HB 258 would create PeachCare for Adults, a program that would cover adults ages 18 to 64 with incomes up to 133% of the federal poverty level who are not eligible for Medicaid. Coverage would mirror Medicaid benefits, including mental health services and all recommended adult vaccines. The Department of Community Health would oversee the program and require a federal waiver. The program would cap premiums for some enrollees and impose no work requirements.