reglab/housing_qa huggingface dataset:
GA Code § 33-24-59.15 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 1 - General Provisions|§ 33-24-59.15. Definitions; Dental Insurance

  As used in this Code section:   "Covered dental services" means dental care services for which a reimbursement is available under a covered person's dental benefit plan, or for which a reimbursement would be available but for the application of contractual limitations such as deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums, frequency limitations, alternative benefit payments, or any other limitation.   "Covered person" means any subscriber, enrollee, member, beneficiary, or participant, or his or her dependent, for whom benefits are payable when that covered person receives dental care services rendered or authorized by a dentist licensed under Chapter 11 of Title 43.   "Dental benefit plan" means any individual or group plan, policy, contract, or subscription agreement which includes or is for dental care services that is issued, delivered, issued for delivery, or renewed in this state whether by a health care insurer, health maintenance organization, preferred provider organization, accident and sickness insurer, fraternal benefit society, health care plan, or any other person, firm, corporation, joint venture, or other similar business entity that pays for, purchases, or furnishes dental care services to patients, insureds, beneficiaries, or covered dependents in this state.   "Dental insurer" means any person, firm, corporation, joint venture, or other similar business entity that offers dental benefit plans in consideration of periodic payments.     No contract between a dental insurer and a dentist shall require a dentist to accept an amount set by the dental insurer as payment for dental care services that are not covered dental services under the covered person's dental benefit plan.   A dental insurer or other person or entity providing third-party administrator services shall not make available any providers in its dentist network to a plan that sets dental fees for any services except covered services.   A dental insurer shall not draft, publish, disseminate, or circulate explanation of benefit forms that include language which directly or indirectly implies that a dentist may or should extend discounts to patients for noncovered dental services. Statements by a dental insurer which are prohibited by this Code section include but are not limited to, "Our members value the services you provide and we encourage you to continue extending the discount on noncovered services."     (Code 1981, §33-24-59.15, enacted by Ga. L. 2011, p. 609, § 2/HB 189; Ga. L. 2017, p. 164, § 36/HB 127.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 2011, Code Section 33-24-59.14 as enacted by Ga. L. 2011, p. 609, § 2, was redesignated as Code Section 33-24-59.15.   Editor's notes.   - Ga. L. 2011, p. 609, § 1/HB 189, not codified by the General Assembly, provides that: "This Act shall be known and may be cited as the 'Noncovered Dental Services Act.'"
GA Code § 33-24-59.16 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 1 - General Provisions|§ 33-24-59.16. Equal Access to Child's Health Insurance Information; Exceptions

  As used in this Code section, the term:   "Health benefit policy" means any individual or group plan, policy, or contract for health care services issued, delivered, issued for delivery, executed, or renewed in this state, including, but not limited to, those contracts executed by the State of Georgia on behalf of state employees under Article 1 of Chapter 18 of Title 45, by an insurer.   "Insurer" means an accident and sickness insurer, fraternal benefit society, health care corporation, health maintenance organization, preferred provider organization, provider sponsored health care corporation, managed care entity, or any similar entity authorized to issue contracts under this title or to provide health benefit policies.     An insurer shall provide a parent of a child the right to inspect, review, or attain copies of health insurance records relating to his or her own child; provided, however, that if the parent making such request is not the named insured or owner of such policy, he or she shall provide the insurer a certified copy of his or her divorce decree, a parenting plan pursuant to Code Section 19-9-1, or other court document establishing that the parent may have access to such records.   Health insurance records and information pertaining to the child shall not be withheld from the custodial parent or from the noncustodial parent unless a court order has specifically removed the right of the noncustodial parent to such information or unless parental rights have been terminated.   In the absence of fraud or bad faith, the insurer shall not be subject to liability for furnishing information and records requested pursuant to subsection (b) of this Code section.     (Code 1981, §33-24-59.16, enacted by Ga. L. 2013, p. 553, § 1/SB 1; Ga. L. 2019, p. 386, § 75/SB 133.)    The 2019 amendment,  effective July 1, 2019, deleted "hospital service corporation, medical service corporation," following "fraternal benefit society," in paragraph (a)(2).   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 2013, a misspelling of "health" was corrected near the beginning of subsection (b).
GA Code § 33-24-59.17 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 1 - General Provisions|§ 33-24-59.17. Coverage of Certain Abortions Through Certain Qualified Health Plans Prohibited; Definitions

  No abortion coverage shall be provided by a qualified health plan offered within the State of Georgia through a state law, a federal law, or regulation or exchange created by the federal Patient Protection and Affordable Care Act (Public Law 111-148), as amended by the federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152), and regulations or guidance issued under those acts, except in the case of medical emergency.   For the purposes of this Code section, the term "abortion" has the same meaning as provided in Code Section 31-9A-2.   For the purposes of this Code section, the term "medical emergency" has the same meaning as provided in Code Section 31-9A-2.   Nothing in this Code section shall be construed as creating or recognizing a right to an abortion.   It is not the intention of this Code section to make lawful an abortion that is unlawful.     (Code 1981, §33-24-59.17, enacted by Ga. L. 2014, p. 349, § 1/SB 98; Ga. L. 2019, p. 386, § 76/SB 133.)    The 2019 amendment,  effective July 1, 2019, deleted "currently" preceding "unlawful" near the end of subsection (e).   Editor's notes.   - Ga. L. 2014, p. 349, § 3/SB 98, not codified by the General Assembly, provides: "The General Assembly, by joint resolution, may appoint one or more of its members who sponsored or cosponsored this Act in his or her official capacity to intervene as a matter of right in any case in which the constitutionality of this Act or any portion thereof is challenged."   Law reviews.   - For article on the 2014 enactment of this Code section, see 31 Ga. St. U. L. Rev. 177 (2014).
GA Code § 33-24-59.18 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 1 - General Provisions|§ 33-24-59.18. Coverage for Treatment of a Terminal Condition

  As used in this Code section, the term:   "Health benefit plan" means any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, contract or agreement with a health maintenance organization, subscriber contract or agreement, preferred provider organization, accident and sickness insurance benefit plan, or other insurance contract under any other name. The term shall include any health insurance plan established under Article 1 of Chapter 18 of Title 45 and under Chapter 4 of Title 49, the "Georgia Medical Assistance Act of 1977."   "Terminal condition" means any disease, illness, or health condition that a physician has diagnosed as expected to result in death in 24 months or less.   "Treatment" does not include any medication or medical procedure, regardless of where actually prescribed, dispensed, or administered, which if prescribed, dispensed, or administered in this state would constitute assisted suicide in violation of Code Section 16-5-5.     No health benefit plan shall restrict coverage for treatment of a terminal condition when such treatment has been prescribed by a physician as medically appropriate and such treatment has been agreed to by an insured patient or by a person to whom the insured patient has legally delegated such authority or to whom otherwise has the legal authority to consent on behalf of the insured patient. The health benefit plan shall not refuse to pay or otherwise reimburse for the treatment diagnosed under this subsection, including any drug or device, so long as such end of life care is consistent with best practices for the treatment of the terminal condition and such treatment is supported by peer reviewed medical literature.   A denial or a refusal to pay for treatment prescribed under subsection (b) of this Code section shall be a violation of this Code section.   A violation of this Code section shall be a per se violation of Chapter 6 of this title, and the penalties, procedures, and remedies applicable to violations of Chapter 6 of this title shall be applicable to a violation of this Code section.     (Code 1981, §33-24-59.18, enacted by Ga. L. 2015, p. 111, § 1/HB 429.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 2015, Code Section 33-24-59.18, as enacted by Ga. L. 2015, p. 1317, § 1/HB 409, was redesignated as Code Section 33-24-59.19.   Law reviews.   - For article on the 2015 enactment of this Code section, see 32 Ga. St. U. L. Rev. 193 (2015).
GA Code § 33-24-59.19 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 1 - General Provisions|§ 33-24-59.19. Coverage for Treatment of Burns With Skin Substitutes Utilizing Cryopreserved Cadaver Derived Skin Tissue

 No health benefit policy issued, delivered, or renewed in this state that, as a provision of hospital, medical, or surgical services, directly or indirectly covers the treatment and management of burns shall limit or exclude coverage for such treatment on the basis that the use of cryopreserved cadaver derived skin tissue is an experimental or investigational medical treatment.    (Code 1981, §33-24-59.19, enacted by Ga. L. 2015, p. 1317, § 1/HB 409.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 2015, Code Section 33-24-59.18, as enacted by Ga. L. 2015, p. 1317, § 1/HB 409, was redesignated as Code Section 33-24-59.19.   Law reviews.   - For article, "Reforming Regenerative Medicine Regulation," see 34 Ga. St. U. L. Rev. 631 (2018).
GA Code § 33-24-59.20 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 1 - General Provisions|§ 33-24-59.20. Access to Stage Four Advanced, Metastatic Cancer Treatments in Health Benefit Plans

  As used in this Code section, the term:   "Health benefit plan" means any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, contract or agreement with a health maintenance organization, subscriber contract or agreement, preferred provider organization, accident and sickness insurance benefit plan, or other insurance contract under any other name.The term shall include any health insurance plan established under Article 1 of Chapter 18 of Title 45 and under Article 7 of Chapter 4 of Title 49, the "Georgia Medical Assistance Act of 1977."   "Stage four advanced, metastatic cancer" means cancer that has spread from the primary or original site of the cancer to nearby tissues, lymph nodes, or other areas or parts of the body.     No health benefit plan issued, delivered, or renewed in this state that, as a provision of hospital, medical, or surgical services, directly or indirectly covers the treatment of stage four advanced, metastatic cancer shall limit or exclude coverage for a drug approved by the United States Food and Drug Administration by mandating that the insured shall first be required to fail to successfully respond to a different drug or drugs or prove a history of failure of such drug or drugs; provided, however, that the use of such drug or drugs is consistent with best practices for the treatment of stage four advanced, metastatic cancer and is supported by peer reviewed medical literature.     (Code 1981, §33-24-59.20, enacted by Ga. L. 2016, p. 580, § 3/HB 965.)   Editor's notes.   - Ga. L. 2016, p. 580, § 1/HB 965, not codified by the General Assembly, provides: "This Act shall be known and may be cited as 'The Honorable Jimmy Carter Cancer Treatment Access Act.'"   Ga. L. 2016, p. 580, § 2/HB 965, not codified by the General Assembly, provides: "WHEREAS, the Honorable Jimmy Carter of Plains, Georgia, announced in August that he had an aggressive form of melanoma skin cancer; and   "WHEREAS, in that announcement, President Carter detailed that tumors had spread from his skin into his liver and brain. President Carter received surgery, radiation, and multiple doses of another drug; and   "WHEREAS, on December 6, President Carter revealed that his physicians said that all signs of cancer were gone; and   "WHEREAS, it is the intent of the General Assembly that every Georgian with health insurance that covers cancer should have the same access to cancer drugs as President Carter."   RESEARCH REFERENCES   Am. Jur. 2d.   - 61 Am. Jur. 2d, Physicians, Surgeons, and Other Healers, § 244.
GA Code § 33-24-59.22 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 1 - General Provisions|§ 33-24-59.22. Prescription Drug Program Defined; Cost Sharing; Denial of Coverage; Dispensing Fees

  As used in this Code section, the term "prescription drug program" means any individual or group plan, policy, or contract for prescription drug services issued, delivered, issued for delivery, executed, or renewed by an insurer in this state on or after July 1, 2017.   A prescription drug program providing prescription drug coverage in this state shall permit and apply a prorated daily cost-sharing rate to prescriptions that are dispensed by a pharmacy for less than a 30 day supply if the prescriber or pharmacist indicates the fill or refill could be in the best interest of the insured patient or is for the purpose of synchronizing the insured patient's medications.   No prescription drug program providing prescription drug coverage shall deny coverage for the dispensing of any drug prescribed for the treatment of an illness that is made in accordance with a plan among the insured, a practitioner, and a pharmacist to synchronize the refilling of multiple prescriptions for the insured.   No prescription drug program providing prescription drug coverage shall use payment structures incorporating prorated dispensing fees determined by calculation of the days' supply of medication dispensed. Dispensing fees shall be determined exclusively on the total number of prescriptions dispensed.     (Code 1981, §33-24-59.22, enacted by Ga. L. 2017, p. 769, § 1/SB 200; Ga. L. 2019, p. 1056, § 33/SB 52.)    The 2019 amendment,  effective May 12, 2019, part of an Act to revise, modernize, and correct the Code, substituted "30 day supply" for "30 days' supply" in the middle of subsection (b).   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 2017, Code Section 33-24-59.21, as enacted by Ga. L. 2017, p. 769, § 1/SB 200, was redesignated as Code Section 33-24-59.22.
GA Code § 33-24-59.26 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 1 - General Provisions|§ 33-24-59.26. Limitation on Definition of "Preexisting Condition"

  As used in this Code section, the term:   "Preventive services" means screening tests, counseling, and preventive medicines, or treatments provided or conducted to prevent medical illness or condition prior to symptoms or physical manifestations of such medical illness or condition.   "Short-term health benefit policy or certificate" means any individual or group plan, policy, or contract for health care services for a coverage period of less than one year issued, delivered, issued for delivery, or renewed in this state which provides major medical benefits by a health care corporation, health maintenance organization, preferred provider organization, accident and sickness insurer, fraternal benefit society, or any similar entity and any self-insured plan not subject to the exclusive jurisdiction of the Employee Retirement Income Security Act of 1974, 29 U.S.C. Section 1101, et seq.     No short-term health benefit policy or certificate shall contain a provision defining "preexisting condition" which is more restrictive than the following:   Preexisting condition means the existence of symptoms which would cause an ordinary prudent person to seek diagnosis, care, or treatment; or   A condition for which medical advice or treatment was recommended by or received from a provider of health care services, within six months preceding the effective date of coverage of an insured person.The condition at issue must be the ultimate condition for which medical advice or treatment was recommended by or received from a provider of health care services and excludes any preventive services.       (Code 1981, §33-24-59.26, enacted by Ga. L. 2019, p. 386, § 64/SB 133.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 2019, Code Section 33-24-59.25, as enacted by Ga. L. 2019, p. 386, § 64/SB 133, was redesignated as Code Section 33-24-59.26.   RESEARCH REFERENCES   Am. Jur. 2d.   - 43 Am. Jur. 2d, Insurance, § 551 et seq.
GA Code § 33-24-59.29 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 1 - General Provisions|§ 33-24-59.29. Copayments

  As used in this Code section, the term "health benefit plan" means any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, contract or agreement with a health maintenance organization, subscriber contract or agreement, preferred provider organization, accident and sickness insurance benefit plan, or other insurance contract under any other name. The term shall include any health insurance plan established under Article 1 of Chapter 18 of Title 45.   In all health benefit plans issued, delivered, or renewed in this state, copayments shall be reasonable in relation to the covered benefits to which they apply, shall serve as an incentive rather than a barrier to access appropriate care, and shall not work so as to unfairly deny necessary healthcare services.     (Code 1981, §33-24-59.29, enacted by Ga. L. 2020, p. 223, § 1/SB 28.)   Code Commission notes.   - Pursuant to Code Section 28-9-5, in 2020, Code Section 33-24-59.25 as enacted by Ga. L. 2020, p. 223, § 1/SB 28 was redesignated as Code Section 33-24-59.29.
GA Code § 33-24-60 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 2 - Assessment of Proposed Accident and Sickness Insurance Coverage|§ 33-24-60. Short Title

 This article shall be known and may be cited as the "Assessment of Proposed Accident and Sickness Insurance Coverage Act."    (Code 1981, §33-24-60, enacted by Ga. L. 1989, p. 492, § 1.)
GA Code § 33-24-61 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 2 - Assessment of Proposed Accident and Sickness Insurance Coverage|§ 33-24-61. Legislative Findings and Intent

 It is the intent of the General Assembly to encourage health care cost containment while preserving the quality of care offered to citizens of this state. The General Assembly finds that there is an increasing number of proposals which mandate that certain health insurance benefits be provided by insurers as components of individual and group accident and sickness insurance policies. The General Assembly further finds that many of these health insurance benefits provide beneficial social and health consequences which may be in the public interest. However, the General Assembly also recognizes that most mandated health insurance benefits contribute to the increasing cost of accident and sickness insurance premiums. Therefore, it is the intent of the General Assembly to conduct a systematic review of proposed mandated or mandatorily offered health insurance benefits and to establish guidelines for such a review. This review will assist the General Assembly in determining whether mandating a certain health insurance benefit is in the public interest.    (Code 1981, §33-24-61, enacted by Ga. L. 1989, p. 492, § 1.)
GA Code § 33-24-62 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 2 - Assessment of Proposed Accident and Sickness Insurance Coverage|§ 33-24-62. "Health Insurance Benefit Bill" Defined

 As used in this article, the term "health insurance benefit bill" means any legislative proposal which either mandates the inclusion of certain benefits, coverages, or reimbursements for covered health care services in accident and sickness insurance policies or provides for the mandatory offering of such benefits, coverages, or reimbursements in accident and sickness insurance policies.    (Code 1981, §33-24-62, enacted by Ga. L. 1989, p. 492, § 1.)
GA Code § 33-24-63 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 2 - Assessment of Proposed Accident and Sickness Insurance Coverage|§ 33-24-63. Review of Health Insurance Benefit Bill by General Assembly; Commissioner to Issue Report on Bill

  Every health insurance benefit bill, to be determined by the presiding officer of the House of Representatives or the Senate, shall be subject to review by the General Assembly prior to enactment as provided in this article. The Clerk of the House or the Secretary of the Senate shall deliver such bill or bills to the Commissioner of Insurance within five days after such legislation has been read for the first time.   The Commissioner of Insurance shall issue a report on each health insurance benefit bill which assesses, if possible, the financial effects of the health insurance benefit proposed in such bill. The Commissioner, upon completion of said report, shall deliver a copy thereof to the Governor and to the presiding officer of both houses of the General Assembly.     (Code 1981, §33-24-63, enacted by Ga. L. 1989, p. 492, § 1.)
GA Code § 33-24-64 (2021)
2021 Georgia Code|Title 33 - Insurance|Chapter 24 - Insurance Generally|Article 2 - Assessment of Proposed Accident and Sickness Insurance Coverage|§ 33-24-64. Contents of Report by Commissioner on Health Insurance Benefit Bills

 The report required under Code Section 33-24-63 for assessing the impact of a health insurance benefit bill shall address the financial impact of such legislation by obtaining, at the minimum and to the extent that the information is available, the following:    To what extent will the benefit increase or decrease the cost of the treatment or service;   To what extent will the benefit increase the appropriate uses of the treatment or service;   To what extent will the benefit be a substitute for a more expensive treatment or service;   To what extent will the benefit increase or decrease the administrative expense of insurers or premium of the policyholders; and   The impact of this coverage on the total cost of insurance premiums or health care to health insurance policyholders, including the impact of all indirect costs, which are costs other than premiums and administrative costs, on the question of benefit costs and benefits of coverage.     (Code 1981, §33-24-64, enacted by Ga. L. 1989, p. 492, § 1.)