Bill > HB323

This bill amends Georgia's Medicare supplement insurance laws to improve coverage and accessibility for individuals under 65 who are eligible for Medicare due to disability or end-stage renal disease. The legislation requires insurance companies to offer Medicare supplement policies to these younger individuals on the same terms as those available to people 65 and older, including guaranteed renewable coverage. The bill establishes new rules about premium rates, ensuring that insurers cannot charge excessive rates for younger Medicare beneficiaries - specifically capping premiums for certain plan types at the same rate charged to 65-year-olds and limiting premiums for other plans to no more than 200% of the rates for 65-year-olds. Additionally, the bill creates a one-time six-month open enrollment period starting January 1, 2026, for individuals with Medicare due to disability or end-stage renal disease, and prohibits insurers from imposing waiting periods or preexisting condition limitations for these policies. The legislation aims to bridge coverage gaps and reduce financial barriers for younger Medicare beneficiaries with serious health conditions, with most provisions becoming effective on January 1, 2026.

Business and Industry, Health and Social Services

https://www.legis.ga.gov/legislation/70034