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Legislative update: Week 10

In this week’s update:

• Action alert: Urge Senators to vote NO on SB 140!
• Action alert: Ask Senate committee to support safe, healthy housing (HB 404)!
• Action alert: Continue to urge Senators to support strong mental health reforms (HB 520)!
• Legislation on the move: vaping, biomarker testing, & more!
• GHF’s got you covered this session!

ACTION ALERT: URGE YOUR SENATORS TO VOTE NO TO SB 140!

Let’s keep doctors and families in charge of their own evidence-based health care!

SB 140 would ban certain surgical procedures and hormone replacement therapies for the treatment of gender dysphoria in youth in Georgia. The Senate may take a final vote on SB 140 as early as today! Act now and urge your Senator to vote “no”!

Last Tuesday, the House Public Health committee amended SB 140 to criminalize medical providers for administering gender-affirming care in line with established standards of care. The House approved the amended version of SB 140 on Thursday. Because the House made changes to the Senate bill, the Senate must vote on the bill one more time.

Research shows that gender-affirming care greatly improves the mental health and overall well-being of gender-diverse, transgender, and nonbinary children and adolescents. Every major U.S. medical and mental health organization–including the American Medical Association, American Academy of Pediatrics, Federation of Pediatric Organizations, and American Psychological Association–supports access to gender-affirming care for transgender young people and adults. 

This bill would be harmful to transgender youth, their families, and health care providers. Urge your state senator NOW to vote NO on SB 140!

Legislative update: Week 9

In this week’s update:

• Action alert: Urge Senators to support HB 520!
• Amended FY23 and FY24 budget updates 
• Biomarker bill gets Senate committee approval
• TANF for pregnant women 
• Advocacy events for your calendar
• GHF’s got you covered this session!

ACTION ALERT: URGE YOUR SENATORS TO SUPPORT HB 520!

New mental health bill will be heard in Senate committee today

A subcommittee of the Senate Health & Human Service committee will hear HB 520 this afternoon at 2 pm. Please call HHS committee members now to ask that they support the bill! 

HB 520 seeks to build on last year’s sweeping Georgia Mental Health Parity Act. HB 520 aims to address the statewide shortage of mental health providers, understand the capacity for in-patient mental health and substance use treatment, streamline the ways that state agencies involved in behavioral health can share data, and address the needs of so-called “familiar faces” (people that cycle between homelessness, jails, and hospitals due to serious mental illness). 

Similar to last year’s mental health bill, this bill has been the subject of misinformation and stigma. It is very important that state Senators hear from you with your support!

If you don’t know what to say when you call, use this example: “My name is ________ and I live in your district. Please vote YES on House Bill 520 when it comes to the Senate Health and Human Services committee for a vote this afternoon. It will help Georgians who need mental health and substance use services more easily access and afford those services. Thank you!”

LEGISLATIVE UPDATE: CROSSOVER DAY RECAP

In today’s update:

Monday was the 28th day of the Georgia legislative session, which is also called Crossover Day. Crossover Day is the final day for a bill to cross from its chamber of origin to the opposite chamber to remain viable for this legislative session.

In this special midweek legislative update, we run down which consumer health bills made it through and which did not. We have included only the bills that we covered in Monday’s week 8 legislative update.

Note: After the flurry of activity on Monday, we are still working to update our legislative tracker with the current status of each bill. While many are updated, it is best to find the bill you are interested in and click through to find the full information about the bill’s status on legis.ga.gov. 

CROSSOVER DAY ACTION

Legislative update: Week 8

In this week’s update:

• New mental health bill passes house!
• Modernizing the TANF program
• Better housing for Georgians!
• Crossover Day: legislation we are watching ahead of today’s deadline! 
• Advocacy events for your calendar
• GHF’s got you covered this session!

NEW MENTAL HEALTH BILL PASSES HOUSE!

Mental health bill moving onto the Senate! 

HB 520, this year’s mental health reform bill, received the approval of the Georgia House and will be considered by the Senate after Crossover Day.  

This bill was introduced by Representatives Mary Margaret Oliver and Todd Jones and seeks to build on last year’s sweeping Georgia Mental Health Parity Act. HB 520 aims to address the statewide shortage of mental health providers, understand the capacity for in-patient mental health and substance use treatment, streamline the ways that state agencies involved in behavioral health can share data, and address the needs of so-called “familiar faces” (people that cycle between homelessness, jails, and hospitals due to serious mental illness). The bill also expands the Behavioral Health Reform and Innovation Commission (BHRIC) to include two “peer support specialists.”

HB 520 also directs DBHDD and DCH to develop an 1115 waiver to use Medicaid funds to provide housing, employment, and nutrition supports, as well as case management, outreach, and education to Medicaid members. This type of waiver is intended to address the non-medical needs of Medicaid members that impact their health and reduce health disparities. These kinds of needs are sometimes called the social determinants of health (SDOH).

Legislative update: Week 7

In this week’s update:

• Crossover Day in a week!
• New mental health bill
• Cover Georgia advocacy day!  
• Budget updates
• Legislation on the move
• Advocacy events for your calendar
• GHF’s got you covered this session!

COUNTDOWN TO CROSSOVER DAY

Crossover Day is next Monday! 

We’re now one week away from Crossover Day. Crossover Day marks the point during the legislative session when a bill must be approved by its originating chamber so it can move across the Capitol to the other chamber. A House bill that is not passed out of the House and any Senate bill that is not passed out of the Senate by Monday, March 6th, will not be able to become law this session. (There are occasional exceptions to this rule.) This deadline means things are heating up at the Capitol, and committees are working furiously to hear legislation. Expect a lot of activity over the next week, and follow GHF for updates.

In 2021 Georgians for a Healthy Future launched a project to raise awareness about the health harms of laws that stop, limit, or discourage local policy-making by communities about their health and well-being. . With support from Voices for Healthy Kids, GHF has spread the word that public health is local. 

When state or federal laws limit what laws or policies can be adopted by a local city or county, it’s called “preemption.” Check out our new video about preemption and public health here!  While it’s not always the case, preemption can be a sneaky way to stifle local efforts to build healthier communities. It can strip local officials of their powers to meaningfully govern in the best interest of their constituents.

Why does preemption matter for public health?

Communities in Georgia may want to promote public health with policies like these but preemptions in Georgia law stand in the way:

• Adding a local sales tax to smoking and vaping products to prevent youth ;
• Requiring COVID-19 vaccination or proof of negative COVID status before entering public buildings or taking part in public programs;
• Requiring businesses to provide paid family leave;, and 
• Raising the minimum wage for local workers.

Public health is crucial to promoting and protecting Georgians’ health and the health of our communities where we live, work, and play. Public health workers, agencies, and laws make it possible to track disease outbreaks, safely drink water from our faucets and eat at restaurants, help community residents learn healthy behaviors, and understand why some of us are more likely to experience poor health than others. It requires in-depth knowledge of the community and the ability to act locally in ways that are tailored to the needs and preferences of the residents. 

When the state or federal government preempts (stops) a community from making these local public health decisions, it can disrupt preparedness for future emergencies, worsen existing health gaps, and slow the spread of new or evidence-based policies. 

For example, it is well documented that  higher smoking and vaping taxes reduce rates of smoking and vaping, especially among young people and people with low-incomes. When local Georgia communities decide they want to prevent the adverse health effects of smoking and vaping among their middle and high school students, they can’t add a local tax to these harmful products. Georgia law hand-cuffs them from using one of the most effective anti-smoking and vaping policies to address their local needs. The inability to address this problem perpetuates higher smoking rates and worse health outcomes for some groups of people (particularly American Indians in Georgia).

Public Health is Local trainings: Savannah and statewide

As part of this project, GHF hosted two Public Health is Local trainings for Georgians. Step Up Savannah and Healthy Savannah co-hosted one of the trainings with  GHF. The event helped coastal Georgians learn more about preemptive policies (including some that are most relevant for that region of the state) and how they can take action to protect the public health of their communities.
You can view the virtual conversation HERE.

Advocacy opportunities

Preemption removes opportunities for effective, local public health action. Instead, state and federal laws should aim to set up frameworks that allow communities who know what will work best for their residents to try new and evidence-based policies.

One of the best ways to prevent state leaders from blocking local policy solutions is to recognize what preemption looks like and to speak up in support of public health in Georgia. Help keep public health local by:

• Sign the Say Yes for Public Health petition to show your support for public health in Georgia! 
• Watch and share this new video from GHF!

• Check out GHF’s weekly legislative update emails or our legislation tracker for bills that prohibit local governments from taking effective public health action. (SB 1 is an example that is currently being considered by the Georgia legislature.) Then contact your legislators to let them know that public health is local!

If you are interested in partnering with Georgians for a Healthy Future to strengthen public health in Georgia, please contact Knetta Adkins (kadkins@healthyfuturega.org) for more information.

Legislative update: Week 6

In this week’s update:

• Changes to health care sharing ministries
• Budget updates
• New legislation on prescription drug costs, state earned-income tax credit and IDD commission
• Legislation on the move
• Advocacy events for your calendar
• GHF’s got you covered this session!

GEORGIANS DESERVE ACCESS QUALITY,AFFORDABLE HEALTH CARE!

Changing health care sharing ministries requirements

HB 284, introduced by Representative Beth Camp, would expand the kinds of organizations that can establish health care sharing ministries and would allow the full amount each member paid for “shares” each year to be tax-deductible on their Georgia income tax.

Health care sharing ministries (HCSMs) are a form of health coverage in which members – who typically share a religious belief – make monthly payments to cover health care expenses of other members. HCSMs have gained popularity in recent years, especially among younger and healthier people, as a way to cut down on the cost of health insurance while still complying with the requirement to have health insurance (before the requirement was essentially removed). However, HCSMs do not have to comply with the consumer protections of the Affordable Care Act (ACA), including covering the 10 essential health benefits. HCSMs do not guarantee which health care services they pay for, so members are not guaranteed coverage if they become sick or ill. For example, these plans may refuse to cover substance use treatment or contraception.

HB 284 would expand Georgia’s definition of HCSMs so that almost any non-profit (those with a 501(c)3 designation) that shares “a common set of ethical or religious beliefs” can establish and be recognized as an HCSM. Previously only faith-based organizations could establish HCSMs. Additionally, the bill would allow for the member shares paid into the HCSM to be tax-deductible on state income taxes, thus incentivizing people to join an HCSM over more comprehensive and protective health insurance. 

GHF opposes this legislation because it will likely increase the number of consumers who are enrolled in poor quality health insurance with few protections. Those Georgians would be unable to access quality, affordable health care services.

HB 284 has been referred to the House Ways and Means committee.

Legislative update: Week 4

In this week’s update:

• GHF testifies in two committees last week
• Budget updates
• New legislation on Medicaid coverage, network adequacy, and moving to a state-run ACA marketplace
• Advocacy events for your calendar
• GHF’s got you covered this session!

GHF PROVIDES CONSUMER PERSPECTIVE ON TWO BILLS LAST WEEK

GHF’s Health Policy Analyst testifies to Senate Insurance Committee about state-based marketplace bill

SB 65, sponsored by Sen. Ben Watson, would would move Georgia’s health insurance marketplace from healthcare.gov (which is managed and run by the federal government) to a state-based marketplace (SBM). We covered this bill in detail in last week’s legislative update here. Last Wednesday, the Senate Insurance Committee heard SB 65, including testimony from GHF’s Health Policy Analyst, Whitney Griggs. You can watch her 3-minute testimony here and the full committee hearing here. 

During the hearing, the Department of Insurance explained the SBM model and that they believed much of the infrastructure was already in place following their launch of Georgia Access. They said that moving Georgia to an SBM would save money for the state and create a more tailored marketplace experience that meets the specific needs of Georgians.

Whitney testified that there are many trade-offs to be considered when setting up an SBM. The potential benefits that DOI presented can be achieved but those must be balanced with the time, resources, and expertise required to establish and run a successful SBM. GHF asked legislators to look beyond the possible cost-savings; articulate a set of clear goals for what the SBM should accomplish for Georgia consumers; detail how consumer voices will meaningfully guide the development and on-going management of the SBM; and outline how the legislature will monitor and evaluate the SBM’s progress in the decade to come. 

The bill was approved by the Senate Insurance Committee and will go to the full Senate for a vote. 

Legislative update: Week 4

In this week’s update:

• New bill on network adequacy! 
• Budget updates
• New legislation on tobacco, vaping, and moving to a state-run ACA marketplace
• Advocacy events for your calendar
• GHF’s got you covered this session!

ENSURING GEORGIANS ACCESS TO QUALITY HEALTH CARE!

The CATCH Act aims to protect Georgians from high health care costs

SB 20 has been introduced by Sen. Kay Kirkpatrick and is titled the Consumer Access to Contracted Healthcare (CATCH) Act. The CATCH Act revises Georgia’s Surprise Billing legislation to set network adequacy standards for insurers and provides protections for when consumers are forced to go out of a health plan’s network of providers for care.

Network adequacy measures a health plan’s ability to deliver reasonable and timely access to the health care services needed by their members. This includes primary care, specialty, and mental health providers. In order for health plans to have adequate provider networks, they must have enough in-network providers and benefits to offer access to all medically necessary services within a reasonable time.

When health plans do not have adequate networks, they do not have a sufficient number of contracted health care providers. That forces members to wait or travel long distances for critical health care services. In many cases, they are forced to see out-of-network providers and pay more for their care. When consumers face these kinds of barriers, they may delay or skip necessary medical care.

The CATCH Act aims to address this issue by updating Georgia’s network adequacy standards. Georgia’s current standards are almost 30 years old and give health insurers a lot of flexibility. The CATCH Act would require insurers to meet specific requirements for network adequacy, including maximum wait times for appointments. The CATCH Act also creates a number of consumer protections for instances when health plans do not meet the new requirements and consumers are forced to go out of network for care. For example, insurers would have to cover out-of-network services at in-network prices when the plan does not have the needed type of provider available in-network.

The CATCH Act has been referred to the Senate Insurance Committee.

Legislative update: Week 3

In this week’s update:

• Governor Kemp’s State of the State address
• Legislation GHF is keeping up with! 
• The General Assembly 2023 calendar
• Advocacy events for your calendar
• GHF’s got you covered this session!

GOVERNOR KEMP TALKS HEALTH CAREIN STATE OF THE STATE ADDRESS

Governor Kemp addresses legislators in the State of State address

On Wednesday, Governor Kemp addressed the General Assembly in his annual State of the State address. Per tradition, he used the opportunity to point to important items in his proposed budget and lay out his priorities for 2023. While much of the speech was focused on addressing crime and public safety, he did devote a portion to health care.

Towards the end of his address, Governor Kemp promoted his Pathways to Coverage program (aka “Pathways”), which is a partial Medicaid expansion. He confirmed that the program will begin July 1, 2023. Georgians between the age of 19-64 with incomes at or below the poverty level will be eligible to enroll in Medicaid if they meet stringent work and premium requirements. According to the Governor’s office, 345,000 Georgians could qualify for coverage under Pathways, but estimates by his own Department of Community Health say less than 90,000 people will gain coverage. 

Gov. Kemp also described the improvements that Georgia has seen in the Affordable Care Act (ACA) marketplace over the last several years. Since 2019, the number of Georgians enrolled in ACA coverage has more than doubled and the choice of insurance companies has expanded from four to ten. These successes are the result of several factors: the additional financial help approved by Congress in 2019 and 2022 to lower premiums for ACA consumers; the U.S. Supreme Court’s 2021 decision to uphold the ACA for the third time; insurers’ subsequent confidence that the ACA would remain the law of the land; and Georgia’s reinsurance program to lower premiums (and re-assure insurers) starting in 2022.