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03 LC 30 0540
House Bill
145
By: Representatives Gardner of the 42nd, Post 3, Harbin of the 80th, Moraitakis of the 42nd, Post 4, Henson of the 55th and Maddox of the 59th, Post 2
By: Representatives Gardner of the 42nd, Post 3, Harbin of the 80th, Moraitakis of the 42nd, Post 4, Henson of the 55th and Maddox of the 59th, Post 2
A BILL TO BE
ENTITLED
AN ACT
AN ACT
To amend Chapter 21 of Title 33 of the Official Code of
Georgia Annotated, relating to health maintenance organizations, so as to
include services for mental disorders in point-of-service options in health
benefit plan coverage through a health maintenance organization; to provide for
related matters; to repeal conflicting laws; and for other
purposes.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF
GEORGIA:
SECTION 1.
Chapter 21 of Title 33 of the Official Code of Georgia
Annotated, relating to health maintenance organizations, is amended by striking
paragraph (3) of subsection (b) and subsection (c) of Code Section 33-21-29,
relating to point-of-service option for persons offered health care coverage
through a health maintenance organization, and inserting in their respective
places the
following:
"(3) 'Point-of-service option' means a delivery system that permits an enrollee of a health maintenance organization to receive services including services for mental disorders as defined in paragraph (2) of subsection (a) of Code Section 33-24-28.1 outside the provider panel of the health maintenance organization under the terms and conditions of the enrollee´s contract with the health maintenance organization."
"(c) If the only type of insurance that an employer offers to eligible employees or individuals is health benefit plan coverage through a health maintenance organization, then the health maintenance organization with which such employer contracts to provide such coverage shall offer or make arrangements for the offering of a point-of-service option which shall include services for mental disorders as defined in paragraph (2) of subsection (a) of Code Section 33-24-28.1 to such employer for the employer´s eligible employees or individuals, and each such eligible employee or individual shall have the right to accept or reject such option."
"(3) 'Point-of-service option' means a delivery system that permits an enrollee of a health maintenance organization to receive services including services for mental disorders as defined in paragraph (2) of subsection (a) of Code Section 33-24-28.1 outside the provider panel of the health maintenance organization under the terms and conditions of the enrollee´s contract with the health maintenance organization."
"(c) If the only type of insurance that an employer offers to eligible employees or individuals is health benefit plan coverage through a health maintenance organization, then the health maintenance organization with which such employer contracts to provide such coverage shall offer or make arrangements for the offering of a point-of-service option which shall include services for mental disorders as defined in paragraph (2) of subsection (a) of Code Section 33-24-28.1 to such employer for the employer´s eligible employees or individuals, and each such eligible employee or individual shall have the right to accept or reject such option."
SECTION 2.
All laws and parts of laws in conflict with this Act are
repealed.