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HB1374 • 2025

Insurance; methods of payment to healthcare providers; provide certain requirements

Insurance; methods of payment to healthcare providers; provide certain requirements

Healthcare Labor
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Hawkins, Lee
Last action
2026-05-05
Official status
House Date Signed by Governor
Effective date
Not listed

Plain English Breakdown

Checked against official source text during the last sync.

Rules for How Health Insurance Pays Doctors

This law sets new rules on how health insurance companies must pay healthcare providers, requires definitions and notices about payments, stops extra fees, and bans contracts that make people give up these rights.

What This Bill Does

  • Sets requirements for the methods of payment insurers use when paying doctors and other healthcare workers.
  • Requires clear definitions for key terms used in these payments.
  • Mandates that insurance companies provide notice about how they handle payments to providers.
  • Prohibits adding extra fees on top of standard payments.
  • Stops contracts from including clauses where patients or providers give up rights required by this law.

Who It Names or Affects

  • Health insurance companies operating in Georgia
  • Doctors, hospitals, and other healthcare providers who receive payment from insurers

Limits and Unknowns

  • The provided text does not list the specific dollar amounts or exact steps for how payments must be made.
  • It is unclear which types of insurance plans are covered beyond general health insurance.

Bill History

  1. 2026-05-05 Georgia General Assembly

    House Date Signed by Governor

Official Summary Text

Insurance; methods of payment to healthcare providers; provide certain requirements