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GA SB482
Bill
AI Summary
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Establishes the Georgia All-Payer Claims Database (GAPCD), administered by the Center for Health Analytics and Informatics at Georgia Institute of Technology, to collect and publicly report health care cost, quality, utilization, and safety data across payers statewide, with a required operational date of January 1, 2023.
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Creates a 12-member GAPCD Advisory Committee—chaired by the director of health strategy and coordination and including legislators, state agency heads, and Governor/Lieutenant Governor/Speaker appointees from the hospital, insurance, medical provider, and philanthropic sectors—to recommend the database's framework, with initial recommendations due by March 1, 2021.
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Requires monthly claims data submission from health and dental insurers with at least 1,000 covered lives, Medicaid, the State Health Benefit Plan, Workers' Compensation, and other state-related health entities; self-funded employer plans may participate voluntarily with written employer consent.
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Imposes penalties of up to $1,000 per day on non-state/federal submitting entities that fail to provide required claims data, and classifies such failure by entities under the Commissioner of Insurance's jurisdiction as an unfair or deceptive act under Georgia insurance law.
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Conditions the database's creation on sufficient funding from gifts, grants, donations, or appropriations by January 1, 2022, and mandates that if funding becomes insufficient, the GAPCD must cease operations and all submitted data must be destroyed or returned to its source.
Legislative Description
Office of Health Strategy and Coordination; state all-payer claims database; establishment of an advisory committee; provide
Last Action
Effective Date
8/5/2020