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GA SB276

Bill

Status

Passed

5/14/2025

Primary Sponsor

Drew Echols

Click for details

Origin

Senate

2025-2026 Regular Session

AI Summary

  • Prohibits third-party payers (insurers, managed care entities, pharmacy benefits managers) from refusing to pay for healthcare items or services solely because the payer did not provide prior authorization

  • Requires third-party payers to respond to Department of Community Health inquiries about healthcare claim status within 60 days

  • Mandates third-party payers accept the Department of Community Health's payment authorization for healthcare items or services as equivalent to the payer's own authorization for Medicaid recipients

  • Applies to all insurers, group health plans under ERISA, managed care entities, pharmacy benefits managers, and any other parties legally responsible for healthcare claims

  • Amends Code Section 49-4-148 regarding recovery of medical assistance from third parties liable for sickness, injury, disease, or disability

Legislative Description

Recovery of Medical Assistance from Third Party; certain provisions to comply with federal law; revise

Last Action

Effective Date 2025-07-01

5/14/2025

Committee Referrals

Insurance3/10/2025
Insurance and Labor2/27/2025

Full Bill Text

No bill text available