---
type: "Bill"
title: "Freestanding Emergency Departments"
description: "Freestanding Emergency Departments; Prohibits hospital-based off-campus emergency department from holding itself out to public as urgent care center; requires such departments to post signs containing specified statements; provides requirements for advertisement of such departments; requires AHCA & health insurers to post & annually update certain information on their websites."
jurisdiction: "us/states/fl"
legislature: "Florida Legislature"
session: "2021"
identifier: "HB 1157"
citation: "Florida HB 1157 (2021)"
classification: ["bill"]
subjects: ["civil rights", "judicial branch"]
status: "enacted"
chapter_law: "2021-112"
primary_sponsors: []
version_count: 4
action_count: 44
vote_count: 5
first_action: "2021-02-19"
last_action: "2021-06-17"
source: "openstates"
source_identifier: "ocd-bill/5dcd67c5-fa79-495e-a502-29ea4a3cac8f"
source_url: "https://flsenate.gov/Session/Bill/2021/1157/ByCategory"
source_hash: "1b91cf5511af7495dde883d2153bc06afd1aed8aa1a5f986bddfe2b36f28a0a2"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-fl"]
---

# Florida HB 1157 (2021) — Freestanding Emergency Departments

Freestanding Emergency Departments; Prohibits hospital-based off-campus emergency department from holding itself out to public as urgent care center; requires such departments to post signs containing specified statements; provides requirements for advertisement of such departments; requires AHCA & health insurers to post & annually update certain information on their websites.

**Enacted** — Laws of Florida, Chapter 2021-112.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **H 1157 Filed** (filed) — [source](https://flsenate.gov/Session/Bill/2021/1157/BillText/Filed/PDF)
2. **H 1157 c1** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2021/1157/BillText/c1/PDF)
3. **H 1157 e1** (engrossed) — [source](https://flsenate.gov/Session/Bill/2021/1157/BillText/e1/PDF)
4. **H 1157 er** (enrolled) — [source](https://flsenate.gov/Session/Bill/2021/1157/BillText/er/PDF)

## Votes

- Passage, Third Reading — **118–0** (pass) · lower
- Third Reading — **39–1** (pass) · upper
- Favorable (Health Care Appropriations Subcommittee) — **14–0** (pass) · lower
- Favorable With Committee Substitute (Health & Human Services Committee) — **20–0** (pass) · lower
- Favorable (Finance & Facilities Subcommittee) — **15–0** (pass) · lower

## Sponsors

- Health and Human Services Committee — primary (organization)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-19** Filed `filing`
- **2021-02-28** Referred to Finance & Facilities Subcommittee `referral-committee`
- **2021-02-28** Referred to Health Care Appropriations Subcommittee `referral-committee`
- **2021-02-28** Referred to Health & Human Services Committee `referral-committee`
- **2021-02-28** Now in Finance & Facilities Subcommittee
- **2021-03-02** 1st Reading (Original Filed Version)
- **2021-03-04** Added to Finance & Facilities Subcommittee agenda
- **2021-03-08** Favorable by Finance & Facilities Subcommittee `committee-passage-favorable`
- **2021-03-08** Reported out of Finance & Facilities Subcommittee
- **2021-03-08** Now in Health Care Appropriations Subcommittee
- **2021-03-16** Added to Health Care Appropriations Subcommittee agenda
- **2021-03-18** Favorable by Health Care Appropriations Subcommittee `committee-passage-favorable`
- **2021-03-18** Reported out of Health Care Appropriations Subcommittee
- **2021-03-18** Now in Health & Human Services Committee
- **2021-04-02** Added to Health & Human Services Committee agenda
- **2021-04-06** Favorable with CS by Health & Human Services Committee
- **2021-04-07** Reported out of Health & Human Services Committee
- **2021-04-07** Laid on Table under Rule 7.18(a)
- **2021-04-07** CS Filed
- **2021-04-07** 1st Reading (Committee Substitute 1)
- **2021-04-08** Bill referred to House Calendar
- **2021-04-08** Added to Second Reading Calendar
- **2021-04-08** Bill added to Special Order Calendar (4/15/2021)
- **2021-04-09** Amendment 335929 filed
- **2021-04-15** Read 2nd time `reading-2`
- **2021-04-15** Amendment 335929 adopted
- **2021-04-15** Read 3rd time `reading-3`
- **2021-04-15** CS passed as amended; YEAS 118, NAYS 0 `passage`
- **2021-04-15** Immediately certified
- **2021-04-15** Message sent to senate
- **2021-04-15** In Messages
- **2021-04-19** Referred to Appropriations `referral-committee`
- **2021-04-20** Received
- **2021-04-26** Withdrawn from Appropriations `withdrawal`
- **2021-04-26** Placed on Calendar, on 2nd reading
- **2021-04-26** Substituted for CS/SB 1976
- **2021-04-26** Read 2nd time `reading-2`
- **2021-04-26** Read 3rd time `reading-3`
- **2021-04-26** CS passed; YEAS 39 NAYS 1 `passage`
- **2021-04-26** In Messages
- **2021-04-26** Ordered enrolled
- **2021-06-14** Signed by Officers and presented to Governor
- **2021-06-16** Approved by Governor `executive-signature`
- **2021-06-17** Chapter No. 2021-112

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5dcd67c5-fa79-495e-a502-29ea4a3cac8f`. Confidence: reported (aggregated from official Florida legislature records).