Georgia CommonsTítulo 33. INSURANCE · Capítulo 46. CERTIFICATION OF PRIVATE REVIEW AGENTS · Artículo 2. PRIOR AUTHORIZATIONS
33-46-20.1. Program for selective application of reductions in prior authorization requirements.
Actualizado hasta: Including Acts of the 2025 Regular Session of the General Assembly.
El texto siguiente es la ley tal como la imprime el estado, en inglés.
- (a)
Each insurer that utilizes prior authorization requirements shall implement and maintain a program that allows for the selective application of reductions in prior authorization requirements based on the stratification of healthcare providers’ performance and adherence to evidence based medicine. Such program shall promote quality, affordable healthcare and reduce unnecessary administrative burdens for both the insurer and the healthcare provider.#
- (b)
Criteria for participation by healthcare providers and the healthcare services included in the program shall be at the discretion of the insurer; provided, however, that such insurer shall submit to the department a filing concerning such program. Such filing shall include a full narrative description of the program, the criteria for participation in the program, a list of the procedures and services subject to the program, the number of healthcare providers participating in the program, and any other information deemed necessary by the department.#
- (c)
No later than July 1, 2026, each insurer that utilizes prior authorization requirements shall make the filing provided for in subsection (b) of this Code section, and such filing shall be submitted annually in a form and manner provided for by rules and regulations promulgated by the Commissioner.#
History
Code 1981, § 33-46-20.1, enacted by Ga. L. 2025, p. 783, § 2/HB 197, effective January 1, 2026; Code 1981, § 33-46-20.1, enacted by Ga. L. 2025, p. 773, § 1-1/SB 5, effective July 1, 2025.
Effective date
This Code section became effective July 1, 2025. See Editor’s notes for applicability.
Editor's notes
Ga. L. 2025, p. 773, § 1-1/SB 5, effective July 1, 2025, and Ga. L. 2025, p. 783, § 2/HB 197, effective January 1, 2026, enacted identical versions of this Code section. Ga. L. 2025, p. 773, § 3-1/SB 5, not codified by the General Assembly, provides that this Act shall become effective on July 1, 2025, and shall apply to all policies or contracts issued, delivered, issued for delivery, or renewed in this state on or after such date. Ga. L. 2025, p. 783, § 3/HB 197, not codified by the General Assembly, provides that this Act shall become effective on January 1, 2026, and shall apply to all policies or contracts issued, delivered, issued for delivery, or renewed in this state on or after such date.
Leer la página oficial (el PDF del estado, abierto en la página de la que se leyó este texto).
Actualizado hasta: Including Acts of the 2025 Regular Session of the General Assembly.
Texto leído de t33-ch23-66-(v25)-pdf.pdf, Volumen V25, edición 2020, suplemento de 2025, páginas 150 a 151; acción de fusión: added; SHA-256 del archivo e6be8da2a3c1.