Florida Statute 641.515 | Lawyer Caselaw & Research

The 2024 Florida Statutes

Title XXXVII
INSURANCE

Chapter 641
HEALTH CARE SERVICE PROGRAMS

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F.S. 641.515

641.515 Investigation by the agency.—

(1) The agency shall investigate further any quality of care issue contained in recommendations and reports submitted pursuant to s. 641.511. The agency shall also investigate further any information that indicates that the organization does not meet accreditation standards or the standards of the review organization performing the external quality assurance assessment pursuant to reports submitted under s. 641.512. Every organization shall submit its books and records and take other appropriate action as may be necessary to facilitate an examination. The agency shall have access to the organization’s medical records of individuals and records of employed and contracted physicians, with the consent of the subscriber or by court order, as necessary to administer this part.

(2) The reports and the records prepared or obtained under this section or s. 641.512 by the agency or by an outside source may be used by the agency in enforcing the requirements of this part and in disciplinary proceedings. Except as otherwise provided in this section, any patient-identifying information contained in these records and reports is confidential and exempt from s. 119.07(1).

(3) If the agency, through its examination or through any investigation, has a reasonable belief that conduct by a staff member or any other employee of an organization may constitute grounds for disciplinary action by the appropriate regulatory board, the agency shall report this fact to such regulatory board.

(4) The agency shall promulgate rules imposing upon physicians and hospitals performing services for a health maintenance organization standards of care generally applicable to physicians and hospitals.

History.—ss. 21, 27, ch. 87-236; ss. 187, 188, ch. 91-108; ss. 88, 91, ch. 91-282; s. 4, ch. 91-429; s. 1, ch. 93-85; s. 34, ch. 96-199; s. 399, ch. 96-406; s. 60, ch. 99-3; s. 116, ch. 2018-24.

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Amendments to 641.515

Arrestable Offenses / Crimes under Fla. Stat. 641.515

Level: Degree
Misdemeanor/Felony: First/Second/Third

Current data shows no reason an arrest or criminal charge should have occurred directly under Florida Statute 641.515.

Annotations, Discussions, Cases:

Cases Citing Statute 641.515

Total Results: 3

State, Agency for Health Care Administration v. PCA Family Health Plan, Inc.

Court: Fla. Dist. Ct. App. | Date Filed: 1996-09-11T00:00:00-07:00

Citation: 695 So. 2d 737, 1996 Fla. App. LEXIS 10318, 1996 WL 511529

Snippet: circuit court, we are asked to interpret section 641.515(2), Florida Statutes (1993), to determine the meaning…whether the confidentiality exemption of section 641.515(2) extends to the investigation of a Medicaid provider…the exclusion of other such information. Section 641.515(2) reads: The reports and records prepared or obtained…extended the confidentiality exemption of section 641.515(2) to the investigation of an HMO according to

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Court: Fla. Att'y Gen. | Date Filed: 1995-02-05T23:53:00-08:00

Snippet: Section 395.0193(7), Fla. Stat. (1993). Cf., s. 641.515, Fla. Stat. (1993), and s. 641.55, Fla. Stat. (

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Court: Fla. Att'y Gen. | Date Filed: 1994-12-13T23:53:00-08:00

Snippet: order for them to do business in Florida.2 Section 641.515(1) and (2), Florida Statutes, provides: (1) The…broad, it is necessary in interpreting section 641.515(2), Florida Statutes, to consider the intent and… health care provided to subscribers.3 Section 641.515, Florida Statutes, seeks to accomplish this purpose…an exemption to the Public Records Law, section 641.515(2), Florida Statutes, should be narrowly construed…limitation on the exemption prescribed in section 641.515(2), Florida Statutes.7 In the absence of any such