2727 Paces Ferry Rd SE, Building One, Suite 1400
Atlanta, GA 30339-4503
segalco.com
PURPOSE OF BILL
To amend the Prior Authorization Transparency Act; and to exempt certain healthcare providers
that provide certain healthcare services from prior authorization requirements.
ACTUARIAL STATEMENT
The Fiscal Impact Statement was prepared according to generally accepted actuarial principles and
practices, in compliance with ACT 112. The Statement provides an estimate of the financial and
actuarial effect of the proposed change(s) on the Plans, if possible. The Statement makes no
comment or opinion with regard to the merits of the measure for which the Statement is prepared;
however, any identified technical or mechanical defects have been noted.
We have reviewed the input and results of our analysis for reasonableness and relied upon the data
and information provided by the Plans and their Claims Processing Contractors.
3/3/2023
_________________________________________ _________________
Patrick Klein, FSA, MAAA Date
Vice President
3/3/2023
_________________________________________ __________________
Matthew Kersting, FSA, MAAA Date
Vice President
 PROJECTED COSTS
Plan Design Change Estimated Cost/(Savings)
Plan
EBD No Change No Impact
UOA No Change No Impact
ASU No Change No Impact
UCA No Change No Impact
AHEC No Change No Impact
NWACC No Change No Impact
SAU No Change No Impact
PRICING APPROACH AND COMMENTS
House Bill 1271 was amended so that state or local governmental employee plans are exempt.
Therefore, there is no fiscal impact for the health plans.


Statutes affected:
Old version HB1271 V2 - 3-6-2023 09:40 AM: 23-99-1103(8), 03-06-2023, 23-99-1119, 23-99-1126, 23-99-1103, 23-99-1104(a)
Old version HB1271 V3 - 3-9-2023 09:47 AM: 23-99-1103(8), 03-09-2023, 23-99-1119, 23-99-1126, 23-99-1103, 23-99-1104(a)
Old version HB1271 V4 - 3-16-2023 03:14 PM: 23-99-1103(8), 03-16-2023, 23-99-1119, 23-99-1126, 23-99-1103, 23-99-1104(a)
HB 1271: 23-99-1103(8), 23-99-1119, 23-99-1126, 23-99-1103, 23-99-1104(a)
Act 575: 23-99-1103(8), 03-16-2023, 23-99-1119, 23-99-1126, 23-99-1103, 23-99-1104(a)