The GHF team loves bringing you these weekly legislative updates, and you have told us that you enjoy reading them! Our team works hard to deliver this service to you in a complete and accurate way every week of Georgia’s legislative session. If you rely on these updates to keep you connected to the health happenings under the Gold Dome, please consider supporting our work with a donation today. Thank you very much!
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!”
BUDGET UPDATES
FY23 Amended Budget
On Monday, the House and Senate agreed to the amended FY23 budget, which runs through June 30th. The final version of the amended FY23 budget contains only a few major changes from the House’s version of the budget. One such change is a premium increase for non-certified school staff on the state-health benefit plan. The state increased funds by $50 million to gradually phase-in the premium increase over three years. School districts will also pay more for these premium increases in the monthly per-person employer contributions.Now that the amended budget has been passed, it goes to the Governor for his signature.
FY24 Budget
This week the House released and passed its version of the FY24 budget. The House uses the Governor’s proposed budget as a starting point and makes changes as they see fit. (You can read our earlier overview of the Governor’s and state agencies’ FY24 budget request here.)
Intoday’s legislative update, we’ll highlight some of the House’s changes to health-related budget items.The budget now goes to the Senate.
Department of Behavioral Health and Developmental Disabilities
Increase funds for additional COMP and NOW waiver slots. The House included $8.1 million for 375 new waivers, up from the 250 slots proposed by the Governor
NOW & COMP waivers allow people with IDD to receive community-based services. Even with these new slots, 7,000 Georgians with IDD will remain on the waiting list for a waiver
Add $2 million for the Georgia Housing Voucher support program to help the state meet requirements set out by the Department of Justice after Georgia failed to safely and appropriately provide housing options for Georgians with serious mental health needs and developmental disabilities
The Governor’s budget did not include this funding
The Housing Voucher Program is a state-run permanent supportive housing program that enables Georgians meeting certain eligibility requirements to obtain safe and affordable housing. The program also provides support services to help these individuals remain in their housing
Add an additional $2.7 million for the Georgia Consumer Mental Health Network for peer support services
This funding was not included in the Governor’s budget
Department of Community Health
Increased funds by $750,000 for start-up grants for three federally run qualified health centers (FQHCs)
These funds were not included in the Governor’s budget
The funding would go towards establishing a new primary care clinic in Union City, a school-based health center in Emanuel county, and a behavioral health expansion at Christ Community Health Clinic in Augusta
Increase funds by $2.7 million to provide dental coverage for adults on Medicaid
This funding was not included in the Governor’s budget
Currently, Medicaid only covers emergency dental services for adults on Medicaid. Allowing Medicaid to reimburse for preventive and routine dental care will allow low-income parents, pregnant women, and adults with disabilities to access much needed oral health care
Increase funds by $600,000 to remove the 5-year waiting period for pregnant women and children who are lawful permanent residents
This funding was not included in the Governor’s budget
Currently, lawful permanent residents are subject to a 5-year waiting period before they are eligible to apply for Medicaid, even when they would otherwise be eligible. Removing this waiting period means that immigrants who legally live in Georgia will be able to access quality health care through the state’s Medicaid program
Increase funds by $19 million to increase provider reimbursements (payments) for certain Medicaid-covered primary care and OBGYN services to 2021 Medicare levels
This funding was not included in the Governor’s budget
Traditionally, Medicaid reimburses at a lower rate than Medicare, which means that providers have less of an incentive to see Medicaid patients. By bringing up reimbursement rates to Medicare levels, providers will receive equitable payment for seeing Medicaid patients. The increased incentive is meant to prompt more providers accept Medicaid patients and, thus, improve access for Medicaid members
Department of Human Services
Increase funds by $11 million to make permanent DFCS positions from the FY23 budget. The additional 450 caseworkers, 75 supervisors, and 1 district manager will process Medicaid redeterminations during the Medicaid unwinding
The Governor’s budget requested $3.2 million for an additional 300 caseworkers.
Starting April 1, DFCS will begin Medicaid redeterminations for almost all 2.7 million Medicaid members. These additional caseworkers are essential for this massive undertaking. Increased caseworkers will reduce the number of Georgians who become uninsured due to administrative errors
Department of Public Health
Increase funds by $1.7 million for a pilot home visiting program for at-risk and rural communities during pregnancy and early childhood to improve birth outcomes, reduce pre-term births, and decrease infant and maternal motality
The Governor’s budget did not include this funding
Introduced by Representative Sharon Cooper, HB 85 would require insurance companies to cover comprehensive biomarker testing. Biomarker testing allows patients to receive treatments for diseases, like cancer, that are tailored to the genetic make-up of the disease. Once the specific biomarkers have been identified, doctors are able to select the right medication without having to try other, less-effective drugs first.
HB 129 HEADING TO GOVERNOR’S DESK!
Expanding TANF for families
Last Tuesday, the Senate passed HB 129. It now goes to the Governor’s desk for his signature to become law.
Introduced by Representative Hong Soo, HB 129 would expand Temporary Assistance to Needy Families (TANF) to pregnant women who meet TANF eligibility criteria. TANF is a cash assistance program for families with children and with very low incomes. To be eligible for TANF, adults must meet a 30-hour-a-week work requirement on top of other activity and financial obligations. TANF benefits are about $280 per month for a family of 3 (which is about 15% of the federal poverty level).
Each week during the legislative session, we’ll highlight legislative advocacy days from partner groups. These are great opportunities for you to participate in the lawmaking process by meeting your legislators and speaking up about important issues. Upcoming:
March 14: 2023 Lobby Day with Presbyterians for a Better Georgia
If you have an upcoming advocacy event that you’d like included, please contact Alex McDoniel at amcdoniel@healthyfuturega.org.
GHF has you covered!
Stay up-to-date with the legislative session
GHF will be monitoring legislative activity on a number of critical consumer health care topics. Along with our weekly legislative updates and timely analysis of bills, here are tools to help you stay in touch with health policy under the Gold Dome.
Sign up for the Georgia Health ActionNetwork (GHAN) to receive action alerts that let you know when there are opportunities for advocacy and action
Medicaid expansion gains momentum in holdout states
Erin Durkin
The idea of expanding Medicaid is gaining momentum in the last holdout states, with eyes on Mississippi as the next potential state to take up the policy. As of 2024,…
