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GA HB1354
GA HB1354Surprise Billing Consumer Protection Act; require certain health insurers providing a network plan to approve credentialing applications within a certain time frame
summary
Introduced
02/18/2026
02/18/2026
In Committee
02/25/2026
02/25/2026
Crossed Over
Passed
Dead
Introduced Session
2025-2026 Regular Session
Bill Summary
AN ACT To amend Chapter 24 of Title 33 of the Official Code of Georgia Annotated, relating to insurance generally, so as to require health insurers to implement a standardized credentialing application; to provide for health insurers to approve credentialing applications within a certain time frame; to provide for the Department of Insurance and the Department of Community Health to coordinate with stakeholders to establish a standardized credentialing application; to provide for health insurers to utilize such application; to provide for rules and regulations; to provide for related matters; to provide for an effective date; to repeal conflicting laws; and for other purposes.
AI Summary
This bill requires health insurers in Georgia to streamline their process for approving healthcare providers, a process known as "credentialing," which involves verifying a provider's qualifications, licenses, and training. Specifically, insurers must approve a complete credentialing application, meaning all necessary documents have been submitted, within 45 days. To achieve this, the Department of Insurance and the Department of Community Health will work with stakeholders to create a standardized application form, potentially by using data from the state's Medicaid program. By July 1, 2027, all health insurers must use this standardized application, and the Department of Insurance will establish the necessary rules and regulations by January 1, 2027, with the entire act taking effect on July 1, 2026.
Committee Categories
Budget and Finance
Sponsors (3)
Last Action
House Committee Favorably Reported By Substitute (on 02/25/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.legis.ga.gov/legislation/73329 |
| BillText | https://www.legis.ga.gov/api/legislation/document/20252026/243966 |
| BillText | https://www.legis.ga.gov/api/legislation/document/20252026/243002 |
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