Bill > HB100

This bill, known as the Prescription Drug Consumer Financial Protection Act, aims to require health insurers in Georgia to pass along at least 80 percent of prescription drug rebates directly to enrollees at the point of sale. The bill addresses concerns about high out-of-pocket costs for prescription medications by defining key terms such as 'rebates' (which include price concessions from manufacturers or pharmacies), 'health benefit plans' (various types of health insurance), and 'cost sharing requirements' (deductibles, copayments, etc.). The legislation finds that citizens often struggle with significant prescription drug costs, and that insurers frequently retain rebates instead of passing savings to consumers. Insurers will be required to calculate an enrollee's cost sharing requirement using a price reduced by at least 80 percent of all rebates received, and they are prohibited from publicly disclosing specific rebate information, which is considered a trade secret. Non-compliance could result in penalties including civil penalties or license suspension. The act will become effective on January 1, 2026, and will apply to all health insurance policies issued or renewed in the state after that date, with the goal of making prescription drugs more affordable for Georgia residents.

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https://www.legis.ga.gov/legislation/69453