Bill Text: FL S1640 | 2024 | Regular Session | Comm Sub
Bill Title: Payments for Health Care Services
Spectrum: Bipartisan Bill
Status: (Introduced - Dead) 2024-03-07 - Laid on Table, refer to HB 7089 [S1640 Detail]
Download: Florida-2024-S1640-Comm_Sub.html
Florida Senate - 2024 CS for SB 1640 By the Committee on Fiscal Policy; and Senator Collins 594-03832-24 20241640c1 1 A bill to be entitled 2 An act relating to payments for health care services; 3 amending s. 95.11, F.S.; establishing a 3-year statute 4 of limitations for an action to collect medical debt 5 for services rendered by certain health care 6 facilities; creating s. 222.26, F.S.; providing 7 additional personal property exemptions from legal 8 process for medical debts resulting from services 9 provided in certain licensed facilities; amending s. 10 395.301, F.S.; requiring certain licensed facilities 11 to post on their respective websites a consumer 12 friendly list of standard charges for a minimum number 13 of shoppable health care services; requiring the 14 facilities to provide such information in an 15 alternative format as requested by the patient; 16 defining terms; requiring licensed facilities to 17 provide a good faith estimate of reasonably 18 anticipated charges to the patient’s health insurer 19 and the patient, prospective patient, or patient’s 20 legal guardian within specified timeframes; requiring 21 such facilities to provide the estimate in the manner 22 selected by the patient, prospective patient, or 23 patient’s legal guardian; revising notification 24 requirements for such estimates to include 25 notification of a patient’s legal guardian, if any; 26 deleting the requirement that licensed facilities 27 educate the public on the availability of such 28 estimates upon request; revising a penalty; deleting 29 construction; requiring licensed facilities to 30 establish an internal grievance process for patients 31 to submit grievances, including to dispute charges; 32 requiring licensed facilities to make available on 33 their respective websites information necessary for 34 initiating a grievance; requiring licensed facilities 35 to respond to a patient grievance within a specified 36 timeframe; requiring licensed facilities to disclose 37 certain information to patients, prospective patients, 38 and patients’ legal guardians, as applicable; 39 providing a civil penalty; creating s. 395.3011, F.S.; 40 defining the term “extraordinary collection action”; 41 prohibiting licensed facilities from engaging in 42 extraordinary collection actions against individuals 43 to obtain payment for services under specified 44 circumstances; amending s. 624.27, F.S.; revising the 45 definition of the term “health care provider” for 46 purposes of direct health care agreements; creating s. 47 627.446, F.S.; defining the term “health insurer”; 48 requiring health insurers to provide an insured with 49 an advanced explanation of benefits after receiving a 50 patient estimate from a facility for scheduled 51 services; providing requirements for the advanced 52 explanation of benefits; creating s. 627.447, F.S.; 53 prohibiting health insurers from prohibiting providers 54 from disclosing certain information to an insured; 55 defining the term “discounted cash price”; amending s. 56 627.6387, F.S.; revising the definitions of the terms 57 “health insurer” and “shared savings incentive” to 58 conform to changes made by the act; requiring, rather 59 than authorizing, health insurers to offer a shared 60 savings incentive program under certain circumstances; 61 requiring that a certain notification required of 62 health insurers include specified information; 63 providing that a shared savings incentive offered by a 64 health insurer constitutes a medical expense for 65 purposes of rate development and rate filing; amending 66 ss. 627.6648 and 641.31076, F.S.; providing that a 67 shared savings incentive offered by a health insurer 68 or health maintenance organization, respectively, 69 constitutes a medical expense for rate development and 70 rate filing purposes; amending ss. 475.01, 475.611, 71 517.191, 768.28, and 787.061, F.S.; conforming cross 72 references; providing applicability; providing an 73 effective date. 74 75 Be It Enacted by the Legislature of the State of Florida: 76 77 Section 1. Present subsections (4) through (12) of section 78 95.11, Florida Statutes, are redesignated as subsections (5) 79 through (13), respectively, a new subsection (4) is added to 80 that section, and paragraph (b) of subsection (2), paragraph (n) 81 of subsection (3), paragraphs (f) and (g) of present subsection 82 (5), and present subsection (10) of that section are amended, to 83 read: 84 95.11 Limitations other than for the recovery of real 85 property.—Actions other than for recovery of real property shall 86 be commenced as follows: 87 (2) WITHIN FIVE YEARS.— 88 (b) A legal or equitable action on a contract, obligation, 89 or liability founded on a written instrument, except for an 90 action to enforce a claim against a payment bond, which shall be 91 governed by the applicable provisions of paragraph (6)(e) 92(5)(e), s. 255.05(10), s. 337.18(1), or s. 713.23(1)(e), and 93 except for an action for a deficiency judgment governed by 94 paragraph (6)(h)(5)(h). 95 (3) WITHIN FOUR YEARS.— 96 (n) An action for assault, battery, false arrest, malicious 97 prosecution, malicious interference, false imprisonment, or any 98 other intentional tort, except as provided in subsections(4),99 (5), (6), and (8)(7). 100 (4) WITHIN THREE YEARS.—An action to collect medical debt 101 for services rendered by a facility licensed under chapter 395, 102 provided that the period of limitations runs from the date on 103 which the facility completes written notification of the medical 104 debt, either through the mail or via electronic means with 105 evidence of receipt, in the delivery manner selected by the 106 affected patient or the patient’s legal representative or the 107 date on which the facility refers the medical debt to a third 108 party for collection, whichever date is later. 109 (6)(5)WITHIN ONE YEAR.— 110 (f) Except for actions described in subsection (9)(8), a 111 petition for extraordinary writ, other than a petition 112 challenging a criminal conviction, filed by or on behalf of a 113 prisoner as defined in s. 57.085. 114 (g) Except for actions described in subsection (9)(8), an 115 action brought by or on behalf of a prisoner, as defined in s. 116 57.085, relating to the conditions of the prisoner’s 117 confinement. 118 (11)(10)FOR INTENTIONAL TORTS RESULTING IN DEATH FROM ACTS 119 DESCRIBED IN S. 782.04 OR S. 782.07.—Notwithstanding paragraph 120 (5)(e)(4)(e), an action for wrongful death seeking damages 121 authorized under s. 768.21 brought against a natural person for 122 an intentional tort resulting in death from acts described in s. 123 782.04 or s. 782.07 may be commenced at any time. This 124 subsection shall not be construed to require an arrest, the 125 filing of formal criminal charges, or a conviction for a 126 violation of s. 782.04 or s. 782.07 as a condition for filing a 127 civil action. 128 Section 2. Section 222.26, Florida Statutes, is created to 129 read: 130 222.26 Additional exemptions from legal process concerning 131 medical debt.—If a debt is owed for medical services provided by 132 a facility licensed under chapter 395, the following property is 133 exempt from attachment, garnishment, or other legal process in 134 an action on such debt: 135 (1) A debtor’s interest, not to exceed $10,000 in value, in 136 a single motor vehicle as defined in s. 320.01(1). 137 (2) A debtor’s interest in personal property, not to exceed 138 $10,000 in value, if the debtor does not claim or receive the 139 benefits of a homestead exemption under s. 4, Art. X of the 140 State Constitution. 141 Section 3. Present paragraphs (b), (c), and (d) of 142 subsection (1) of section 395.301, Florida Statutes, are 143 redesignated as paragraphs (c), (d), and (e), respectively, 144 present subsection (6) is redesignated as subsection (8), a new 145 paragraph (b) is added to subsection (1), a new subsection (6) 146 and subsection (7) are added to that section, and present 147 paragraph (b) of subsection (1) of that section is amended, to 148 read: 149 395.301 Price transparency; itemized patient statement or 150 bill; patient admission status notification.— 151 (1) A facility licensed under this chapter shall provide 152 timely and accurate financial information and quality of service 153 measures to patients and prospective patients of the facility, 154 or to patients’ survivors or legal guardians, as appropriate. 155 Such information shall be provided in accordance with this 156 section and rules adopted by the agency pursuant to this chapter 157 and s. 408.05. Licensed facilities operating exclusively as 158 state facilities are exempt from this subsection. 159 (b) Each licensed facility shall post on its website a 160 consumer-friendly list of standard charges for at least 300 161 shoppable health care services. If a facility provides fewer 162 than 300 distinct shoppable health care services, it must make 163 available on its website the standard charges for each service 164 it provides. A facility shall provide the information in an 165 alternative format as requested by the patient. As used in this 166 paragraph, the term: 167 1. “Shoppable health care service” means a service that can 168 be scheduled by a health care consumer in advance. The term 169 includes, but is not limited to, the services described in s. 170 627.6387(2)(e) and any services defined in regulations or 171 guidance issued by the United States Department of Health and 172 Human Services. 173 2. “Standard charge” has the same meaning as the definition 174 of that term in regulations or guidance issued by the United 175 States Department of Health and Human Services for purposes of 176 hospital price transparency. 177 (c)1.(b)1.Upon request, andBefore providing any 178 nonemergency medical services, each licensed facility shall 179 provide in writing or by electronic means, in the manner 180 requested by the patient, prospective patient, or patient’s 181 legal guardian, a good faith estimate of reasonably anticipated 182 charges by the facility for the treatment of the patient’s or 183 prospective patient’s specific condition. Such estimate must be 184 provided to the patient, prospective patient, or patient’s legal 185 guardian upon scheduling a medical service. The facilitymust186provide the estimate to the patient or prospective patient187within 7 business days after the receipt of the request andis 188 not required to adjust the estimate for any potential insurance 189 coverage. The facility shall provide the estimate to the 190 patient’s health insurer, as defined in s. 627.446(1), and the 191 patient or the patient’s legal guardian at least 3 business days 192 before a service is to be furnished, but no later than 1 193 business day after the service is scheduled or, in the case of a 194 service scheduled at least 10 business days in advance, no later 195 than 3 business days after the service is scheduled. The 196 estimate may be based on the descriptive service bundles 197 developed by the agency under s. 408.05(3)(c) unless the 198 patient,orprospective patient, or patient’s legal guardian 199 requests a more personalized and specific estimate that accounts 200 for the specific condition and characteristics of the patient or 201 prospective patient. The facility shall inform the patient,or202 prospective patient, or patient’s legal guardian that he or she 203 may contact the patient’shis or herhealth insureror health204maintenance organizationfor additional information concerning 205 cost-sharing responsibilities. 206 2. In the estimate, the facility shall provide to the 207 patient,orprospective patient, or patient’s legal guardian 208 information delivered in the patient’s preferred format on the 209 facility’s financial assistance policy, including the 210 application process, payment plans, and discounts and the 211 facility’s charity care policy and collection procedures. 212 3. The estimate shall clearly identify any facility fees 213 and, if applicable, include a statement notifying the patient, 214orprospective patient, or patient’s legal guardian that a 215 facility fee is included in the estimate, the purpose of the 216 fee, and that the patient may pay less for the procedure or 217 service at another facility or in another health care setting. 218 4.Upon request,The facility shall notify the patient,or219 prospective patient, or patient’s legal guardian of any revision 220 to the estimate. 221 5. In the estimate, the facility must notify the patient, 222orprospective patient, or patient’s legal guardian that 223 services may be provided in the health care facility by the 224 facility as well as by other health care providers that may 225 separately bill the patient, if applicable. 226 6.The facility shall take action to educate the public227that such estimates are available upon request.2287.Failure to timely provide the estimate pursuant to this 229 paragraph shall result in a daily fine of $1,000 until the 230 estimate is provided to the patient,orprospective patient, or 231 patient’s legal guardian and the health insurer. The total fine 232 per patient estimate may not exceed $10,000. 233 234The provision of an estimate does not preclude the actual235charges from exceeding the estimate.236 (6) Each facility shall establish an internal process for 237 reviewing and responding to grievances from patients. Such 238 process must allow patients to dispute charges that appear on 239 the patient’s itemized statement or bill. The facility shall 240 prominently post on its website and indicate in bold print on 241 each itemized statement or bill the instructions for initiating 242 a grievance and the direct contact information required to 243 initiate the grievance process. The facility shall provide an 244 initial response to a patient grievance within 7 business days 245 after the patient formally files a grievance disputing all or a 246 portion of an itemized statement or bill. 247 (7) Each licensed facility shall disclose to a patient, 248 prospective patient, or a patient’s legal guardian whether a 249 cost-sharing obligation for a particular covered health care 250 service or item exceeds the charge that applies to an individual 251 who pays cash or the cash equivalent for the same health care 252 service or item in the absence of health insurance coverage. The 253 facility’s failure to provide a disclosure compliant with this 254 section may result in a fine not to exceed $500 per incident. 255 Section 4. Section 395.3011, Florida Statutes, is created 256 to read: 257 395.3011 Billing and collection activities.— 258 (1) As used in this section, the term “extraordinary 259 collection action” means any of the following actions taken by a 260 licensed facility against an individual in relation to obtaining 261 payment of a bill for care covered under the facility’s 262 financial assistance policy: 263 (a) Selling the individual’s debt to another party. 264 (b) Reporting adverse information about the individual to 265 consumer credit reporting agencies or credit bureaus. 266 (c) Deferring, denying, or requiring a payment before 267 providing medically necessary care because of the individual’s 268 nonpayment of one or more bills for previously provided care 269 covered under the facility’s financial assistance policy. 270 (d) Actions that require a legal or judicial process, 271 including, but not limited to: 272 1. Placing a lien on the individual’s property; 273 2. Foreclosing on the individual’s real property; 274 3. Attaching or seizing the individual’s bank account or 275 any other personal property; 276 4. Commencing a civil action against the individual; 277 5. Causing the individual’s arrest; or 278 6. Garnishing the individual’s wages. 279 (2) A facility may not engage in an extraordinary 280 collection action against an individual to obtain payment for 281 services: 282 (a) Before the facility has made reasonable efforts to 283 determine whether the individual is eligible for assistance 284 under its financial assistance policy for the care provided and, 285 if eligible, before a decision is made by the facility on the 286 patient’s application for such financial assistance. 287 (b) Before the facility has provided the individual with an 288 itemized statement or bill. 289 (c) During an ongoing grievance process as described in s. 290 395.301(6) or an ongoing appeal of a claim adjudication. 291 (d) Before billing any applicable insurer and allowing the 292 insurer to adjudicate a claim. 293 (e) For 30 calendar days after notifying the patient in 294 writing, by certified mail or by other traceable delivery 295 method, that a collection action will commence absent additional 296 action by the patient. 297 (f) While the individual: 298 1. Negotiates in good faith the final amount of a bill for 299 services rendered; or 300 2. Complies with all terms of a payment plan with the 301 facility. 302 Section 5. Paragraph (b) of subsection (1) of section 303 624.27, Florida Statutes, is amended to read: 304 624.27 Direct health care agreements; exemption from code.— 305 (1) As used in this section, the term: 306 (b) “Health care provider” means a health care provider 307 licensed under chapter 458, chapter 459, chapter 460, chapter 308 461, chapter 464,orchapter 466, chapter 490, or chapter 491, 309 or a health care group practice, who provides health care 310 services to patients. 311 Section 6. Section 627.446, Florida Statutes, is created to 312 read: 313 627.446 Advanced explanation of benefits.— 314 (1) As used in this section, the term “health insurer” 315 means an authorized insurer issuing individual or group coverage 316 under this chapter or a health maintenance organization issuing 317 coverage through an individual or a group contract under chapter 318 641. 319 (2) Each health insurer shall prepare an advanced 320 explanation of benefits upon receiving a patient estimate from a 321 facility pursuant to s. 395.301(1). The health insurer must 322 provide the advanced explanation of benefits to the insured no 323 later than 1 business day after receiving the patient estimate 324 from the facility or, in the case of a service scheduled at 325 least 10 business days in advance, no later than 3 business days 326 after receiving such estimate. 327 (3) At a minimum, the advanced explanation of benefits must 328 include detailed coverage and cost-sharing information pursuant 329 to 42 U.S.C. s. 300gg-111 (2020) and the regulations and 330 guidance adopted thereunder. 331 Section 7. Section 627.447, Florida Statutes, is created to 332 read: 333 627.447 Disclosure of discounted cash prices.—A health 334 insurer may not prohibit a provider from disclosing to an 335 insured the option to pay the provider’s discounted cash price 336 for health care services. For purposes of this section, the term 337 “discounted cash price” has the following meanings: 338 (1) With respect to a hospital facility, the term has the 339 same meaning as provided in 45 C.F.R. s. 180.20. The term does 340 not include the amount charged to an individual pursuant to a 341 facility’s financial assistance policy. 342 (2) With respect to a provider that is not a hospital, the 343 term means the charge that is applied to an individual who paid 344 for a health care service without filing an insurance claim. 345 Section 8. Paragraphs (b) and (c) of subsection (2), 346 subsection (3), and paragraph (a) of subsection (4) of section 347 627.6387, Florida Statutes, are amended to read: 348 627.6387 Shared savings incentive program.— 349 (2) As used in this section, the term: 350 (b) “Health insurer” means an authorized insurer offering 351 health insurance as defined in s. 627.446s. 624.603. 352 (c) “Shared savings incentive” means a voluntary and 353 optional financial incentive that a health insurer providesmay354provideto an insured for choosing certain shoppable health care 355 services under a shared savings incentive program, whichandmay 356 include, but is not limited to, the incentives described in s. 357 626.9541(4)(a). 358 (3) A health insurer mustmayoffer a shared savings 359 incentive program to provide incentives to an insured when the 360 insured obtains a shoppable health care service from the health 361 insurer’s shared savings list. An insured may not be required to 362 participate in a shared savings incentive program. A health 363 insurerthat offers a shared savings incentive programmust: 364 (a) Establish the program as a component part of the policy 365 or certificate of insurance provided by the health insurer and 366 notify the insureds and the office at least 30 days before 367 program termination. 368 (b) File a description of the program on a form prescribed 369 by commission rule. The office must review the filing and 370 determine whether the shared savings incentive program complies 371 with this section. 372 (c) Notify an insured annually and at the time of renewal, 373 and an applicant for insurance at the time of enrollment, of the 374 availability of the shared savings incentive program and the 375 procedure to participate in the program and that participation 376 by the insured is voluntary and optional. 377 (d) Publish on a web page easily accessible to insureds and 378 to applicants for insurance a list of shoppable health care 379 services and health care providers and the shared savings 380 incentive amount applicable for each service. A shared savings 381 incentive may not be less than 25 percent of the savings 382 generated by the insured’s participation in any shared savings 383 incentive offered by the health insurer. The baseline for the 384 savings calculation is the average in-network amount paid for 385 that service in the most recent 12-month period or some other 386 methodology established by the health insurer and approved by 387 the office. 388 (e) At least quarterly, credit or deposit the shared 389 savings incentive amount to the insured’s account as a return or 390 reduction in premium, or credit the shared savings incentive 391 amount to the insured’s flexible spending account, health 392 savings account, or health reimbursement account, or reward the 393 insured directly with cash or a cash equivalent. 394 (f) Submit an annual report to the office within 90 395 business days after the close of each plan year. At a minimum, 396 the report must include the following information: 397 1. The number of insureds who participated in the program 398 during the plan year and the number of instances of 399 participation. 400 2. The total cost of services provided as a part of the 401 program. 402 3. The total value of the shared savings incentive payments 403 made to insureds participating in the program and the values 404 distributed as premium reductions, credits to flexible spending 405 accounts, credits to health savings accounts, or credits to 406 health reimbursement accounts. 407 4. An inventory of the shoppable health care services 408 offered by the health insurer. 409 (4)(a) A shared savings incentive offered by a health 410 insurer in accordance with this section: 411 1. Is not an administrative expense for rate development or 412 rate filing purposes and shall be counted as a medical expense 413 for such purposes. 414 2. Does not constitute an unfair method of competition or 415 an unfair or deceptive act or practice under s. 626.9541 and is 416 presumed to be appropriate unless credible data clearly 417 demonstrates otherwise. 418 Section 9. Paragraph (a) of subsection (4) of section 419 627.6648, Florida Statutes, is amended to read: 420 627.6648 Shared savings incentive program.— 421 (4)(a) A shared savings incentive offered by a health 422 insurer in accordance with this section: 423 1. Is not an administrative expense for rate development or 424 rate filing purposes and shall be counted as a medical expense 425 for such purposes. 426 2. Does not constitute an unfair method of competition or 427 an unfair or deceptive act or practice under s. 626.9541 and is 428 presumed to be appropriate unless credible data clearly 429 demonstrates otherwise. 430 Section 10. Paragraph (a) of subsection (4) of section 431 641.31076, Florida Statutes, is amended to read: 432 641.31076 Shared savings incentive program.— 433 (4) A shared savings incentive offered by a health 434 maintenance organization in accordance with this section: 435 (a) Is not an administrative expense for rate development 436 or rate filing purposes and shall be counted as a medical 437 expense for such purposes. 438 Section 11. Paragraphs (a) and (j) of subsection (1) of 439 section 475.01, Florida Statutes, are amended to read: 440 475.01 Definitions.— 441 (1) As used in this part: 442 (a) “Broker” means a person who, for another, and for a 443 compensation or valuable consideration directly or indirectly 444 paid or promised, expressly or impliedly, or with an intent to 445 collect or receive a compensation or valuable consideration 446 therefor, appraises, auctions, sells, exchanges, buys, rents, or 447 offers, attempts or agrees to appraise, auction, or negotiate 448 the sale, exchange, purchase, or rental of business enterprises 449 or business opportunities or any real property or any interest 450 in or concerning the same, including mineral rights or leases, 451 or who advertises or holds out to the public by any oral or 452 printed solicitation or representation that she or he is engaged 453 in the business of appraising, auctioning, buying, selling, 454 exchanging, leasing, or renting business enterprises or business 455 opportunities or real property of others or interests therein, 456 including mineral rights, or who takes any part in the procuring 457 of sellers, purchasers, lessors, or lessees of business 458 enterprises or business opportunities or the real property of 459 another, or leases, or interest therein, including mineral 460 rights, or who directs or assists in the procuring of prospects 461 or in the negotiation or closing of any transaction which does, 462 or is calculated to, result in a sale, exchange, or leasing 463 thereof, and who receives, expects, or is promised any 464 compensation or valuable consideration, directly or indirectly 465 therefor; and all persons who advertise rental property 466 information or lists. A broker renders a professional service 467 and is a professional within the meaning of s. 95.11(5)(b)s.46895.11(4)(b). Where the term “appraise” or “appraising” appears 469 in the definition of the term “broker,” it specifically excludes 470 those appraisal services which must be performed only by a 471 state-licensed or state-certified appraiser, and those appraisal 472 services which may be performed by a registered trainee 473 appraiser as defined in part II. The term “broker” also includes 474 any person who is a general partner, officer, or director of a 475 partnership or corporation which acts as a broker. The term 476 “broker” also includes any person or entity who undertakes to 477 list or sell one or more timeshare periods per year in one or 478 more timeshare plans on behalf of any number of persons, except 479 as provided in ss. 475.011 and 721.20. 480 (j) “Sales associate” means a person who performs any act 481 specified in the definition of “broker,” but who performs such 482 act under the direction, control, or management of another 483 person. A sales associate renders a professional service and is 484 a professional within the meaning of s. 95.11(5)(b)s.48595.11(4)(b). 486 Section 12. Paragraph (h) of subsection (1) of section 487 475.611, Florida Statutes, is amended to read: 488 475.611 Definitions.— 489 (1) As used in this part, the term: 490 (h) “Appraiser” means any person who is a registered 491 trainee real estate appraiser, a licensed real estate appraiser, 492 or a certified real estate appraiser. An appraiser renders a 493 professional service and is a professional within the meaning of 494 s. 95.11(5)(b)s. 95.11(4)(b). 495 Section 13. Subsection (7) of section 517.191, Florida 496 Statutes, is amended to read: 497 517.191 Injunction to restrain violations; civil penalties; 498 enforcement by Attorney General.— 499 (7) Notwithstanding s. 95.11(5)(f)s. 95.11(4)(f), an 500 enforcement action brought under this section based on a 501 violation of any provision of this chapter or any rule or order 502 issued under this chapter shall be brought within 6 years after 503 the facts giving rise to the cause of action were discovered or 504 should have been discovered with the exercise of due diligence, 505 but not more than 8 years after the date such violation 506 occurred. 507 Section 14. Subsection (14) of section 768.28, Florida 508 Statutes, is amended to read: 509 768.28 Waiver of sovereign immunity in tort actions; 510 recovery limits; civil liability for damages caused during a 511 riot; limitation on attorney fees; statute of limitations; 512 exclusions; indemnification; risk management programs.— 513 (14) Every claim against the state or one of its agencies 514 or subdivisions for damages for a negligent or wrongful act or 515 omission pursuant to this section shall be forever barred unless 516 the civil action is commenced by filing a complaint in the court 517 of appropriate jurisdiction within 4 years after such claim 518 accrues; except that an action for contribution must be 519 commenced within the limitations provided in s. 768.31(4), and 520 an action for damages arising from medical malpractice or 521 wrongful death must be commenced within the limitations for such 522 actions in s. 95.11(5)s. 95.11(4). 523 Section 15. Subsection (4) of section 787.061, Florida 524 Statutes, is amended to read: 525 787.061 Civil actions by victims of human trafficking.— 526 (4) STATUTE OF LIMITATIONS.—The statute of limitations as 527 specified in s. 95.11(8) or (10)s. 95.11(7) or (9), as 528 applicable, governs an action brought under this section. 529 Section 16. The changes made by this act to ss. 395.301 and 530 627.446, Florida Statutes, do not apply to ambulatory surgical 531 centers as defined in s. 395.002, Florida Statutes, until 532 January 1, 2026. 533 Section 17. This act shall take effect October 1, 2024.