Consumer Protections Health Insurance
HB 84 by Rep. Richard Smith failed on the House Floor on Thursday. The measure failed 77 to 78. There were 25 Members out of the Chamber for the vote.
Thank you to all who called to stop HB 84.
Out of Network Billing
by Sen. Chuck Hufstetler passed the Senate floor unanimously on Tuesday, this past week. The bill has met the crossover deadline and will make it's way to the House to await a committee assignment. As a reminder, the bill protects patients by providing a comprehensive solution to surprise bills by doing the following:
- Removes the patient from the billing dispute that occurs between physicians, providers, health insurers and hospitals;
- Applies to emergency and elective cases;
- Provides a minimum benefit standard paid to physicians and providers for the health insurers that lack networks;
SB 56 is supported by a coalition group that includes the physician community, patients, and the consumer advocacy organizations.
by Sen. Blake Tillery, awaits a hearing in the House Special Committee on Access to Quality Health Care. This is Gov. Brian Kemp’s health care legislation surrounding waivers, also known as the 'Patients First Act.' If signed into law, the legislation would authorize the Georgia Department of Community Health (DCH) to submit a Section 1115 waiver to the Centers for Medicare & Medicaid Services (CMS) to expand the number of Georgians who are insured by Georgia’s Medicaid program. Furthermore, the legislation would allow the Administration to submit a Section 1332 waiver to the U.S. Secretary of Health and Human Services to get permission to find innovative ways to provide residents with access to affordable quality health care. A waiver granted from the U.S. HHS Department would allow Georgia to use the Medicaid expansion funds to buy private insurance in the state health insurance exchange for eligible Georgia citizens at or below 138 percent of the federal poverty level.
Interstate Medical Licensure Compact
by Sen. Kay Kirkpatrick, M.D. will improve the process for physicians to obtain licenses in other participating states. Georgia will be the 25th state to become a part of the compact should this clear the House and be signed into law by the Governor. This bill passed the Senate unanimously and is awaiting a hearing in House Health and Human Services.
Georgia Council on Criminal Justice Reform Council Creation
, by Sen. Jesse Stone reauthorizes the Georgia Council on Criminal Justice Reform, more than eight months after the previous council lapsed. The council would proceed through 2022. Passed unanimously on the Senate floor, the bill awaits a committee assignment in the House.
Insurance Card Disclosure
, by Sen. Larry Walker, requires that a statement indicating that the subscriber's health policy is fully insured must be included on a subscriber's health insurance identification card. The bill passed the Senate unanimously where it awaits a hearing in House Insurance.
, by Sen. Larry Walker, requires the length of time data is kept on the PDMP. The language allowing law enforcement to search without cause has been removed. The bill passed the Senate and awaits a committee assignment in the House.
by Rep. Sharon Cooper would establish exceptions to health insurer step therapy protocols. The bill passed the House and currently is awaiting a hearing in Senate Insurance.
by Rep. Sharon Cooper, would require a health care facility to notify a patient whenever dense breast tissue is detected in a mammogram. The legislation includes specific language that must be included in that notification. This bill has passed both the House and Senate floor and is on the governors desk.
HIV Medicaid and ADAP Recipients
introduced by Rep. Deborah Silcox, makes it easier for HIV-positive Medicaid recipients to receive the most effective medications, allowing physicians to get patients into treatments quickly with the most effective drug regimen available. The bill passed the House unanimously and is awaiting a hearing in Senate Health and Human Services.
State Health Benefit Plan Bariatric Surgery Pilot Renewal & Expansion
by Rep. Katie Dempsey, renews and expands the pilot for a bariatric surgery benefit to a four year pilot allowing for 250 plan participants per year through 2024. The bill has been assigned to Senate Health and Human Services and is awaiting a hearing.
by Rep. Sharon Cooper creates a syringe services program relating to hypodermic syringes or needles. The bill passed the House and is awaiting a hearing in the Senate Health and Human Services.
Preexposure (PrEP) to HIV Pilot Program
by Rep. Sharon Cooper, establishes a three-year pilot program to provide pre-exposure prophylaxis drug assistance or services to persons at risk of being infected with HIV. This bill was approved by the House and now awaits a hearing in Senate Health and Human Services.
Hospital Bed Tax
by Rep. Jodi Lott, extends the sunset provision through June 2025 relating to the hospital Medicaid financing program. Passed in the House, the bill currently sits in Senate Finance.
Pharmacy Anti Steering
by Rep. David Knight, enables a transparency program for Pharmacy Benefit Managers. The bill awaits a hearing in Senate Health and Human Services Committee.
Pharmacy Benefit Manager Reform
by Rep. David Knight, would provide transparency of PBMs to report annually to the Commissioner the aggregate amount of all rebates that the pharmacy benefits manager received from pharmaceutical manufacturers and the aggregate amount of rebates the pharmacy benefits manager received from pharmaceutical manufacturers that it did not pass through to insurers or payers. Passing the House unanimously, the bill has been assigned to Senate Health and Human Services where it awaits further action.
by Rep. John LaHood, authorizes certified medication aides to administer medications to residents under hospice care pursuant to a physician's written orders. The bill passed unanimously through the House awaiting action in Senate Health and Human Services.
Joint Study Committee on Infant and Toddler Social and
by Rep. Katie Dempsey creates
Joint Study Committee exploring the effects on infant and toddler social and emotional health.
Abortion - Heartbeat
by Rep. Ed Setzler institutes a law declaring that abortions are illegal in the state after a heartbeat is detected, which is usually around six weeks gestation. After much controversy surrounding this sensitive issue, the bill passed the House in the late hours of legislative day 28, by a vote of 93 - 74. The bill moves on to the Senate where it awaits committee assignment.
Dangerous Drug Update
by Rep. Ron Stephens, is the annual update to Schedules I, IV, and V controlled substances. Passing the House floor with only two no votes, the bill awaits a Senate committee assignment.
Behavioral Health Reform and Innovation Commission
, by Rep. Kevin Tanner, creates the Behavioral Health Reform and Innovation Commission. The legislation creates a commission comprised of 23 experts to develop a statewide plan for mental and behavioral health. The committee makeup is as follows:
Members appointed by the Governor:
A psychiatrist who specializes in children and adolescents;
A psychiatrist who specializes in adults;
A certified addiction recovery empowerment specialist;
A state education official with broad experience in education policy;
A representative from an urban community service board;
A representative from a rural community service board;
A forensic psychiatrist;
A local education official.
Members appointed by the President of the Senate:
Two members of the Senate;
A licensed clinical behavioral health professional;
A behavioral health advocate.
Members appointed by the Speaker of the House of Representatives:
Two members of the House of Representatives;
A police chief;
A licensed clinical behavioral health professional;
A behavioral health advocate.
Members appointed by the Chief Justice of the Supreme Court of Georgia:
One Justice of the Supreme Court of Georgia;
Members serving as nonvoting ex officio members of the commission:
Commissioner of the Department of Behavioral Health and Developmental Disabilities or his or her designee;
Commissioner of the Department of Juvenile Justice or his or her designee;
Commissioner of the Department of Corrections or his or her designee;
Commissioner of the Department of Community Health or his or her designee;
Director of the Georgia Bureau of Investigation or his or her designee.
The bill now awaits a committee assignment in the Senate.