Plain English Breakdown
The provided bill text excerpt is a raw PDF stream and contains no readable content; all facts were derived solely from the metadata and summary fields.
HB654: Prohibiting Prior Authorization for Medical Tests, Procedures, and Drugs
This bill changes state laws to stop insurance companies from requiring prior approval before paying for medical tests, procedures, or prescription drugs.
What This Bill Does
- Amends general provisions regarding insurance in the Official Code of Georgia Annotated (O.C.G.A.).
- Updates regulations and licensure rules for pharmacy benefit managers.
- Changes laws related to medical practice.
- Modifies the state employees' health insurance plan so payment is not conditioned on prior authorization.
- Provides definitions, an effective date, and repeals conflicting laws.
Who It Names or Affects
- Insurance companies operating under Georgia law
- Pharmacy benefit managers regulated in Georgia
- Medical practitioners providing tests or procedures
- Participants in the state employees' health insurance plan
Limits and Unknowns
- The official text excerpt does not list specific exceptions to the ban on prior authorization.
- The exact effective date is mentioned as a provision of the bill but is not specified in the provided summary or metadata.
- Details about how existing contracts or pending authorizations are handled are not included in the source material.