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GA SB359

GA SB359
'Surprise Billing Consumer Protection Act'; certain consumer protections against surprise billing; provide


summary

Introduced
02/04/2020
In Committee
06/26/2020
Crossed Over
02/24/2020
Passed
06/29/2020
Dead
Signed/Enacted/Adopted
08/05/2020

Introduced Session

2019-2020 Regular Session

Bill Summary

A BILL to be entitled an Act to amend Title 33 of the Official Code of Georgia Annotated, relating to insurance, so as to provide for certain consumer protections against surprise billing; to provide mechanisms to resolve payment disputes between insurers and out-of-network providers regarding the provision of healthcare services; to require the department to provide for the maintenance of an all-payer health claims data base; to provide for in-network cost-sharing amounts in healthcare plan contracts; to establish an arbitration process; to require the Commissioner of Insurance to contract with one or more resolution organizations; to require the promulgation of department rules; to provide for an effective date; to repeal conflicting laws; and for other purposes.

AI Summary

This bill, the "Surprise Billing Consumer Protection Act," aims to provide certain consumer protections against surprise billing in Georgia. It establishes mechanisms to resolve payment disputes between insurers and out-of-network providers, requires the maintenance of an all-payer health claims database, sets in-network cost-sharing amounts in healthcare plan contracts, and establishes an arbitration process. The bill also requires the Commissioner of Insurance to contract with one or more resolution organizations and directs the department to promulgate necessary rules. The bill seeks to address issues related to surprise medical billing, particularly during the COVID-19 pandemic, and provide a framework for resolving disputes between insurers and healthcare providers.

Committee Categories

Health and Social Services

Sponsors (7)

Last Action

Effective Date (on 08/05/2020)

bill text


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