1. Home
  2. >
  3. 2025
  4. >
  5. February

Month: February 2025

GHF submits written comments on Pathways to Coverage program

On January 21, 2025, the Georgia Department of Community Health (DCH) announced its intent to submit a Section 1115 Demonstration Waiver Extension Application to the Centers for Medicare & Medicaid Services (CMS) for Georgia Pathways to Coverage® (Georgia Pathways). As part of the waiver extension process, DCH accepted public comments through February 20, 2025.

GHF submitted written comments during the public comment period to ensure that Georgians’ needs and experiences are reflected in the future of the Pathways program.

Our full letter to DCH is included below:

(more…)

Tags:

GHF Legislative Update: February 24

LEGISLATIVE UPDATE: WEEK 6

Community Health Worker Certification Bill (HB 291) Updated with Key Revisions

The bill to establish a certification process for Community Health Workers (CHWs) has been amended with some key updates. HB 291 is now scheduled to be heard today at 1:00 pm in the House Public and Community Health Committee. If passed, the bill will create a standardized certification process to support and expand Georgia’s CHW workforce. These trusted public health professionals help people navigate the health care system and access essential services, particularly in underserved communities.

What’s New in the Amended Bill?

(more…)

Tags:

Why ACA Premiums May Soon Become Less Affordable and What an Expiring Tax Credit Could Mean for Georgia Families

Young people spitting at table and looking at laptop

Millions of Georgians Could Face Big Increases in Health Insurance Costs—Here’s What You Need to Know

If you or someone you know gets health insurance through the Health Insurance Marketplace, you’ve probably noticed it’s been more affordable in recent years. This increase in affordability is thanks to extra financial help from the federal government. These enhanced premium tax credits (ePTCs) make health coverage affordable for working families, self-employed individuals, and people who would otherwise struggle to pay for insurance. But this critical financial help is set to expire at the end of 2025—unless Congress steps in.

If Congress doesn’t extend these tax credits, over 1.2 million Georgians will see huge price increases, and many may be forced to drop their coverage altogether.

(more…)

Tags:

GHF Legislative Update: February 17

LEGISLATIVE UPDATE: WEEK 5

Will New PBM Reforms Lower Drug Prices in Georgia?

Pharmacy Benefit Managers (PBMs) are companies that help insurance plans manage prescription drug benefits. They decide which medications are covered, negotiate prices with drug manufacturers, and set payment rates for pharmacies. While PBMs can lower drug costs by getting discounts from drug makers and pharmacies, they also have significant control over medication pricing, patient access, and pharmacy reimbursements. Critics argue that PBMs’ business practices can drive up costs for consumers and independent pharmacies, while supporters believe they help manage drug spending and ensure affordability. Additionally, PBMs are often owned by an insurer or pharmacy, meaning these PBMs are managed by the same stakeholders that set drug prices for consumers.

(more…)

Tags:

GHF Legislative Update: February 10

LEGISLATIVE UPDATE: WEEK 4

New Bill Aims to Create Georgia’s First Community Health Worker Certification Program

This week, lawmakers introduced House Bill 291, a bill that would create a state certification process for Community Health Workers (CHWs) in Georgia. CHWs are trusted public health professionals who connect Georgians, especially those in underserved communities, to health care and essential services. People know them by titles such as Patient Navigator, Community Health Advocate, and Promotora de Salud. CHWs play a vital role in improving health outcomes, delivering culturally-relevant information and care, and addressing social determinants of health like housing, transportation, and food insecurity.

HB 291 would help build a skilled and stable CHW workforce by establishing a certification process. The bill expands CHW’s ability to serve in various health care and community settings. HB 291 could also pave the way for Georgia Medicaid to reimburse CHWs in more settings and roles. Currently, Medicaid only covers CHW services provided through the Resource Mothers program, which supports certain pregnant and postpartum individuals. Certification could allow Medicaid to fund CHW services in more health care teams, public health programs, and care coordination efforts statewide.

If passed, HB 291 would recognize CHWs as essential members of Georgia’s health care system. It would ensure they have the training, support, and financial sustainability needed to continue their work.

This is one of GHF’s 2025-2026 legislative priorities, and we support this bill. We’ll keep tracking HB 291 and advocating for strong policies that support CHWs and expand access to care. Keep reading for more updates!

(more…)

Tags:

GHF legislative update: February 3

LEGISLATIVE UPDATE: WEEK 3

New Medicaid Expansion Bill has Bipartisan Support

A new bill, Senate Bill 50, to expand health insurance to low-income Georgia adults was introduced in the Senate this week. For the first time since Medicaid expansion became available to states, four Republican senators joined Democrats in support of a legislative solution to close Georgia’s coverage gap! The bill would create a new program called “PeachCare Plus”. It is nearly identical to the PeachCare Plus bill introduced during last year’s legislative session, the first Medicaid expansion bill to receive a legislative hearing in Georgia. Rather than expanding the state-run Medicaid program, SB 50 would introduce a private insurance model, using federal dollars to purchase coverage for eligible individuals (adults with incomes below 138% of the federal poverty level) through Georgia’s health insurance marketplace.

Too many Georgians are forced to choose between medical care and paying their bills. Closing Georgia’s health insurance coverage gap would provide life-saving coverage to thousands of uninsured Georgians. We support this legislation and will keep you updated as it moves through the legislative process.

Read on for key takeaways from other bills on our radar, and opportunities to advocate with us and our partners at the Capitol. 

(more…)

Tags:

Stay Connected

Sign up to receive updates from GHF!
Join

GHF In The News

Mar 3, 2025
Best intentions of Georgia 2022 behavioral health insurance law fall short with slow implementation
Jill Nolin

State leaders celebrated three years ago when they passed a bipartisan measure designed to step up enforcement of a federal law that requires health insurers treat mental health and substance…

Archive