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GA SB474
Bill
Status
Introduced
2/21/2018
Primary Sponsor
Jennifer Jordan
Click for details
AI Summary
- Amends Chapter 24 of Title 33 of the Official Code of Georgia Annotated to regulate how "preexisting condition" can be defined in short-term health benefit policies or certificates (coverage periods of less than one year)
- Prohibits short-term health policies from using a preexisting condition definition more restrictive than: symptoms that would cause a prudent person to seek care, or a condition for which medical advice or treatment was received within six months before the coverage effective date
- Requires that only the ultimate diagnosed condition—not preventive services such as screenings, counseling, or preventive treatments—can be classified as a preexisting condition
- Applies to individual and group plans issued by health care corporations, HMOs, PPOs, accident and sickness insurers, fraternal benefit societies, and self-insured plans not exclusively under ERISA jurisdiction
- Applies to policies issued, delivered, issued for delivery, or renewed in Georgia on or after July 1, 2018
Legislative Description
Insurance; preexisting conditions under short-term health benefit policies or certificates; provide
Last Action
Senate Read and Referred
2/22/2018
Full Bill Text
No bill text available