Bifurcated

Georgia No Surprises Act & IDR Rules

Last verified: July 2026 · For informational purposes only, not legal advice

Quick answer: Georgia is a bifurcated state. Some disputes are governed by Georgia's own specified state law, while others default to the federal No Surprises Act IDR process depending on the plan type and service involved.

How it works

Georgia's specified state law applies to emergency items and services by out-of-network providers and facilities, and non-emergency items and services furnished by out-of-network providers at in-network facilities. The federal IDR process applies mainly to air ambulance services. Georgia is also one of six states that allows self-funded ERISA plans to voluntarily opt into the state process.

Key dates

Federal No Surprises Act protections took effect January 1, 2022. State-specific protections vary — check the official source below for exact effective dates in this state.

Official source: Centers for Medicare & Medicaid Services — Georgia enforcement letter and specified state law documentation (cms.gov/nosurprises)

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