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GA SB20

GA SB20
"Surprise Billing Consumer Protection Act"; ensure consumer access to quality healthcare by setting adequacy standards for network plans offered by an insurer


summary

Introduced
01/25/2023
In Committee
03/15/2023
Crossed Over
03/06/2023
Passed
04/05/2023
Dead
Signed/Enacted/Adopted
05/02/2023

Introduced Session

2023-2024 Regular Session

Bill Summary

AN ACT To amend Chapter 20E of Title 33 of the Official Code of Georgia Annotated, the "Surprise Billing Consumer Protection Act," so as to ensure consumer access to quality healthcare by setting adequacy standards for network plans offered by an insurer; to provide for an exemption; to provide for standards for network plans; to prohibit an insurer from denying preauthorization for healthcare services to be performed by a participating provider solely because the referral was made by a nonparticipating provider; to provide for telehealth services; to provide for monitoring and reports; to authorize the Commissioner to ensure compliance through multiple means; to provide for rules, regulations, and penalties; to provide for a short title; to provide for related matters; to provide for an effective date and applicability; to repeal conflicting laws; and for other purposes.

AI Summary

This bill, known as the "Consumer Access to Contracted Healthcare (CATCH) Act," aims to ensure consumer access to quality healthcare by setting adequacy standards for network plans offered by insurers. It amends the "Surprise Billing Consumer Protection Act" in Georgia to require insurers to maintain a network of participating providers that can meet the full scope of benefits and services covered under the plan. The bill also prohibits insurers from denying preauthorization for healthcare services solely because the referral was made by a non-participating provider, and it sets requirements for the coverage of telehealth services. The Commissioner is authorized to monitor compliance, impose penalties, and take other actions to ensure insurers meet the network adequacy standards.

Committee Categories

Business and Industry

Sponsors (19)

Last Action

Effective Date 2024-01-01 (on 05/02/2023)

Taxonomy

Banking, Finance, and Domestic Commerce
  • ‐ Insurance Regulation
Health
  • ‐ Health Insurance Reform
  • ‐ Mental Illness, Mental Retardation, and Deinstitutionalization

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