Bill Text: GA HB1166 | 2011-2012 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Insurance; individual health insurance coverage to children through child-only health plans; provide

Spectrum: Partisan Bill (Republican 7-0)

Status: (Passed) 2013-01-01 - Effective Date [HB1166 Detail]

Download: Georgia-2011-HB1166-Amended.html

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12 AM 28 1156

NOT GERMANE

Senators Hill of the 32nd, McKoon of the 29th and Loudermilk of the 52nd offered the following amendment:

Amend HB 1166 (LC 29 5196ERS) by inserting after "so as" on line 1 "to provide a certain definition; to provide for certain condition and disease management programs;" and by redesignating Sections 2 and 3 as Sections 4 and 5, respectively, and striking lines 13 and 14 and inserting in lieu thereof the following:
Title 33 of the Official Code of Georgia Annotated, relating to insurance, is amended by revising Code Section 33-1-2, relating to definitions, by adding a new paragraph to read as follows:

"(1.05) 'Comprehensive major medical' means a plan with at least a $1 million coverage lifetime maximum, a cost sharing out-of-pocket maximum no greater than that applicable in any given year to a high deductible health plan as defined under Section 223 of the Internal Revenue Code with applicable annual indexing, and coverage for at least ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, prescription drugs, rehabilitative and wellness services, chronic disease management, and pediatric services."

SECTION 2.

Said title is further amended by revising Code Section 33-24-59.13, relating to exemptions for certain unfair trade practices for certain wellness and health improvement programs and incentives, as follows:

"33-24-59.13.

(a) An insurer issuing comprehensive, major medical group, or individual health insurance benefit plans may, in keeping with federal requirements, offer wellness, condition management, disease management, or health improvement programs, including voluntary wellness or health improvement programs that provide for rewards or incentives, including, but not limited to, merchandise, gift cards, debit cards, premium discounts or rebates, contributions towards a member's health savings account, modifications to copayment, deductible, or coinsurance amounts, or employee contributions or any combination of these incentives, to encourage enrollment in, participation in, improved outcomes from, or improved health status from in such wellness or health improvement programs and to reward insureds for participation in such programs.

(b) The offering of such rewards or incentives to insureds under such wellness or health improvement programs shall not be considered an unfair trade practice under Code Section 33-6-4 if such programs are filed with the Commissioner and made a part of the health insurance master policy and certificates or the individual health insurance evidence of coverage as a policy amendment, endorsement, rider, or other form of policy material as agreed upon by the Commissioner. The Commissioner shall be authorized to develop an automatic or expedited approval process for review of such wellness or health improvement programs, including those programs already approved under the laws and regulations of other states."

SECTION 3.

Said title is further amended by adding a new chapter to read as follows: