GA HB1393

Allows rural hospital authorities in Georgia counties with populations under 50,000 to collaborate on joint negotiations with insurers, shared purchasing, and staffing arrangements while retaining independent ownership and governance

Grants broad antitrust immunity under federal and state laws (Sherman Act, Clayton Act, FTC Act) to rural hospital authorities and their collaborating partners for coordinated activities including price negotiations, service planning, and mergers

Authorizes rural hospitals to engage in joint ventures, shared staffing arrangements, clinically integrated networks, and accountable care organizations without requiring "active state supervision" typically needed for antitrust exemptions

Defines "rural county" as any Georgia county with population under 50,000 per the 2020 census, and creates new category of "restructured hospital authority" for nonprofit entities leasing assets from hospital authorities

Declares rural hospital collaboration a clearly articulated state policy to displace competition in healthcare delivery, deeming hospital authorities as political subdivisions of Georgia for antitrust purposes