Bill
Bill > SB91
GA SB91
State Employees' Health Insurance Plan; Board of Community Health from entering into, executing, or renewing a contract with any pharmacy benefits manager that owns or has an ownership interest in any retail pharmacy; prohibit
summary
Introduced
02/04/2025
02/04/2025
In Committee
04/02/2025
04/02/2025
Crossed Over
03/04/2025
03/04/2025
Passed
Dead
Introduced Session
2025-2026 Regular Session
Bill Summary
AN ACT To amend Article 1 of Chapter 24 of Title 33 of the Official Code of Georgia Annotated, relating to general provisions regarding insurance, so as to require major medical coverage for annual prostate cancer screenings for certain men; to provide for definitions; to amend Chapter 43 of Title 33 of the Official Code of Georgia Annotated, relating to Medicare supplement insurance, so as to provide for Medicare supplement policies to be issued and renewed for individuals under 65 years of age who are eligible by reason of disability or end stage renal disease under federal law; to provide for open enrollment periods; to prohibit an insurer from charging premium rates for such policies for such individuals that exceed premium rates charged for individuals who are 65 years of age; to provide for related matters; to provide for effective dates and applicability; to repeal conflicting laws; and for other purposes.
AI Summary
This bill makes two primary changes to health insurance regulations in Georgia. First, it requires health benefit policies to provide annual prostate cancer screenings for men considered at high risk, which includes men aged 40-49 with a family history of prostate cancer, men 50 years and older, and other men as determined by a physician. The screenings must include a digital rectal examination and a prostate-specific antigen test. Second, the bill modifies Medicare supplement insurance policies to expand coverage and protections for individuals under 65 who are eligible for Medicare due to disability or end-stage renal disease. These modifications include establishing a guaranteed renewable basis for such policies, creating open enrollment periods, and prohibiting insurers from charging excessive premium rates compared to policies for individuals 65 and older. Specifically, for certain standardized Medicare supplement policies, insurers cannot charge premium rates for individuals under 65 that exceed the rates for 65-year-olds, and for other policies, rates cannot exceed 200 percent of the rates for 65-year-olds. The bill will become fully effective on January 1, 2026, and will apply to insurance policies issued or renewed on or after that date.
Committee Categories
Health and Social Services
Sponsors (26)
John Albers (R)*,
Lee Anderson (R)*,
Brandon Beach (R)*,
Matt Brass (R)*,
Max Burns (R)*,
Greg Dolezal (R)*,
Drew Echols (R)*,
Frank Ginn (R)*,
Steve Gooch (R)*,
Russ Goodman (R)*,
Marty Harbin (R)*,
Bo Hatchett (R)*,
Billy Hickman (R)*,
Mike Hodges (R)*,
Chuck Hufstetler (R)*,
Donzella James (D)*,
Kay Kirkpatrick (R)*,
Derek Mallow (D)*,
Chuck Payne (R)*,
Shawn Still (R)*,
Carden Summers (R)*,
Blake Tillery (R)*,
Ben Watson (R)*,
Sam Watson (R)*,
Rick Williams (R)*,
Karen Mathiak (R),
Last Action
House Withdrawn, Recommitted (on 04/04/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://www.legis.ga.gov/legislation/69888 |
BillText | https://www.legis.ga.gov/api/legislation/document/20252026/238631 |
BillText | https://www.legis.ga.gov/api/legislation/document/20252026/235047 |
BillText | https://www.legis.ga.gov/api/legislation/document/20252026/231216 |
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