8 | 7 | | A BILL TO BE ENTITLED |
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9 | 8 | | AN ACT |
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10 | 9 | | To amend Part 8 of Article 8 of Chapter 14 of Title 44 of the Official Code of Georgia |
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11 | 10 | | 1 |
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12 | 11 | | Annotated, relating to liens of hospitals and nursing homes, so as to allow a chiropractic2 |
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13 | 12 | | practice to have a lien on a cause of action accruing to an injured person for the costs of care3 |
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14 | 13 | | and treatment of injuries arising out of the cause of action; to require the filing of a claim4 |
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15 | 14 | | with any health insurer providing coverage to an injured person; to revise definitions; to5 |
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16 | 15 | | provide for related matters; to repeal conflicting laws; and for other purposes.6 |
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17 | 16 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:7 |
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18 | 17 | | SECTION 1.8 |
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19 | 18 | | Part 8 of Article 8 of Chapter 14 of Title 44 of the Official Code of Georgia Annotated,9 |
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20 | 19 | | relating to liens of hospitals and nursing homes, is amended by revising said part as follows:10 |
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21 | 20 | | "Part 811 |
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22 | 21 | | 44-14-470.12 |
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23 | 22 | | (a) Except where the context otherwise requires in subsection (b) of this Code section, as13 |
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25 | 24 | | S. B. 168 |
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26 | 25 | | - 2 - |
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27 | 26 | | (1) 'Chiropractic practice' means any chiropractic practice that includes one or more15 |
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28 | 27 | | chiropractors licensed to practice chiropractic in this state.16 |
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29 | 28 | | (1)(2) 'Hospital' means any hospital or nursing home subject to regulation and licensure17 |
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30 | 29 | | by the Department of Community Health.18 |
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31 | 30 | | (2)(3) 'Hospital care, treatment, or services' means care, treatment, or services furnished19 |
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32 | 31 | | by a hospital or nursing home.20 |
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33 | 32 | | (3)(4) 'Nursing home' means any intermediate care home, skilled nursing home, or21 |
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34 | 33 | | intermingled home.22 |
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35 | 34 | | (4)(5) 'Physician practice' means any medical practice that includes one or more23 |
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36 | 35 | | physicians licensed to practice medicine in this state.24 |
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37 | 36 | | (5)(6) 'Traumatic burn care medical practice' means care, treatment, or services rendered25 |
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38 | 37 | | by a medical practice with respect to a patient whose burn care, treatment, or services26 |
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39 | 38 | | resulted in charges in excess of $50,000.00, arising out of a single accident or occurrence.27 |
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40 | 39 | | (b) Any person, firm, hospital authority, or corporation operating a hospital, nursing home,28 |
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41 | 40 | | or physician practice, or chiropractic practice, or providing traumatic burn care medical29 |
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42 | 41 | | practice in this state shall have a lien for the reasonable charges for hospital, nursing home,30 |
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43 | 42 | | physician practice, chiropractic practice, or traumatic burn care medical practice care and31 |
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44 | 43 | | treatment of an injured person, which lien shall be upon any and all causes of action32 |
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45 | 44 | | accruing to the person to whom the care was furnished or to the legal representative of such33 |
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46 | 45 | | person on account of injuries giving rise to the causes of action and which necessitated the34 |
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47 | 46 | | hospital, nursing home, physician practice, chiropractic practice, or provider of traumatic35 |
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48 | 47 | | burn care medical practice care, subject, however, to any attorney's lien and in the case of36 |
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49 | 48 | | any chiropractic lien, said lien shall also be subject to any hospital lien. The lien provided37 |
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50 | 49 | | for in this subsection is only a lien against such causes of action and shall not be a lien38 |
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51 | 50 | | against such injured person, such legal representative, or any other property or assets of39 |
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53 | 52 | | S. B. 168 |
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54 | 53 | | - 3 - |
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55 | 54 | | subsection shall not be construed to interfere with the exemption from this part provided |
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56 | 55 | | 41 |
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57 | 56 | | by Code Section 44-14-474.42 |
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58 | 57 | | 44-14-471.43 |
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59 | 58 | | (a) In order to perfect the lien provided for in Code Section 44-14-470, the operator of the44 |
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60 | 59 | | hospital, nursing home, physician practice, chiropractic practice, |
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61 | 60 | | or provider of traumatic45 |
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62 | 61 | | burn care medical practice:46 |
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63 | 62 | | (1) Shall, not less than 15 days prior to the date of filing the statement required under47 |
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64 | 63 | | paragraph (2) of this subsection, provide written notice to the patient and, to the best of48 |
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65 | 64 | | the claimant's knowledge, the persons, firms, corporations, and their insurers claimed by49 |
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66 | 65 | | the injured person or the legal representative of the injured person to be liable for50 |
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67 | 66 | | damages arising from the injuries and shall include in such notice a statement that the lien51 |
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68 | 67 | | is not a lien against the patient or any other property or assets of the patient and is not52 |
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69 | 68 | | evidence of the patient's failure to pay a debt. Such notice shall be sent to all such53 |
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70 | 69 | | persons and entities by first-class and certified mail or statutory overnight delivery, return54 |
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71 | 70 | | receipt requested; and55 |
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72 | 71 | | (2) Shall file in the office of the clerk of the superior court of the county in which the56 |
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73 | 72 | | hospital, nursing home, physician practice, chiropractic practice, or provider of traumatic57 |
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74 | 73 | | burn care medical practice is located and in the county wherein the patient resides, if a58 |
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75 | 74 | | resident of this state, a verified statement setting forth the name and address of the patient59 |
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76 | 75 | | as it appears on the records of the hospital, nursing home, physician practice, chiropractic60 |
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77 | 76 | | practice, or provider of traumatic burn care medical practice; the name and location of61 |
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78 | 77 | | the hospital, nursing home, physician practice, chiropractic practice, or provider of62 |
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79 | 78 | | traumatic burn care medical practice and the name and address of the operator thereof;63 |
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80 | 79 | | the dates of admission and discharge of the patient therefrom or with respect to a64 |
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81 | 80 | | physician practice or chiropractic practice, the dates of treatment; and the amount claimed65 |
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83 | 82 | | S. B. 168 |
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84 | 83 | | - 4 - |
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85 | 84 | | provider of traumatic burn care medical practice care, which statement must be filed |
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86 | 85 | | 67 |
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87 | 86 | | within the following time period:68 |
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88 | 87 | | (A) If the statement is filed by a hospital, nursing home, or provider of traumatic burn69 |
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89 | 88 | | care medical practice, then the statement shall be filed within 75 days after the person70 |
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90 | 89 | | has been discharged from the facility; or71 |
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91 | 90 | | (B) If the statement is filed by a physician practice or chiropractic practice |
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92 | 91 | | , then the72 |
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93 | 92 | | statement shall be filed within 90 days after the person first sought treatment from the73 |
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94 | 93 | | physician practice or chiropractic practice for the injury.74 |
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95 | 94 | | (b) The filing of the claim or lien shall be notice thereof to all persons, firms, or75 |
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96 | 95 | | corporations liable for the damages, whether or not they received the written notice76 |
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97 | 96 | | provided for in this Code section. The failure to perfect such lien by timely complying77 |
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98 | 97 | | with the notice and filing provisions of paragraphs (1) and (2) of subsection (a) of this78 |
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99 | 98 | | Code section shall invalidate such lien, except as to any person, firm, or corporation liable79 |
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100 | 99 | | for the damages, which receives prior to the date of any release, covenant not to bring an80 |
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101 | 100 | | action, or settlement, actual notice of a notice and filed statement made under81 |
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102 | 101 | | subsection (a) of this Code section, via hand delivery, certified mail, return receipt82 |
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103 | 102 | | requested, or statutory overnight delivery with confirmation of receipt. 83 |
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104 | 103 | | (c) No filing of a claim or lien under this part shall be enforceable unless the person, firm,84 |
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105 | 104 | | hospital authority, or corporation operating a hospital, nursing home, physician practice,85 |
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106 | 105 | | chiropractic practice, or traumatic burn care medical practice filing such claim or lien first86 |
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107 | 106 | | submitted a claim to each health insurer of the injured person, if such injured person has87 |
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108 | 107 | | health insurance coverage, and had such claim rejected.88 |
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109 | 108 | | 44-14-472.89 |
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110 | 109 | | The clerk of the superior court shall endorse the date and hour of filing on the statement90 |
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111 | 110 | | filed pursuant to Code Section 44-14-471; and, at the expense of the county, the clerk shall91 |
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112 | 111 | | provide a lien book with a proper index in which the clerk shall enter the date and hour of92 |
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114 | 113 | | S. B. 168 |
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115 | 114 | | - 5 - |
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116 | 115 | | chiropractic practice, or provider of traumatic burn care medical practice, the operators94 |
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117 | 116 | | thereof, and the patient; and the amount claimed. The information shall be recorded in the95 |
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118 | 117 | | name of the patient. The clerk shall receive a fee as required by subparagraph (f)(1)(A) of96 |
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119 | 118 | | Code Section 15-6-77 as his or her fee for such filing.97 |
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120 | 119 | | 44-14-473.98 |
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121 | 120 | | (a) No release of the cause or causes of action or of any judgment thereon or any covenant99 |
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122 | 121 | | not to bring an action thereon shall be valid or effectual against the lien created by Code100 |
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123 | 122 | | Section 44-14-470 unless the holder thereof shall join therein or execute a release of the101 |
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124 | 123 | | lien; and the claimant or assignee of the lien may enforce the lien by an action against the102 |
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125 | 124 | | person, firm, or corporation liable for the damages or such person, firm, or corporation's103 |
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126 | 125 | | insurer. If the claimant prevails in the action, the court may allow reasonable attorney's104 |
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127 | 126 | | fees. The action shall be commenced against the person liable for the damages or such105 |
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128 | 127 | | person's insurer within one year after the date the liability is finally determined by a106 |
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129 | 128 | | settlement, by a release, by a covenant not to bring an action, or by the judgment of a court107 |
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130 | 129 | | of competent jurisdiction.108 |
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131 | 130 | | (b) No release or covenant not to bring an action which is made before or after the patient109 |
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132 | 131 | | was discharged from the hospital, nursing home, chiropractic practice, or provider of110 |
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133 | 132 | | traumatic burn care medical practice or, with respect to a physician practice, which is made111 |
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134 | 133 | | after the patient first sought treatment from the physician practice or chiropractic practice112 |
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135 | 134 | | for the injuries shall be effective against the lien perfected in accordance with Code113 |
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136 | 135 | | Section 44-4-471, if such lien is perfected prior to the date of the release, covenant not to114 |
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137 | 136 | | bring an action, or settlement unless consented to by the lien claimant; provided, however,115 |
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138 | 137 | | that any person, firm, or corporation which consummates a settlement, release, or covenant116 |
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139 | 138 | | not to bring an action with the person to whom hospital, nursing home, physician practice,117 |
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140 | 139 | | chiropractic practice, or traumatic burn care medical practice care, treatment, or services118 |
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142 | 141 | | S. B. 168 |
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143 | 142 | | - 6 - |
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144 | 143 | | in subsection (c) of this Code section shall not be bound or otherwise affected by the lien |
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145 | 144 | | 120 |
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146 | 145 | | except as provided in subsection (c) of this Code section, regardless of when the settlement,121 |
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147 | 146 | | release, or covenant not to bring an action was consummated.122 |
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148 | 147 | | (c) The affidavit shall affirm:123 |
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149 | 148 | | (1) That all hospital, nursing home, physician practice, chiropractic practice, |
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150 | 149 | | or provider124 |
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151 | 150 | | of traumatic burn care medical practice bills incurred for treatment for the injuries for125 |
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152 | 151 | | which a settlement is made have been fully paid; and126 |
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153 | 152 | | (2) The county of residence of such affiant, if a resident of this state;127 |
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154 | 153 | | provided, however, that the person taking the affidavit shall not be protected thereby where128 |
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155 | 154 | | the affidavit alleges the county of the affiant's residence and the lien of the claimant is at129 |
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156 | 155 | | such time on file in the office of the clerk of the superior court of the county and is130 |
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157 | 156 | | recorded in the name of the patient as it appears in the affidavit.131 |
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158 | 157 | | 44-14-474.132 |
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159 | 158 | | This part shall not apply to any moneys becoming due under Chapter 9 of Title 34.133 |
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160 | 159 | | 44-14-475.134 |
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161 | 160 | | No settlement or release entered into or executed prior to the entry of the injured party into135 |
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162 | 161 | | the hospital, nursing home, or facility which provides traumatic burn care medical practice136 |
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163 | 162 | | or prior to the time the patient first sought treatment from the physician practice or137 |
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164 | 163 | | chiropractic practice for the injuries shall be affected by or subject to the terms of this part.138 |
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165 | 164 | | 44-14-476.139 |
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166 | 165 | | This part shall not be construed to give any hospital, nursing home, physician practice,140 |
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167 | 166 | | chiropractic practice, or provider of traumatic burn care medical practice referred to in this141 |
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168 | 167 | | part an independent right of action to determine liability for injuries sustained by a person142 |
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