Insurer Credentialing Reform Act

What HB 1354 does: Sets a 45-day deadline for commercial health insurers to complete credentialing of a provider after receiving a complete application and directs the Department of Insurance to create a standardized credentialing form aligned with Georgia Medicaid’s existing credentialing system. Slow and inconsistent credentialing is a major bottleneck to network adequacy, particularly for behavioral health providers, and the 45-day timeline matches Georgia’s own Medicaid standard. The bill currently lacks enforcement mechanisms and provisional credentialing provisions, which limit its real-world impact.