The Florida House Economic Affairs Committee has advancedlegislation to reform the state's no-fault Personal InjuryProtection (PIP) program.

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The bill, HB 119, now heads tothe floor of the Florida House with less than two weeks left in thestate-legislative session. According to the Florida InsuranceCouncil, the bill needs to be merged with a Senate package, SB1860, which comes before the Senate Budget Committee next week.

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The House bill replaces the mandatory PIP no-fault insurancecoverage with “emergency care coverage.”

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HB 119, among many things, would change the way accident reportsare taken; provide coverage limits; establish a schedule of maximumcharges; create a list of diagnostic tests deemed not to bemedically necessary; and control attorneys' fees.

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To be eligible for medical-care coverage benefits, victims ofaccidents must seek treatment within 72 hours of the accident.

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Put the Brakes on Accident Fraud, a coalition ofFlorida consumers, business leaders, law-enforcement officials andothers says the measure is “a step in the right direction forcracking down on PIP fraud in Florida.”

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For years the insurance industry has allegedfraud by the state's health-care clinics, adding that organizedstaged-accident rings take advantage of holes in the system.

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Gov. Rick Scott and state Chief Financial Officer Jeff Atwaterhave outlined foursteps to reform the no-fault law (enacted in the early 1970s),which requires drivers to have PIP that provides $10,000 incoverage per person for medical bills, regardless of fault in anaccident.

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Up to $10,000 of medical benefits remain available to peoplediagnosed with an emergency medical condition—but HB 119 limitsreimbursement for non-emergency injuries.

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Medical benefits of $1,500 are available to those who go to theemergency room and do not have a diagnosed emergency medicalcondition or to those who go to another medical doctor—such as adentist, physician assistant, osteopathic physician or advancedregistered nurse practitioner—in a timely manner.

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