---
title: O.C.G.A. § 33-46-15. Exemptions from applicability of chapter.
collection: code
id: 33-46-15
cite_as: O.C.G.A. § 33-46-15 (2025)
canonical_url: https://georgiacommons.org/code/33-46-15
md_url: https://georgiacommons.org/code/33-46-15.md
text_url: https://georgiacommons.org/code/33-46-15/text
source_url: https://www.legis.ga.gov/api/document/docs/default-source/joint-features-document-library/t33-ch23-66-(v25)-pdf.pdf?sfvrsn=e52ed458_0#page=148
date: 2025
status: active
corpus_version: 2025-supplement-89aa39ab3c68
license: CC0-1.0
publisher: Georgia Commons, an independent project of Georgia Civic Data. Not the State of Georgia. Not legal advice.
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version: the only printed version
in_force: true
current_through: Including Acts of the 2025 Regular Session of the General Assembly
heading_path: INSURANCE / CERTIFICATION OF PRIVATE REVIEW AGENTS / GENERAL PROVISIONS
---

# O.C.G.A. § 33-46-15. Exemptions from applicability of chapter.

(a) This chapter shall not apply to any contract with the federal government for utilization and review of patients eligible for hospital services under Title XVIII or XIX of the Social Security Act.

(b) This chapter shall not apply to any private review agent or utilization review entity when such private review agent or utilization review entity is working under contract, or an extension or renewal thereof, with a licensed insurer operating under an agreement, providing administrative services pursuant to the provisions of subsection (b) of Code Section 33-20-17 to a healthcare benefit plan negotiated through collective bargaining as that term is defined in the federal National Labor Relations Act, as amended, if the original agreement was executed and in effect prior to January 1, 1990.

(c) This chapter shall not apply to audits of the medical record for the purposes of verifying that healthcare services were ordered and delivered.

## History

Code 1981, § 33-46-13, enacted by Ga. L. 1990, p. 1088, § 1; Code 1981, § 33-46-15, as redesignated by Ga. L. 2021, p. 629, § 2/SB 80.

## Amendments

The 2021 amendment, effective January 1, 2022, redesignated former Code Section 33-46-13 as this Code section, inserted “or utilization review entity” in two places in subsection (b), and substituted “healthcare” for “health care” in subsections (b) and (c).