1 | 1 | | 25 LC 33 9780 |
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2 | 2 | | House Bill 522 |
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3 | 3 | | By: Representatives Gullett of the 19 |
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4 | 4 | | th |
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5 | 5 | | , Scoggins of the 14 |
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6 | 6 | | th |
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7 | 7 | | , Mathiak of the 82 |
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8 | 8 | | nd |
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9 | 9 | | , and Gambill |
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10 | 10 | | of the 15 |
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11 | 11 | | th |
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12 | 12 | | |
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13 | 13 | | A BILL TO BE ENTITLED |
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14 | 14 | | AN ACT |
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15 | 15 | | To amend Chapter 1 of Title 31 of the Official Code of Georgia Annotated, relating to |
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16 | 16 | | 1 |
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17 | 17 | | general provisions regarding health, so as to prohibit certain healthcare providers and2 |
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18 | 18 | | facilities from discriminating against potential organ transplant recipients due solely to the3 |
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19 | 19 | | vaccine status of the potential recipient; to provide for definitions; to provide for related4 |
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20 | 20 | | matters; to repeal conflicting laws; and for other purposes.5 |
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21 | 21 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:6 |
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22 | 22 | | SECTION 1.7 |
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23 | 23 | | Chapter 1 of Title 31 of the Official Code of Georgia Annotated, relating to general8 |
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24 | 24 | | provisions regarding health, is amended by revising Code Section 31-1-24, relating to organ9 |
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25 | 25 | | transplant protections for individuals with disabilities and civil relief for violations, as10 |
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26 | 26 | | follows:11 |
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27 | 27 | | "31-1-24.12 |
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28 | 28 | | (a) As used in this Code section, the term:13 |
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29 | 29 | | (1) 'Anatomical gift' means a donation of any part or all of a human body conditioned14 |
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30 | 30 | | upon the donor's death for the purpose of transplantation or transfusion.15 |
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31 | 31 | | H. B. 522 |
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32 | 32 | | - 1 - 25 LC 33 9780 |
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33 | 33 | | (2) 'Auxiliary aids or services' means an aid or service that is used to provide information |
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34 | 34 | | 16 |
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35 | 35 | | to an individual with a cognitive, developmental, intellectual, neurological, or physical17 |
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36 | 36 | | disability and is available in a format or manner that allows such individual to better18 |
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37 | 37 | | understand such information. An auxiliary aid or service may include:19 |
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38 | 38 | | (A) Qualified interpreters or other effective methods of making aurally delivered20 |
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39 | 39 | | materials available to individuals with hearing impairments;21 |
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40 | 40 | | (B) Qualified readers, taped texts, texts in accessible electronic format, or other22 |
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41 | 41 | | effective methods of making visually delivered materials available to individuals with23 |
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42 | 42 | | visual impairments; or24 |
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43 | 43 | | (C) Supported decision-making services, including:25 |
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44 | 44 | | (i) The use of a support personnel to communicate information to the individual with26 |
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45 | 45 | | a disability, ascertain the wishes of such individual, or assist such individual in27 |
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46 | 46 | | making decisions;28 |
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47 | 47 | | (ii) The disclosure of information to a legal guardian, authorized representative, or29 |
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48 | 48 | | another individual designated by the individual with a disability for such purpose, so30 |
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49 | 49 | | long as the disclosure is consistent with state and federal law, including the federal31 |
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50 | 50 | | Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. Section32 |
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51 | 51 | | 1320d, |
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52 | 52 | | et seq., and any regulations promulgated by the United States Department of33 |
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53 | 53 | | Health and Human Services to implement such Act act;34 |
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54 | 54 | | (iii) When an individual with a disability has a court appointed guardian or other35 |
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55 | 55 | | person responsible for making medical decisions on behalf of such individual, any36 |
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56 | 56 | | measures used to ensure that the individual is included in decisions involving the37 |
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57 | 57 | | individual's health care healthcare and that medical decisions are in accord with the38 |
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58 | 58 | | individual's own expressed interests; and39 |
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59 | 59 | | (iv) Any other aid or service that is used to provide information in a format that is40 |
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60 | 60 | | easily understandable and accessible to individuals with cognitive, neurological,41 |
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61 | 61 | | H. B. 522 |
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62 | 62 | | - 2 - 25 LC 33 9780 |
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63 | 63 | | developmental, or intellectual disabilities, including any form of communication |
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64 | 64 | | 42 |
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65 | 65 | | technology.43 |
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66 | 66 | | (3) 'Covered entity' means:44 |
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67 | 67 | | (A) Any licensed provider of health care |
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68 | 68 | | healthcare services, including licensed health45 |
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69 | 69 | | care healthcare practitioners, hospitals, nursing facilities, laboratories, intermediate care46 |
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70 | 70 | | facilities, psychiatric residential treatment facilities, institutions for individuals with47 |
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71 | 71 | | intellectual or developmental disabilities, and such licensed individuals or facilities48 |
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72 | 72 | | providing health care healthcare services to incarcerated persons with disabilities; and49 |
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73 | 73 | | (B) Any entity responsible for matching anatomical gift donors to potential recipients.50 |
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74 | 74 | | (4) 'COVID-19' means severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2),51 |
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75 | 75 | | and any mutation or viral fragments thereof, or any disease or condition caused by severe52 |
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76 | 76 | | acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which was the subject of the53 |
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77 | 77 | | public health state of emergency declared by the Governor on March 14, 2020.54 |
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78 | 78 | | (4)(5) 'Disability' has the same meaning as provided for in the Americans with55 |
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79 | 79 | | Disabilities Act of 1990, as amended by the ADA Amendments Act of 2008, 42 U.S.C.56 |
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80 | 80 | | Section 12102.57 |
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81 | 81 | | (5)(6) 'Organ transplant' means the transplantation or transfusion of a part of a human58 |
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82 | 82 | | body into the body of another human for the purpose of treating or curing a medical59 |
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83 | 83 | | condition.60 |
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84 | 84 | | (6)(7) 'Qualified recipient' means an individual who has a disability and meets the61 |
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85 | 85 | | essential eligibility requirements for the receipt of an anatomical gift with or without any62 |
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86 | 86 | | of the following:63 |
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87 | 87 | | (A) Individuals or entities available to support and assist the recipient with an64 |
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88 | 88 | | anatomical gift or transplantation;65 |
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89 | 89 | | (B) Auxiliary aids or services; or66 |
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90 | 90 | | (C) Reasonable modifications to the policies, practices, or procedures of a covered67 |
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91 | 91 | | entity, including modifications to allow for either or both of the following:68 |
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92 | 92 | | H. B. 522 |
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93 | 93 | | - 3 - 25 LC 33 9780 |
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94 | 94 | | (i) Communication with one or more individuals or entities available to support or |
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95 | 95 | | 69 |
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96 | 96 | | assist with the recipient's care and medication after surgery or transplantation; or70 |
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97 | 97 | | (ii) Consideration of support networks available to the recipient, including family,71 |
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98 | 98 | | friends, and home and community based services, including home and community72 |
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99 | 99 | | based services funded through Medicaid, Medicare, another health plan in which the73 |
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100 | 100 | | recipient is enrolled, or any program or source of funding available to the recipient,74 |
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101 | 101 | | when determining whether the recipient is able to comply with posttransplant medical75 |
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102 | 102 | | requirements.76 |
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103 | 103 | | (8) 'Vaccine status' means whether or not an individual has received a specific |
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104 | 104 | | 77 |
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105 | 105 | | vaccination or series of vaccinations for COVID-19.78 |
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106 | 106 | | (b)(1) The provisions of this Code section shall apply to all stages of the organ transplant79 |
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107 | 107 | | process.80 |
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108 | 108 | | (2) A covered entity shall not, solely on the basis of an individual's disability or vaccine81 |
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109 | 109 | | status:82 |
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110 | 110 | | (A) Consider the individual ineligible to receive an anatomical gift or organ transplant;83 |
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111 | 111 | | (B) Deny medical services or other services related to organ transplantation, including84 |
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112 | 112 | | diagnostic services, evaluation, surgery, counseling, and postoperative treatment and85 |
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113 | 113 | | services;86 |
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114 | 114 | | (C) Refuse to refer the individual to a transplant center or other related specialist for87 |
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115 | 115 | | the purpose of being evaluated for or receiving an organ transplant;88 |
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116 | 116 | | (D) Refuse to place a qualified recipient such an individual on an organ transplant89 |
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117 | 117 | | waiting list;90 |
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118 | 118 | | (E) Place a qualified recipient such an individual on an organ transplant waiting list at91 |
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119 | 119 | | a lower priority position than the position at which the individual would have been92 |
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120 | 120 | | placed if such individual did not have a disability or if not for the individual's vaccine93 |
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121 | 121 | | status; or94 |
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122 | 122 | | H. B. 522 |
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123 | 123 | | - 4 - 25 LC 33 9780 |
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124 | 124 | | (F) Refuse insurance coverage for any procedure associated with being evaluated for |
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125 | 125 | | 95 |
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126 | 126 | | or receiving an anatomical gift, including posttransplantation and posttransfusion care.96 |
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127 | 127 | | (3) Notwithstanding paragraph (2) of this subsection, a covered entity may take an97 |
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128 | 128 | | individual's disability into account when making treatment or coverage recommendations98 |
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129 | 129 | | or decisions, solely to the extent that the individual's disability has been found by a99 |
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130 | 130 | | physician, following an evaluation of such individual, to be medically significant to the100 |
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131 | 131 | | provision of the anatomical gift.101 |
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132 | 132 | | (4) If an individual has the necessary support system to assist such individual in102 |
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133 | 133 | | complying with posttransplant medical requirements, a covered entity may not consider103 |
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134 | 134 | | the individual's inability to independently comply with posttransplant medical104 |
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135 | 135 | | requirements to be medically significant for the purposes of paragraph (3) of this105 |
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136 | 136 | | subsection.106 |
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137 | 137 | | (5) A covered entity shall make reasonable modifications to its policies, practices, or107 |
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138 | 138 | | procedures to allow individuals with disabilities access to transplantation related services,108 |
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139 | 139 | | including diagnostic services, surgery, coverage, postoperative treatment, and counseling,109 |
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140 | 140 | | unless the entity can demonstrate that making such modifications would fundamentally110 |
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141 | 141 | | alter the nature of such services.111 |
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142 | 142 | | (6) A covered entity must take steps necessary to ensure that an individual with a112 |
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143 | 143 | | disability is not denied medical services or other services related to organ transplantation,113 |
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144 | 144 | | including diagnostic services, surgery, postoperative treatment, or counseling, due to the114 |
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145 | 145 | | absence of auxiliary aids or services, unless the covered entity demonstrates that taking115 |
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146 | 146 | | the steps would fundamentally alter the nature of the medical services or other services116 |
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147 | 147 | | related to organ transplantation or would result in an undue burden for the covered entity.117 |
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148 | 148 | | (7) Nothing in this Code section shall be deemed to require a covered entity to make a118 |
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149 | 149 | | referral or recommendation for or perform a medically inappropriate organ transplant.119 |
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150 | 150 | | H. B. 522 |
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151 | 151 | | - 5 - 25 LC 33 9780 |
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152 | 152 | | (8) A covered entity shall comply with the requirements of Titles II and III of the |
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153 | 153 | | 120 |
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154 | 154 | | Americans with Disabilities Act of 1990, as amended by the ADA Amendments Act of121 |
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155 | 155 | | 2008, 42 U.S.C. Section 12102.122 |
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156 | 156 | | (c)(1) When it appears that a covered entity has violated or is violating any provision of123 |
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157 | 157 | | this Code section, the affected individual may commence a civil action for injunctive and124 |
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158 | 158 | | other equitable relief against such covered entity for purposes of enforcing compliance125 |
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159 | 159 | | with this Code section. Such action may be brought in the district court for the county126 |
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160 | 160 | | where the affected individual resides or resided or was denied the organ transplant or127 |
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161 | 161 | | referral.128 |
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162 | 162 | | (2) In an action brought under paragraph (1) of this Code section, the court shall give129 |
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163 | 163 | | priority on its docket and expedited review, and may grant injunctive or other equitable130 |
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164 | 164 | | relief, including:131 |
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165 | 165 | | (A) Requiring auxiliary aids or services to be made available for a qualified recipient;132 |
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166 | 166 | | (B) Requiring the modification of a policy, practice, or procedure of a covered entity;133 |
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167 | 167 | | or134 |
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168 | 168 | | (C) Requiring facilities be made readily accessible to and usable by a qualified135 |
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169 | 169 | | recipient.136 |
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170 | 170 | | (3) Nothing in this Code section is intended to limit or replace available remedies under137 |
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171 | 171 | | the Americans with Disabilities Act of 1990, as amended, or any other applicable law.138 |
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172 | 172 | | (4) This Code section does not create a right to compensatory or punitive damages139 |
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173 | 173 | | against a covered entity."140 |
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174 | 174 | | SECTION 2.141 |
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175 | 175 | | All laws and parts of laws in conflict with this Act are repealed.142 |
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176 | 176 | | H. B. 522 |
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177 | 177 | | - 6 - |
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