Georgia Code
Chapter 21 - Health Maintenance Organizations
§ 33-21-20.1. Regulation of Hmos by Commissioner of Community Health

All health maintenance organizations meeting the requirements of subsection (b.1) of Code Section 33-21-3 shall not be subject to regulation by the commissioner of community health. Upon the Commissioner’s determination that a health maintenance organization no longer meets the requirements of subsection (b.1) of Code Section 33-21-3, the Commissioner shall immediately notify the commissioner of community health and such health maintenance organization shall be subject to regulation by the commissioner of community health until such time as it again meets the requirements of subsection (b.1) of Code Section 33-21-3 as determined by the Commissioner.
History. Code 1981, § 33-21-20.1 , enacted by Ga. L. 2004, p. 493, § 7; Ga. L. 2009, p. 453, § 1-40/HB 228; Ga. L. 2019, p. 386, § 2/SB 133.
The 2019 amendment, effective July 1, 2019, rewrote the first sentence, which formerly read: “On May 13, 2004, all health maintenance organizations meeting the requirements of subsection (b.1) of Code Section 33-21-3 shall not be subject to regulation by the commissioner of human resources (now known as the commissioner of community health for these purposes).”, and, in the second sentence, substituted “Commissioner’s” for “Commissioner of Insurance’s” at the beginning, deleted a semicolon following “community health” in the middle, and deleted “of Insurance” following “Commissioner” at the end.

Structure Georgia Code

Georgia Code

Title 33 - Insurance

Chapter 21 - Health Maintenance Organizations

§ 33-21-1. Definitions

§ 33-21-2. Procedure for Establishment of Health Maintenance Organizations Generally; Notice of Modification; Exemption of Item From Filing Requirements

§ 33-21-3. Grounds and Procedure for Issuance or Denial of Certificate of Authority; Endorsement of Change of Address Upon Certificate of Authority

§ 33-21-4. Annual License Fee

§ 33-21-5. Suspension or Revocation of Certificate of Authority

§ 33-21-6. Composition of Governing Body; Duty to Establish Mechanism for Participation by Enrollees in Matters of Policy and Operation

§ 33-21-7. Fiduciary Responsibilities of Directors, Officers, or Partners

§ 33-21-8. Powers of Organizations Generally; Filing of Notice of Exercise of Powers

§ 33-21-9. Establishment and Maintenance of Complaint System; Maintenance of Records of Complaints; Summary Reports; Examination of System

§ 33-21-10. Responsibility of Organizations for Financial Risks of Providing Services Generally; Reinsurance of Risks; Deposit of Cash or Securities With Commissioner

§ 33-21-11. Investment of Funds of Organizations

§ 33-21-12. Participation in Organizations by Members of Associations

§ 33-21-13. Evidence of Coverage; Filing and Approval of Basic Rates and Method of Computation of Coverage

§ 33-21-14. Annual Information to Enrollees

§ 33-21-15. Filing of Annual Reports; Contents

§ 33-21-16. Fees and Taxes

§ 33-21-17. Examinations of Organizations and Providers; Reports of Examinations; Payment of Expenses of Examinations

§ 33-21-18. Adoption of Rules and Regulations Generally

§ 33-21-18.1. Emergency Services Requirements; Restrictive Formulary Requirements

§ 33-21-19. Promulgation of Rules and Regulations for Licensing of Agents

§ 33-21-20. Conduct of Hearings Generally; Participation in Hearings by Commissioner of Community Health; Judicial Review

§ 33-21-20.1. Regulation of Hmos by Commissioner of Community Health

§ 33-21-21. Authority of Commissioner of Community Health to Contract for Making of Recommendations Required by Chapter; Acceptance of Recommendations

§ 33-21-22. Applications, Filings, and Reports to Be Treated as Public Documents

§ 33-21-23. Confidentiality of Medical Information; Claim of Privileges by Organizations

§ 33-21-24. Rehabilitation, Liquidation, or Conservation of Organizations

§ 33-21-25. Organization and Operation of Health Maintenance Organizations by Insurers or Health Care Corporations

§ 33-21-26. Untrue or Misleading Statements; Deceptive Evidence of Coverage; Cancellation or Nonrenewal of Enrollees

§ 33-21-27. Enforcement of Chapter; Penalties for Violations of Chapter

§ 33-21-28. Applicability of Provisions of Title and of Other Laws to Health Maintenance Organizations and Representatives

§ 33-21-29. Point-of-Service Option for Persons Offered Health Care Coverage Through Health Maintenance Organization