New Florida PIP Legislation and What it Means for Auto-Accident Victims
As Florida drivers, we are all familiar with Florida law requiring Personal Injury Protection, or PIP insurance, which provides up to $10,000.00 in medical coverage following an accident. On Friday March 9, 2012, the Florida Legislature made big changes that will take effect January 1, 2013. The new changes make it imperative that accident victims seek medical diagnosis and treatment immediately following the accident.
According to the new provisions, to access any of the available PIP coverage, the victim must seek initial services from a physician, dentist, chiropractic physician, or services wholly owned by a hospital or services that provide emergency transportation and treatment within fourteen days of the accident. This initial treatment and any subsequent referrals these healthcare provides make will allow the victim to access $2,500.00 in PIP coverage.
To access the full $10,000.00, the victim must be declared to be in an "emergency medical condition". The declaration must come from a physician, dentist, physician's assistant, advanced registered nurse practitioner. If the victim is declared not to suffer from emergency medical condition, coverage is capped at $2,500.00. An important limitation of which accident victims must be aware is that a chiropractor cannot make the diagnosis that a victim suffers from an emergency medical condition.
So what exactly is an emergency medical condition? The legislation defines it as "acute symptoms of sufficient severity, which may include severe pain, such that the absence of immediate medical attention could reasonably be expected to result in any the following:
- Serious jeopardy to patient health
- Serious impairment to bodily functions
- Serious dysfunction of any bodily organ part".
This poses new concerns for victims of accidents. Soft tissue damage, which is common in auto accidents, will not be considered an emergency medical condition. Treatment for soft tissue damage can easily run in excess of $2,500.00. Furthermore, many injuries sustained by accident victims will not appear within fourteen days. PIP benefits will extend at all to massage therapy or acupuncture regardless of whether or not an emergency medical condition is involved or who made the diagnosis or referral. Finally, policy holders need to be aware that PIP insurance premiums will not go down as a result of the new legislation and possible coverage caps for victims declared not to be in an emergency medical condition.
The new legislation presents new obstacles to obtaining medical coverage for auto-accident victims. This means that accident victims must remain acutely aware of any changes in their body following an accident and promptly seek medical attention and diagnosis within fourteen days, to avoid the risk of not obtaining any medical coverage from PIP.
To view the Bill, please visit
The Florida Senate page on the bill
