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GA SB360

GA SB360
Public Assistance; public option buy-in program to provide healthcare coverage to individuals not eligible for Medicaid coverage; provide


summary

Introduced
03/25/2025
In Committee
03/27/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 Regular Session

Bill Summary

AN ACT To amend Chapter 4 of Title 49 of the Official Code of Georgia Annotated, relating to public assistance, so as to provide for a public option buy-in program to provide healthcare coverage to individuals not eligible for Medicaid coverage or enrollment through a health exchange; to provide for definitions; to provide requirements for the program; to provide for any necessary state plan amendments or waivers; to provide for rules and regulations; to provide for related matters; to repeal conflicting laws; and for other purposes.

AI Summary

This bill establishes a Public Option Buy-In Program in Georgia to provide healthcare coverage for individuals who are not eligible for Medicaid or health insurance exchanges. The program would offer healthcare coverage at a cost equal to the state's per capita Medicaid payment, with benefits and coverage standards matching those of Medicaid care management organizations. Eligible persons include individuals who cannot obtain coverage through Medicaid or exchanges, or those who would be ineligible if federal healthcare subsidies are not funded. When soliciting care management organizations for Medicaid services, the Department of Community Health must require bidders to also bid on the Public Option Buy-In Program, with a priority on organizations that can align provider networks between Medicaid and the new program. The department is authorized to submit necessary state plan amendments or waiver requests to the federal Department of Health and Human Services and to create rules and regulations to implement the program. The bill aims to expand healthcare access for residents who currently fall through gaps in existing health insurance coverage options.

Committee Categories

Health and Social Services

Sponsors (6)

Last Action

Senate Read and Referred (on 03/27/2025)

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