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Bill > HB789


GA HB789

GA HB789
Insurance; creation of a surprise bill rating system based upon the number of certain physician specialty groups contracted with a hospital within a health insurer's network; provide


summary

Introduced
01/16/2020
In Committee
06/18/2020
Crossed Over
03/03/2020
Passed
06/29/2020
Dead
Signed/Enacted/Adopted
07/16/2020

Introduced Session

2019-2020 Regular Session

Bill Summary

A BILL to be entitled an Act to amend Chapter 20C of Title 33 of the Official Code of Georgia Annotated, relating to accurate provider directories, so as to provide for the creation of a surprise bill rating system based upon the number of certain physician specialty groups contracted with a hospital within a health insurer's network; to provide for definitions; to provide for a requirement that insurers include hospital surprise bill ratings online and in print provider directories; to provide for a requirement that each insurer that advertises any hospital as in-network shall disclose such hospital's surprise bill rating within such advertisement; to provide for related matters; to repeal conflicting laws; and for other purposes.

AI Summary

This bill, titled the "Surprise Bill Transparency Act," proposes to create a surprise bill rating system for hospitals based on the number of certain physician specialty groups contracted with a health insurer's network. The bill requires insurers to include the hospital's surprise bill rating in online and print provider directories, as well as in any advertisements for in-network hospitals. If a hospital's rating is less than four checkmarks, insurers must disclose which specialty groups are not contracted. The Insurance Commissioner can also require insurers to provide explanatory footnotes for surprise bill ratings in certain circumstances. The bill aims to provide more transparency to consumers about potential surprise medical bills when seeking in-network healthcare services.

Committee Categories

Health and Social Services

Sponsors (7)

Last Action

Effective Date (on 11/01/2020)

bill text


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