25 LC 52 0621
House Bill 170
By: Representatives Mathiak of the 82
nd
, Hawkins of the 27
th
, Greene of the 154
th
, Jones of
the 143
rd
, and Taylor of the 173
rd
A BILL TO BE ENTITLED
AN ACT
To amend Chapter 3 of Title 33 of the Official Code of Georgia Annotated, relating to
1
authorization and general requirements for transaction of insurance, so as to provide for a2
benefit provider to disclose certain payments to a treating healthcare provider; to provide for3
definitions; to provide for related matters; to provide for an effective date; to repeal4
conflicting laws; and for other purposes.5
BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:6
SECTION 1.7
Chapter 3 of Title 33 of the Official Code of Georgia Annotated, relating to authorization and8
general requirements for transaction of insurance, is amended by adding a new Code section9
to read as follows:10
"33-3-28.1.
11
(a) As used in this Code section, the term:12
(1) 'Benefit provider' means any insurer, health maintenance organization, health benefit13
plan, preferred provider organization, employee benefit plan, or other entity which14
provides for payment or reimbursement of healthcare expenses, healthcare services,15
H. B. 170
- 1 - 25 LC 52 0621
disability payments, lost wage payments, or any other benefits under a policy of16
insurance or contract with an individual or group.17
(2) 'Injured party' means a person who alleges that he or she has been injured by the acts18
or omissions of a third party and who has received payments or reimbursements from a19
benefit provider. Such term also includes the personal representative of the estate of such20
person.21
(3) 'Treating healthcare provider' means a person duly licensed or legally authorized to22
provide healthcare services in this state and who has provided such services to an injured23
party.24
(b) Within 30 days of a written request from a treating healthcare provider, a benefit25
provider shall provide to such treating healthcare provider a written accounting of any and26
all payments and reimbursements made to an injured party for such treating healthcare27
provider's healthcare services to such injured party."28
SECTION 2.29
This Act shall become effective upon its approval by the Governor or upon its becoming law30
without such approval.31
SECTION 3.32
All laws and parts of laws in conflict with this Act are repealed.33
H. B. 170
- 2 -