| 1 | 1 | | 25 LC 52 0621 |
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| 2 | 2 | | House Bill 170 |
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| 3 | 3 | | By: Representatives Mathiak of the 82 |
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| 4 | 4 | | nd |
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| 5 | 5 | | , Hawkins of the 27 |
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| 6 | 6 | | th |
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| 7 | 7 | | , Greene of the 154 |
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| 8 | 8 | | th |
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| 9 | 9 | | , Jones of |
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| 10 | 10 | | the 143 |
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| 11 | 11 | | rd |
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| 12 | 12 | | , and Taylor of the 173 |
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| 13 | 13 | | rd |
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| 14 | 14 | | |
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| 15 | 15 | | A BILL TO BE ENTITLED |
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| 16 | 16 | | AN ACT |
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| 17 | 17 | | To amend Chapter 3 of Title 33 of the Official Code of Georgia Annotated, relating to |
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| 18 | 18 | | 1 |
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| 19 | 19 | | authorization and general requirements for transaction of insurance, so as to provide for a2 |
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| 20 | 20 | | benefit provider to disclose certain payments to a treating healthcare provider; to provide for3 |
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| 21 | 21 | | definitions; to provide for related matters; to provide for an effective date; to repeal4 |
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| 22 | 22 | | conflicting laws; and for other purposes.5 |
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| 23 | 23 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:6 |
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| 24 | 24 | | SECTION 1.7 |
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| 25 | 25 | | Chapter 3 of Title 33 of the Official Code of Georgia Annotated, relating to authorization and8 |
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| 26 | 26 | | general requirements for transaction of insurance, is amended by adding a new Code section9 |
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| 27 | 27 | | to read as follows:10 |
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| 28 | 28 | | "33-3-28.1. |
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| 29 | 29 | | 11 |
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| 30 | 30 | | (a) As used in this Code section, the term:12 |
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| 31 | 31 | | (1) 'Benefit provider' means any insurer, health maintenance organization, health benefit13 |
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| 32 | 32 | | plan, preferred provider organization, employee benefit plan, or other entity which14 |
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| 33 | 33 | | provides for payment or reimbursement of healthcare expenses, healthcare services,15 |
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| 34 | 34 | | H. B. 170 |
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| 35 | 35 | | - 1 - 25 LC 52 0621 |
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| 36 | 36 | | disability payments, lost wage payments, or any other benefits under a policy of16 |
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| 37 | 37 | | insurance or contract with an individual or group.17 |
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| 38 | 38 | | (2) 'Injured party' means a person who alleges that he or she has been injured by the acts18 |
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| 39 | 39 | | or omissions of a third party and who has received payments or reimbursements from a19 |
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| 40 | 40 | | benefit provider. Such term also includes the personal representative of the estate of such20 |
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| 41 | 41 | | person.21 |
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| 42 | 42 | | (3) 'Treating healthcare provider' means a person duly licensed or legally authorized to22 |
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| 43 | 43 | | provide healthcare services in this state and who has provided such services to an injured23 |
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| 44 | 44 | | party.24 |
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| 45 | 45 | | (b) Within 30 days of a written request from a treating healthcare provider, a benefit25 |
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| 46 | 46 | | provider shall provide to such treating healthcare provider a written accounting of any and26 |
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| 47 | 47 | | all payments and reimbursements made to an injured party for such treating healthcare27 |
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| 48 | 48 | | provider's healthcare services to such injured party."28 |
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| 49 | 49 | | SECTION 2.29 |
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| 50 | 50 | | This Act shall become effective upon its approval by the Governor or upon its becoming law30 |
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| 51 | 51 | | without such approval.31 |
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| 52 | 52 | | SECTION 3.32 |
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| 53 | 53 | | All laws and parts of laws in conflict with this Act are repealed.33 |
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| 54 | 54 | | H. B. 170 |
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| 55 | 55 | | - 2 - |
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