS to suspend, revoke, or refuse to renew or continue the license or appointment of a
               licensee who has lost their resident license in another state.
              Permits DFS to suspend, revoke, or refuse to renew or continue the license or appointment of a
               title agent or agency that:
                    o Misappropriates, converts, or unlawfully withholds funds related to an escrow
                        agreement, real estate sales contract, or settlement of a real estate transaction; or
                    o Is the subject of an adverse action against a license or similar credential in another
                        state, a court of competent jurisdiction, or federal agency, or similar.
              Reduces a reinsurance intermediary credential from a license to an appointment and removes
               the $50 application and license fee for a reinsurance intermediary; such intermediaries are
               otherwise licensed as another type of insurance licensee.
              Allows DFS to cancel an insurer’s ability to appoint agents when an insurer fails to timely pay
               the exchange of business fee that the insurer is beholden to pay for the agent and applicable to
               reported agent production activity.
              For the purposes of title agents and agencies, changes the authority to act as an escrow agent
               from the title agent to the title agency and removes the obligation to invest the escrow funds
               consistent with the requirements applicable to state investment of funds.
              Broadens the qualifying continuing education courses that public adjusters may take from those
               specially designed for public adjusters to any related to commercial and residential property and
               casualty coverage, claim adjusting, and any other adjuster courses approved by DFS.
              Allows DFS to deny the privileges of a temporary adjuster who has been lawfully appointed
               during a catastrophe or emergency for any violation described in Ch. 626, F.S., rather than only
               those in ss. 626.611 and 626.621, F.S.
              Provides for expiration of a health insurance navigator’s registration if the navigator’s fails to
               maintain a valid, active federal registration.
              Creates a limited insurance license to allow already licensed preneed funeral sales agents to be
               appointed to represent the preneed insurer.

       Bail Bonds –
            Eliminates the “temporary bail bond agent” license type; ends issuance of such licenses as of
              January 1, 2024; and expires all such licenses as of June 30, 2025.
            Removes authority to grant temporary licensure to the surviving spouse of a licensee to facilitate
              transfer or wrap-up of the deceased’s bail bond operations.
            Allows DFS to share complaint and investigatory information with other qualified law
              enforcement or regulatory agencies.
            Converts bail bond agency registration to licensure; requires all commensurate filings and
              actions consistent with such licensure and other similar types of licensure.
            Clarifies that bail bond agents and agencies must have insurer appointments to conduct
              business.
            Requires bail bond agencies to pay a fee; however, the referenced statute does not specify
              such fee, the bill does not amend that statute to create the fee, and there is no associated fee
              bill to create the fee.

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               Allows required classroom instruction to be conducted in in-person and virtual formats
                consistent with the format allowed for other lines.
               Establishes qualifications for designation as the primary bail bond agent of an agency, which
                includes 24 months of experience as a bail bond agent immediately preceding the appointment.
               Allows permissible in-jail advertising to include and email address and web address.
               Prohibits all in-person or telephone contacts by bail bond agents or agencies between 9:00 pm
                and 8:00 am, rather just those related to domestic violence cases.
               Requires appointing insurers to certify that appointees have signed a specified sworn statement
                regarding owed premiums, discharges, and forfeitures.
               Expires a bail bond agency’s license by operation of law upon failure to file the designation of a
                new agent in charge with DFS following separation of the previous designee.

        Division of Rehabilitation and Liquidation

        Part I of ch. 631, F.S., relates to insurer insolvency and governs the receivership process for insurance
        companies in Florida. Federal law specifies that insurance companies cannot file for bankruptcy.24
        Instead, they are either "rehabilitated" or "liquidated" by the state. In Florida, the Division of
        Rehabilitation and Liquidation of DFS is responsible for rehabilitating or liquidating insurance
        companies.25 This process involves the initiation of a delinquency proceeding and the placement of an
        insurer under the control of DFS as the Receiver. The typical causes of insurer insolvency include
        undercapitalization, uncollectible or inflated assets, insufficient loss reserves for ris ks assumed,
        fraudulent transactions, failure to monitor agents, and mismanagement by directors and/or officers. 26

        Upon a determination by OIR that one or more grounds exist for the initiation of delinquency
        proceedings and that such proceedings must be initiated, OIR must notify DFS of such determination
        and must provide DFS with all necessary documentation and evidence. 27 DFS subsequently initiates
        delinquency proceedings by either applying to the appropriate court for an order directing such an
        insurer to show cause why the proceedings should not be initiated or petitioning the court for the entry
        of a consent order.28

        Effect of the Bill

        The bill:
            Authorizes DFS as the Receiver to transfer estate property to a solvent insurer and share
                records with a prospective assuming insurer to extent necessary to conduct due diligence in the
                possible transfer of obligations.
            Permits the Receivership Court to set a date requested by the Receiver for policy cancellation
                as an earlier alternative to dates currently specified in statute.

        Division of State Fire Marshal

        Chapter 633, F.S., Fire Prevention and Control, designates the CFO as the State Fire Marshal (SFM).
        The SFM, through the Division of the State Fire Marshal within DFS, is charged with enforcing the
        provisions of ch. 633, F.S., and all other applicable laws relating to fire safety. 29 The SFM also has the


24 The Bankruptcy Code expressly provides       that "a domestic insurance company" may not be the subject of a federal
bankruptcy proceeding. 11 U.S.C. § 109(b)(2). The exclusion of insurers from the federal bankruptcy court process is
consistent with federal policy generally allowing states to regulate the business of insurance. See 15 U.S.C. § 1012
(McCarran-Ferguson Act).
25 Typically, insurers are put into liquidation when the company is insolvent whereas insurers are put into rehabilitation for

numerous reasons, one of which is an unsound financial condition. The goal of rehabilitation is to return the insurer to a
sound financial condition. The goal of liquidation, however, is to dissolve the insurer. See s. 631.051, F.S., for the grounds
for rehabilitation and s. 631.061, F.S., for the grounds for liquidation.
26 Department of Financial Services, Agency Analysis of 2017 House Bill 837, p.2 (Feb. 20, 2017).
27 S. 631.031, F.S.
28 Id.
29 S. 633.104 F.S.
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         responsibility to minimize the loss of life and property due to fire. 30 Pursuant to this authority, the SFM
         regulates, trains, and certifies fire service personnel and firesafety inspectors; investigates the causes
         of fires; enforces arson laws; regulates the installation of fire equipment; conducts firesafety inspections
         of state property; and operates the Florida State Fire College.

         The State Fire Marshal has two bureaus:
             The Bureau of Fire Prevention conducts safety inspections and reviews construction plans for
                all state-owned buildings, regulates fireworks and the fire sprinkler industry, inspects and
                licenses boilers, and certifies persons working in the fire suppression industry; and
             The Bureau of Firefighter Standards and Training approves curricula and training at the Florida
                State Fire College and certifies that fire service members meet industry standards. Persons may
                be certified as a volunteer firefighter, firefighter, or administrator of a fire service provider (i.e.
                fire chief, fire coordinator, fire director, or fire administrator).31

         Effect of the Bill

         The bill authorizes the Division of State Fire Marshal to create a direct support organization to be
         known as the “State Fire Marshal Safety and Training Force” to support the safety and training of
         firefighters and recognize exemplary service.

         Division of Treasury

         The CFO, with approval of the State Board of Administration, is required to establish a deferred
         compensation plan for state employees under the “Government Employees’ Deferred Compensation
         Act.” A deferred compensation plan is a retirement savings plan that allows eligible employees to
         supplement any existing retirement and pension benefits by saving and investing before-tax dollars
         through a tax-deferred voluntary salary contribution. The Deferred Compensation Plan is open to
         employees of state agencies, State University System, State Board of Administration, and other
         special district employers (subject to employer election). These various constituencies are delineated
         in statute and represented by a member of the Deferred Compensation Advisory Council. The
         Deferred Compensation Plan has been in operation for over 35 years and offers a reasonably priced
         supplemental retirement savings program.

         Effect of the Bill

         The bill:
             Allows a governmental employee of any governmental unit of the state to participate in the
                 Deferred Compensation Plan.
             Expands the membership of the Deferred Compensation Advisory Council from seven
                 members to eight members. The additional member will be an executive branch appointee
                 made by the Chancellor of the Florida College System who must be an employee of the
                 system.

         Division of Workers’ Compensation

         Florida’s Workers’ Compensation Law 32 requires employers to provide injured employees all medically
         necessary remedial treatment, care, and attendance for such period as the nature of the injury or the
         process of recovery may require.33 The Department of Financial Services, Division of Workers’
         Compensation (DWC), provides regulatory oversight of Florida’s workers’ compensation system,
         including the workers’ compensation health care delivery system. The law specifies certain
         reimbursement formulas and methodologies to compensate workers’ compensation health care


30 Id.
31 Department   of Financial Services, Division of State Fire Marshal, What We Do, https://myfloridacfo.com/Division/SFM/
(last visited Mar. 19, 2023).
32 Ch. 440, F.S.
33 S. 440.13(2)(a), F.S.
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        providers 34 that provide medical services to injured employees. Where a reimbursement amount or
        methodology is not specifically included in statute, the Three-Member Panel is authorized to annually
        adopt statewide schedules of maximum reimbursement allowances (MRAs) to provide uniform fee
        schedules for the reimbursement of various medical services. 35 DFS incorporates the MRAs approved
        by the Three-Member Panel in reimbursement manuals 36 through the rulemaking process provided by
        the Administrative Procedures Act.37

        Medical Services
        DWC is responsible for ensuring that employers provide medically necessary treatment, care, and
        attendance for injured workers. Healthcare providers must receive authorization from the insurer before
        providing treatment and submit treatment reports to the insurer. Insurers must reimburse healthcare
        providers based on statewide schedules of maximum reimbursement allowances developed by the
        DWC or an agreed-upon contract price. DWC mediates utilization and reimbursement disputes. 38

        In 1980, the Legislature delegated authority over maximum reimbursement allowances to a Three-
        Member-Panel which consists of the Insurance Commissioner (as a representative of the Chief
        Financial Officer) and two others appointed by the Governor and subject to confirmation by the Senate.
        Section 440.13(12)(a), F.S., states: “Annually, the three-member panel shall adopt schedules of
        maximum reimbursement allowances for physicians, hospital inpatient care, hospital outpatient care,
        ambulatory surgical centers, work-hardening programs, and pain programs.”

        The Medical Services Section within the DWC provides administrative support to the panel, which is
        statutorily charged with collecting data to evaluate the adequacy of the fee schedule, surveying
        healthcare providers to determine the availability and accessibility of healthcare, and surveying carriers
        to determine the impact of changes to the reimbursement schedule.39 According to DWC, medical costs
        represent 67 percent of all workers’ compensation costs in Florida.

        Maximum reimbursements approved by the Three-Member Panel must be based on the following
        statutory requirements:
             For inpatient treatment, hospitals must be reimbursed 75 percent of the usual and customary
                charges;40
             For schedule surgeries, hospitals must be reimbursed 60 percent of the charges; 41
             For physicians, reimbursement is 110 percent of the reimbursement allowed by Medicare for an
                office visit and 140 percent of the reimbursement allowed by Medicare for a surgical
                procedure.42
             For prescription medications, reimbursement is the wholesale price plus a $4.18 dispensing fee;
                but for repackaged or relabeled prescription medications, reimbursement is 112.5 percent of the
                average wholesale price plus an $8 dispensing fee. 43
        Healthcare providers cannot recover fees that are higher than those outlined in the schedule. This
        applies to treatment, care, and attendance provided by any hospital or other healthcare provider,




34 The term “health care provider” includes a physician or any recognized practitioner licensed to provide skilled services
pursuant to a prescription or under the supervision or direction of a physician. It also includes any hospital licensed under
chapter 395 and any health care institution licensed under chapter 400 or chapter 429. S. 440.13(1)(g), F.S.
35 S. 440.13(12), F.S.
36 Ss. 440.13(12) and (13), F.S., and Ch. 69L-7, F.A.C.
37 Ch. 120, F.S.
38 S. 440.13, F.S.
39 S. 440.13(12)(e), F.S.
40 S. 440.13(12)(a), F.S.
41 S. 440.13(12)(b), F.S.
42 Id.
43 S. 440.13(12)(c), F.S
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        ambulatory surgical center, work-hardening program, or pain program.44 Florida courts have enforced
        fee schedule limits against healthcare providers who sought higher fees for their services. 45

        The law requires reimbursement to medical providers at either the agreed-upon contract price or the
        maximum reimbursement allowed in the appropriate schedule.

        The Three-Member Panel adopts the schedules as an independent entity, but DWC relies on the
        schedules when rendering determinations in reimbursement disputes between healthcare providers
        and insurance carriers,46 and when adopting fee schedules for services rendered by medical
        providers.47 As a result, DWC adopts the maximum reimbursement schedules through rulemaking, and,
        when the cost of a schedule exceeds $1 million in the aggregate within a five-year period, the adopted
        rule is subject to legislative ratification.

        The Administrative Procedures Act requires a statement of regulatory cost that includes an economic
        analysis showing whether the rule directly or indirectly:
           1. Is likely to have an adverse impact on economic growth, private sector job
               creation or employment, or private sector investment in excess of $1 million in
               the aggregate within 5 years after the implementation of the rule;
           2. Is likely to have an adverse impact on business competitiveness, including the
               ability of persons doing business in the state to compete with persons doing
               business in other states or domestic markets, productivity, or innovation in
               excess of $1 million in the aggregate within 5 years after the implementation of
               the rule; or
           3. Is likely to increase regulatory costs, including any transactional costs, in excess
               of $1 million in the aggregate within 5 years after the implementation of the rule.48

        The law provides three exemptions to the ratification requirement. Legislative ratification does not apply
        to triennial updates of the Florida Building Code and Florida Fire Prevention Code, which are expressly
        authorized by statute, or when a state agency adopts federal standards or rules that are needed to
        receive federal funds or other benefits under federal law. 49

        The Legislature ratified the 2016 manual for healthcare providers, which increased the overall cost of
        the workers’ compensation system by 1.8 percent, or $64 million.50

        The Legislature declined to ratify reimbursement manuals for:
           Ambulatory surgical centers – the 2016 manual proposed an increase of 0.6 percent or $22
              million; the 2017 manual proposed an increase of 1.1 percent or $40 million.51
           Healthcare providers – the 2017 manual proposed an increase of 0.1 percent, or $4 million. 52
           Hospitals – the 2016 and 2017 manuals proposed increases of 2.2 percent, or $80 million. 53

        On October 22, 2020, DFS filed a rule adopting the 2020 Health Care Reimbursement Manual
        approved by the Three-Member Panel setting a revised uniform schedule of MRAs for physicians and


44 S. 440.13(12)(d),   F.S.
45 Sun Bank /South Florida, N.A. v. Bak er, 632 So. 2d 669 (Fla. 4th DCA 1994), cause dismissed, 639 So. 2d 982 (Fla.

1994); citing, Easter Elevator Co. v. Hedman, 290 So. 2d 56, 58 (Fla. 1974).
46 S. 440.13(7), F.S.
47 S. 440.13(13), F.S.
48 S. 120.541(2)(a), F.S.
49 S. 120.541(4), F.S.
50 Three Member Panel, 2019 Biennial Report,

https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=& ved=2ahUKE wjjgNuTnun9AhWlr4QIHY LrB ecQFn
oECA8QAQ&url=https%3A%2F%2Fwww.myfloridacfo.com%2Fdocs -sf% 2Fworkers-compensation-libraries%2Fworkers-
comp-documents%2Freports%2Fthree-member-panel%2F2019-biennial-
report.pdf%3Fsfvrsn%3Db3c08839_4& usg=AOvVaw20P 1pPOhVMVyfoJ2TFEMvc , at 18 (last visited Mar. 19, 2023).
51 Id.
52 Id.
53 Id.
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        other recognized practitioners.54 According to the National Council on Compensation Insurance, the
        revisions to MRAs in the 2020 Edition will result in increased costs to the overall compensation system
        of $8 million over the next five years, as of November 16, 2020. 55

        Effect of the Bill

        The bill:
            Ratifies Rule 69L-7.020, F.A.C., allowing the rule to go into effect. The Rule incorporates by
                reference the 2020 Edition of the Manual, which provides for reimbursement of health care
                providers under the increased MRAs approved by the Three-Member Panel. The National
                Council on Compensation Insurance estimates that this will produce a 0.2 percent increase in
                workers’ compensation rates, as of November 16, 2020. This increase would likely be
                incorporated into the next annual rate filing for OIR approval, to become effective January 1,
                2024, which could be an overall increase or decrease in total rate, after considering the entirety
                of the annual rate filing.
            Removes the authority of the Three-Member Panel to adopt maximum reimbursement
                allowances for individually licensed health care providers, work-hardening programs, pain
                programs, and durable medical equipment providers. Rather, it requires DFS to post the
                maximum reimbursement allowance for physician and non-hospital reimbursements on its
                website by July 1st each year, to become effective the following January 1st . This seeks to
                remove the health care provider reimbursements from rulemaking and the applicable legislative
                rule ratification requirement for rules that increase private sector costs by more than $1 million
                in the aggregate over five years.56
            Repeals the statutory incorporation of an outdated medical practice and parameters
                requirement.57
            Allows a judge of compensation claims the discretion to order an expert medical examination,
                rather than requiring it to be ordered by the judge upon request of either the injured worker or
                insurance carrier during litigation.

        Miscellaneous

        Effect of the Bill

        The bill also makes the following changes:

        Boards within the CFO’s Appointment Authority:

            Florida Self-Insurers Guaranty Association, Inc. (Section 8)
            Florida Insurance Guaranty Association (Section 41)
            Florida Life and Health Insurance Guaranty Association (Section 42)
            Florida Health Maintenance Organization Consumer Assistance Plan (Section 43)
            Florida Workers’ Compensation Insurance Guaranty Association (Section 44)
            Medical Malpractice Risk Apportionment Plan (Section 32)
             Allows the CFO to consider board appointment recommendations from persons with experience
                in applicable subject matter, in addition to current recommendation sources;
             Authorizes the CFO removal of board members based on misconduct, malfeasance,
                misfeasance, or neglect of duty;
             Clarifies that the board member’s appointment and service are within an exemption to a
                prohibition on conflicting employment of public employees.

54 Email from Austin Stowers, Legislative Affairs   Director, Department of Financial Services, RE: . Department of Financial
Services Rule 69L-7.020, F.A.C. (Jan. 30, 2023).
55 The National Council on Compensation Insurance, Inc., Analysis of Florida Medial Fee Schedule Changes Proposed to

be Effective July 1, 2021 (Nov. 16, 2020).
56 It is unclear if this provision abrogates DFS’ obligation under Ch. 120, F.S., the Administrative Procedures Act, to adopt

policy and interpretations of statute via rulemaking.
57 S. 440.13(14), F.S., requires workers’ compensation medical practice parameters and protocols to adhere to the United

States Agency for Healthcare Research and Quality practice parameters and protocols in effect on January 1, 2003.
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DATE: 4/15/2023
                Subjects board members to the code of ethics under part III of ch. 112, F.S., with specifications
                 regarding application of the code to the board members;
                Creates gift restrictions for board members; and,
                Provides penalties for board member ethical and gift acceptance violations.

        DFS, Division of Investigative and Forensic Services (DIFS)
           Allows DIFS to initiate, not just conduct, investigations and specifies that such investigations
              may cover any matter under the jurisdiction of the CFO, including the CFO’s role as State Fire
              Marshal; and,
           Expands DIFS authority to refer suspected criminal violations for prosecution to include criminal
              violation of federal law, in addition to state law criminal violations.

        Strategic Markets Research and Assessment Unit
             Repeals the unit and its required quarterly report on the state of the financial services industry in
               the state.58

        Insurance Field Representatives (Agents)
             Corrects the name of a referenced association to reflect their current name.
             Prohibits insurance agents from selling nonprofit religious organization health coverage that is
               exempt from the Florida Insurance Code.59

        Continuing Education Requirements
            Authorizes the Professional in Claims (PIC) designation from 2021 Training, LLC, to be
               accepted for a permitted exemption from examination.

        Insurance Fraud
             Removes the requirement that a conviction be obtained to qualify for a reward under the Anti-
               Fraud Reward Program. A tip that leads to an arrest will be eligible for the reward.

        Property Insurance Claim Mediation
            Limits claim eligibility until an insurer has either made a claim determination or elected to repair
               the property.
            Authorizes DFS to contract with an administrator to oversee sinkhole-related alternative dispute
               resolution provided by law.
            Allows mediation of issues involving litigants referred by a county court or circuit court.

        Service Warranty Contracts
            Exempts service warranty sales representatives from the requirements of the home solicitation
               sales law.

        Unclaimed Property Recovery Contracts
            Clarifies provisions limiting recovery agreements or contracts.

        Regulation of Preneed Funeral Contracts
            Creates an express exemption to make clear that travel-related transportation protection
               agreement for the preparation and return of human remains is not a preneed funeral contract. It
               also provides that such agreements are not subject to the Florida Insurance Code.


    B. SECTION DIRECTORY:

        Section 1:        Amends s. 20.121, F.S., relating to Department of Financial Services.

58 DFS asserts that this report
                             is duplicative and out of date. Department of Financial Services, Agency Bill Analysis HB
487, p. 3 (Feb. 15, 2023).
59 Chapters 624-632, 634, 635, 636, 641, 642, 648, and 651, F.S., constitute the “Florida Insurance Code.” S. 624.01, F.S.
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DATE: 4/15/2023
       Section 2:      Amends s. 112.215, F.S., relating to Government employees; deferred compensation
                       program.
       Section 3:      Amends s. 215.55952, F.S., relating to Annual report on economic impact of a 1-in-100-
                       year hurricane.
       Section 4:      Amends s. 274.01, F.S., relating to Definitions.
       Section 5:      Amends s. 440.13, F.S., relating to Medical services and supplies; penalty for
                       violations; limitations.
       Section 6:      Amends s. 440.385, F.S., relating to Florida Self-Insurers Guaranty Association,
                       Incorporated.
       Section 7:      Amends s. 497.005, F.S., relating to Definitions.
       Section 8:      Amends 624.1265, F.S., relating to Nonprofit religious organization exemption;
                       authority; notice.
       Section 9:      Amends s. 624.501, F.S., relating to Filing, license, appointment, and miscellaneous
                       fees.
       Section 10:     Amends s. 626.015, F.S., relating to Definitions.
       Section 11:     Amends s. 626.171, F.S., relating to Application for license as an agent, customer
                       representative, adjuster, service representative, or reinsurance intermediary.
       Section 12:     Amends s. 626.173, F.S., relating to Insurance agency closure; cancellation of licenses.
       Section 13:     Amends s. 626.207, F.S., relating to Disqualification of applicants and licensees;
                       penalties against licensees; rulemaking authority.
       Section 14:     Amends s. 626.221, F.S., relating to Examination requirement; exemptions.
       Section 15:     Amends s. 626.2815, F.S., relating to Continuing education requirements.
       Section 16:     Amends s. 626.321, F.S., relating to Limited licenses and registration.
       Section 17:     Amends s. 626.611, F.S., relating to Grounds for compulsory refusal, suspension, or
                       revocation of agent's, title agency's, adjuster's, customer representative's, service
                       representative's, or managing general agent's license or appointment.
       Section 18:     Amends s. 626.621, F.S., relating to Grounds for discretionary refusal, suspension, or
                       revocation of agent's, adjuster's, customer representative's, service representative's, or
                       managing general agent's license or appointment.
       Section 19:     Amends s. 626.7492, F.S., relating to Reinsurance intermediaries.
       Section 20:     Amends s. 626.752, F.S., relating to Exchange of business.
       Section 21:     Amends s. 626.785, F.S., relating to Qualifications for license.
       Section 22:     Amends s. 626.793, F.S., relating to Excess or rejected business.
       Section 23:     Amends s. 626.837, F.S., relating to Excess or rejected business.
       Section 24:     Amends s. 626.8411, F.S., relating to Application of Florida Insurance Code provisions
                       to title insurance agents or agencies.
       Section 25:     Amends s. 626.8437, F.S., relating to Grounds for denial, suspension, revocation, or
                       refusal to renew license or appointment.
       Section 26:     Amends s. 626.844, F.S., relating to Grounds for discretionary refusal, suspension, or
                       revocation of license or appointment.
       Section 27:     Amends s. 626.8473, F.S., relating to Escrow; trust fund.
       Section 28:     Amends s. 626.854, F.S., relating to "Public adjuster" defined; prohibitions.
       Section 29:     Amends s. 626.874, F.S., relating to Catastrophe or emergency adjusters.


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DATE: 4/15/2023
       Section 30:     Amends s. 626.9892, F.S., relating to Anti-Fraud Reward Program; reporting of
                       insurance fraud.
       Section 31:     Amends s. 626.9957, F.S., relating to Conduct prohibited; denial, revocation, or
                       suspension of registration.
       Section 32:     Amends s. 627.351, F.S., relating to Insurance risk apportionment plans.
       Section 33:     Amends s. 627.7015, F.S., relating to Alternative procedure for resolution of disputed
                       property insurance claims.
       Section 34:     Amends s. 627.7074, F.S., relating to Alternative procedure for resolution of disputed
                       sinkhole insurance claims.
       Section 35:     Amends s. 627.745, F.S., relating to Mediation of claims.
       Section 36:     Amends s. 631.141, F.S., relating to Conduct of delinquency proceeding; domestic and
                       alien insurers.
       Section 37:     Amends s. 631.252, F.S., relating to Continuation of coverage.
       Section 38:     Amends s. 631.56, F.S., relating to Board of directors.
       Section 39:     Amends s. 631.716, F.S., relating to Board of directors.
       Section 40:     Amends s. 631.816, F.S., relating to Board of directors.
       Section 41:     Amends s. 631.912, F.S., relating to Board of directors.
       Section 42:     Creates s. 633.1423, F.S., relating to State Fire Marshal direct-support organization.
       Section 43:     Amends s. 634.181, F.S., relating to Grounds for compulsory refusal, suspension, or
                       revocation of license or appointment of salespersons.
       Section 44:     Amends s. 634.191, F.S., relating to Grounds for discretionary refusal, suspension, or
                       revocation of license or appointment of salespersons.
       Section 45:     Amends s. 634.320, F.S., relating to Grounds for compulsory refusal, suspension, or
                       revocation of license or appointment of sales representatives.
       Section 46:     Amends s. 634.321, F.S., relating to Grounds for discretionary refusal, suspension, or
                       revocation of license or appointment of sales representatives.
       Section 47:     Amends s. 634.419, F.S., relating to License and appointment required.
       Section 48:     Amends s. 634.422, F.S., relating to Grounds for compulsory refusal, suspension, or
                       revocation of license or appointment of sales representatives.
       Section 49:     Amends s. 634.423, F.S., relating to Grounds for discretionary refusal, suspension, or
                       revocation of license or appointment of sales representatives.
       Section 50:     Amends s. 648.25, F.S., relating to Definitions.
       Section 51:     Amends s. 648.26, F.S., relating to Department of Financial Services; administration.
       Section 52:     Amends s. 648.27, F.S., relating to Licenses and appointments; general.
       Section 53:     Amends s. 648.285, F.S., relating to Bond agency; ownership requirements.
       Section 54:     Amends s. 648.30, F.S., relating to Licensure and appointment required; prohibited
                       acts; penalties.
       Section 55:     Amends s. 648.31, F.S., relating to Appointment taxes and fees.
       Section 56:     Amends s. 648.34, F.S., relating to Bail bond agents; qualifications.
       Section 57:     Amends s. 648.355, F.S., relating to Temporary limited license as Limited surety agent
                       or professional bail bond agent; qualifications pending examination.
       Section 58:     Amends s. 648.382, F.S., relating to Appointment of bail bond agents and temporary
                       bail bond agents; effective date of appointment.

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DATE: 4/15/2023
        Section 59:      Amends s. 648.386, F.S., relating to Qualifications for prelicensing and continuing
                         education schools and instructors.
        Section 60:      Amends s. 648.387, F.S., relating to Primary Bail bond agents; duties.
        Section 61:      Creates s. 648.3875, F.S., relating to Primary bail bond agents; qualifications.
        Section 62:      Amends s. 648.39, F.S., relating to Termination of appointment of managing general
                         agents, bail bond agents, and temporary bail bond agents.
        Section 63:      Repeals s. 648.41, F.S., relating to Registration of bail bond agents.
        Section 64:      Amends s. 648.42, F.S., relating to Prohibitions; penalty.
        Section 65:      Amends s. 648.44, F.S., relating to Furnishing supplies to unlicensed bail bond agent
                         prohibited; civil liability and penalty.
        Section 66:      Amends s. 648.441, F.S., relating to Procedure for disciplinary action against licensees.
        Section 67:      Amends s. 648.46, F.S., relating to Effect of suspension, revocation upon associated
                         licenses and licensees.
        Section 68:      Amends s. 648.50, F.S., relating to Recovery agreements and purchase agreements for
                         claims filed by a claimant's representative; fees and costs.
        Section 69:      Amends s. 717.135, F.S., relating to Unlawful possession of a concealed handcuff key.
        Section 70:      Amends s. 843.021, F.S., relating to Conduct of delinquency proceeding; foreign
                         insurers.
        Section 71:      Amends s. 631.152, F.S., relating to Prevention of insolvencies.
        Section 72:      Amends s. 631.398, F.S., relating to Justification of sureties.
        Section 73:      Amends s. 903.09, F.S., relating to ratification of the Workers' Compensation Health
                         Care Providers Reimbursement Manual adopted under Rule 69L-7.020, F.A.C.
        Section 74:      Creates s. undirected law, F.S., relating to Provides an effective date of upon becoming
                         law.
        Section 75:      Provides an effective date of upon becoming law.

                           II. FISCAL ANALYSIS & ECONOMIC IMPACT STATEMENT

    A. FISCAL IMPACT ON STATE GOVERNMENT:

        1. Revenues:
            The bill eliminates the reinsurance intermediary application filing and license fee. The bill will result
            in an insignificant reduction in revenues. The chart below shows total revenues collected for the last
            four fiscal years.


                               FY 19-20         FY 20-21         FY 21-22         FY 22-23 (partial)
                TOTAL 60       $    1,250.00    $    1,100.00    $    2,050.00    $                750.00

        2. Expenditures:
            The bill makes numerous changes that will require systems and process changes in DFS. However,
            the fiscal impact is anticipated to be insignificant.

    B. FISCAL IMPACT ON LOCAL GOVERNMENTS:



60 Email from Teri Madsen, Director of the Office of Finance and Budget, Department   of Financial Services, FW:
Reinsurance.xls (Apr. 06, 2023).
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DATE: 4/15/2023
       1. Revenues:
           None.

       2. Expenditures:
           None.

   C. DIRECT ECONOMIC IMPACT ON PRIVATE SECTOR:
       The bill requires warranty associations to have a reserve of $100 million, instead of $10 million. The bill
       requires motor vehicle insurers bear the entire cost of mediation. It makes various other changes that
       have an indeterminate, negative fiscal impact.

   D. FISCAL COMMENTS:
       None.

                                               III. COMMENTS

   A. CONSTITUTIONAL ISSUES:

       1. Applicability of Municipality/County Mandates Provision:
          Not applicable. This bill does not appear to require counties or municipalities to spend funds or take
          action requiring the expenditures of funds; reduce the authority that counties or municipalities have
          to raise revenues in the aggregate; or reduce the percentage of state tax shared with counties or
          municipalities.

       2. Other:
          Certain portions of the bill may present a single subject concern or violate separate bill requirements
          of the Florida Constitution.

   B. RULE-MAKING AUTHORITY:
       The Department of Financial Services is provided rulemaking authority to implement provisions of the
       bill.

   C. DRAFTING ISSUES OR OTHER COMMENTS:
       None.

                         IV. AMENDMENTS/COMMITTEE SUBSTITUTE CHANGES




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DATE: 4/15/2023


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