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HB197 • 2025

Insurance; health care provider to respond to a private review agent or utility review entity's attempt to discuss the patient's care; detail the effort

Insurance; health care provider to respond to a private review agent or utility review entity's attempt to discuss the patient's care; detail the effort

Enacted

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

Sponsor
Hawkins, Lee
Last action
2025-05-14
Official status
House Date Signed by Governor
Effective date
Not listed

Plain English Breakdown

The official summary mentions amending sections regarding 'website identifying nationally recognized accreditation entities,' but the specific changes to those website rules are not described in detail, only that they relate to detailing provider response efforts.

Rules for Doctors to Respond to Review Calls

This law requires treating health care providers in Georgia to detail their efforts when trying to respond to calls from private review agents or utility review entities about a patient's care.

What This Bill Does

  • Amends Code Section 33-46-6 of the Official Code of Georgia Annotated regarding certification and accreditation standards.
  • Requires treating health care providers to detail their efforts in responding when private review agents or utility review entities try to reach them about a patient's care.

Who It Names or Affects

  • Treating health care providers
  • Private review agents
  • Utility review entities

Limits and Unknowns

  • The official text does not define the specific steps required to 'detail the effort' beyond stating that it must be done.
  • The law takes effect on January 1, 2026.

Bill History

  1. 2025-05-14 Georgia General Assembly

    House Date Signed by Governor

Official Summary Text

Insurance; health care provider to respond to a private review agent or utility review entity's attempt to discuss the patient's care; detail the effort