Florida Birth-Related Neurological Injury Compensation Association

Authorized the transfer of up to $20 million from the Insurance Regulatory Trust Fund to the compensation plan if it lacks adequate cash flow for the upcoming fiscal year.

Revised the rules for increasing assessments on casualty insurers if the plan is not likely to return to actuarial soundness, including a 5-year limit on such assessments.

Required the Office of Insurance Regulation to review the plan's financial condition within 60 days if the plan notifies them that it is not actuarially sound.

Extended the exception allowing the plan to accept new claims despite funding limits from the 2025-2026 fiscal year to expire on July 1, 2026, instead of July 1, 2027.

Added a requirement for the plan to assess its short-term cash flow and notify the Office of Insurance Regulation if it is not actuarially sound.

Updated the deadline for family members of participants enrolled on June 30, 2026, to obtain required health insurance coverage by January 1, 2027.

Updated the bill version from Committee Substitute 1 to Committee Substitute 2 and changed the originating committee from Appropriations to Rules.

Added a new definition for 'actuarially sound,' requiring plan assets to cover at least 90% of estimated liabilities to ensure financial stability.

Added a specific clause stating that the board of directors may propose new or expanded benefits in their annual reports, even if the plan is currently operating at a financial deficit.

Adjusted the effective date language to apply upon the bill becoming law rather than a fixed future date.

Changed the agency responsible for recovering Medicaid costs from the association to the Agency for Health Care Administration.

Added a new benefit allowing the plan to reimburse participants for medically necessary care received on or before June 30, 2026, if they did not have health coverage at that time.

Added a death benefit of $50,000 for participants who die, with retroactive payments for families of children who died prior to the program's inception.

Added a prohibition preventing the board of directors from creating or expanding benefits if the plan is operating at an annual cash flow deficit.

Added a specific definition for 'Office' as the Office of Insurance Regulation and renumbered other definitions for consistency.

Updated reporting requirements to include a list of expenditures for attorney and lobbying fees, with personal identifying information redacted.

Extended the deadline for the association to submit revised quarterly claim estimates to 15 business days after the end of each quarter.

Extended the expiration date for the special provision allowing new claims despite fund limits from July 1, 2026, to July 1, 2027.