25 LC 60 0110 House Bill 795 By: Representatives Cannon of the 58 th , Hugley of the 141 st , Gilliard of the 162 nd , Miller of the 62 nd , and Berry of the 56 th A BILL TO BE ENTITLED AN ACT To amend Article 1 of Chapter 2A of Title 31 of the Official Code of Georgia Annotated, 1 relating to the Department of Public Health generally, so as to establish an Infant Wellness2 Resource hotline service; to provide for the development and dissemination of materials3 promoting such hotline service; to provide for the development and implementation of4 training for staff of such hotline service; to provide for the Department of Administrative5 Services to select healthcare professionals to deliver healthcare services via telehealth6 through such hotline service; to provide certain persons participating in the activities of such7 hotline service with immunity from civil and criminal liability; to authorize rules and8 regulations; to provide for related matters; to repeal conflicting laws; and for other purposes.9 BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:10 SECTION 1.11 Article 1 of Chapter 2A of Title 31 of the Official Code of Georgia Annotated, relating to the12 Department of Public Health generally, is amended by adding a new Code section to read as13 follows:14 "31-2A-21. 15 (a) As used in this Code section, the term:16 H. B. 795 - 1 - 25 LC 60 0110 (1) 'Department' means the Department of Public Health.17 (2) 'Emergency' means a condition or set of circumstances demanding immediate18 attention to prevent death or substantial and irreversible physical impairment of a major19 bodily function.20 (3) 'Healthcare professional' means a physician, nurse, or other healthcare practitioner21 licensed, registered, or certified by the state to provide healthcare services consistent with22 his or her scope of practice.23 (4) 'Healthcare services' means services for the diagnosis, prevention, treatment, cure,24 or relief of a physical health condition, illness, injury, or disease.25 (5) 'Hotline service' means the Infant Wellness Resource hotline service established26 pursuant to this Code section.27 (6) 'Infant' means a child under three years of age.28 (7) 'Telehealth' means the use of electronic information and telecommunications29 technologies that include, at minimum, audio and video equipment permitting two-way,30 real-time interactive communication to support and promote long-distance healthcare31 services between a caller and a healthcare professional.32 (b) Subject to available funding, the department shall establish and maintain, on a 24 hour33 per day basis, an Infant Wellness Resource hotline service, which shall receive and respond34 to calls from persons who are seeking help for an infant who is experiencing a health issue35 or illness, in accordance with subsection (c) of this Code section, and for any other purpose36 provided for in this Code section.37 (c) Upon receipt of a call, hotline service staff shall promptly identify whether the call is38 an emergency. If hotline service staff deem that the call:39 (1) Is not an emergency, such staff shall either refer or directly connect the caller to40 appropriate state and local programs, healthcare services, healthcare professionals, and41 other resources that can be accessed by the caller and used to address, mitigate, and42 potentially eliminate the health issue or illness. Referrals and connections made pursuant43 H. B. 795 - 2 - 25 LC 60 0110 to this paragraph may be facilitated through the use of telephone or digital44 communications, including, but not limited to, text message, email, or online support45 chat. Hotline service staff shall not provide direct healthcare services. Callers referred46 for healthcare services under this paragraph shall be provided the opportunity to consult47 with an authorized healthcare professional via telehealth within two business days; or48 (2) Is an emergency, such staff shall immediately effectuate a warm hand-off of the49 caller to staff at 9-1-1 emergency services. A warm hand-off performed under this50 paragraph shall involve hotline service staff using teleconferencing technology to transfer51 the call; remaining on the line and accessible to the caller during the transfer of the call; 52 formally introducing the caller to the staff member receiving the call at 9-1-1 emergency53 services; and summarizing, for such receiving staff member, the information that54 necessitated the transfer of the call. At no time during a warm hand-off conducted55 pursuant to this paragraph shall a caller be placed on hold.56 (d) The Department of Administrative Services shall, in coordination with the department,57 select and contract with ten or more healthcare providers, as it deems necessary, to provide58 healthcare services via telehealth pursuant to this Code section. All healthcare services59 provided pursuant to such contracts shall be provided by healthcare professionals licensed60 to provide such services under the laws of this state. The factors used to select such61 healthcare professionals shall include, but shall not be limited to:62 (1) A demonstrated ability to maximize payment for healthcare services from63 commercial insurers and other third parties;64 (2) The ability to provide healthcare services in a language fluently spoken by the callers65 receiving such services;66 (3) A demonstrated record of providing healthcare services via telehealth to infants;67 (4) The ability to use information technology to track healthcare services provided and68 outcomes for program evaluation purposes; and69 H. B. 795 - 3 - 25 LC 60 0110 (5) A financial model that allows the healthcare professional to serve all callers,70 regardless of whether such callers make a copayment or have third-party insurance71 coverage.72 (e) The department shall, subject to the availability of funding, develop, implement, and73 disseminate materials and training, including, but not limited to, the following:74 (1) Training programs and curricula to be used in training hotline service staff to75 recognize and respond to an emergency; to identify the appropriate state and local76 programs, healthcare services, healthcare professionals, and resources for callers; and to77 use any technology related to carrying out the provisions of subsection (c) of this Code78 section;79 (2) Promotional materials to be placed in conspicuous places throughout the state in clear80 view of the public where similar notices are customarily posted; and81 (3) A description of the hotline service to be placed on the department's website.82 (f)(1) In addition to the general administration of the hotline service, funds appropriated83 for the hotline service may be expended for the following purposes:84 (A) Reimbursing healthcare professionals for healthcare services provided to callers85 who do not have coverage under government or private policies;86 (B) Developing and implementing training as provided in subsection (e) of this Code87 section; and88 (C) Developing and disseminating promotional materials as provided in subsection (e)89 of this Code section.90 (2) Funds appropriated for the hotline service shall not be used to reimburse any person91 for copayments required by a commercial insurance policy.92 (g) Any person or persons participating in making referrals to callers or connecting callers93 with state and local programs, healthcare services, healthcare professionals, and other94 resources pursuant to this Code section or participating in any judicial proceeding or any95 other proceeding resulting from such referrals or connections shall in so doing be immune96 H. B. 795 - 4 - 25 LC 60 0110 from any civil or criminal liability that might otherwise be incurred or imposed, provided97 that such participation pursuant to this Code section or any other law is made in good faith.98 (h) The department is authorized to adopt rules and regulations to implement the99 provisions of this Code section."100 SECTION 2.101 All laws and parts of laws in conflict with this Act are repealed.102 H. B. 795 - 5 -