The Act amends the Essential Rural Health Care Provider Access Act of 1998. The original Act was designed to enable rural health care providers to join health care benefit plans. The 1998 Act includes certain requirements that a health care plan must satisfy in order to participate. However, the original Act exempted Health Maintenance Organizations (HMOs). As amended, the Act removes the exemption and requires HMOs to satisfy the same criteria as other health care plans. The Act also adds a new Code section that allows the Human Resources Commissioner to evaluate whether an HMO has shown its willingness to use reasonable considerations throughout the negotiating and contracting process.
INSURANCE Essential Rural Health Care Provider Access: Remove Exemption for Health Maintenance Organizations,
Ga. St. U. L. Rev.
Available at: https://readingroom.law.gsu.edu/gsulr/vol17/iss1/28