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- Georgia Pathologists, CAP Support Network Adequacy Bill
On February 1, the Georgia Association of Pathologists (GAP) in partnership with the CAP, urged the state legislature to support Senate Bill 20 requiring health plan network adequacy and adequate access to clinical laboratory services to ensure covered persons have full access to their plan’s covered benefits and health care services. The CAP works closely with state pathology societies to advocate for network adequacy laws requiring health plans to be evaluated by their state insurance departments for enrollee access to hospital-based physician specialists, inclusive of pathologists.
GAP President Lara Harik, MD, FCAP, wrote “The GAP and CAP believe that ensuring health plan network adequacy is indispensable to providing patients with in-network physician services, including pathology and clinical laboratory services. Pathology and clinical laboratory services are integral to patient diagnosis and treatment, and the failure of any health plan to adequately contract for those services, and provide enrollees with geographic and timely access, should be scrutinized, and monitored by the Insurance Department, as required under the legislation”
The GAP said “a health plan that does not have these services under contract for its enrollees is fundamentally deficient and may result in harm to Georgia patients.”
The CAP will work closely with GAP and the Medical Association of Georgia (MAG) to support Senate Bill 20.