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Legislative Update: Week 5

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Week 5: Strengthening Insurance Enforcement

The House is advancing legislation that would give Georgia’s Insurance Commissioner significantly stronger tools to hold insurance companies accountable when they break consumer protection laws. House Bill 1262 would increase fines for violations of mental health parity requirements, surprise billing protections, and other insurance consumer protection laws from $2,000/$5,000 to $10,000/$25,000 per violation.

For large insurance companies, current fines of $2,000 or $5,000 per violation may be too small to deter misconduct. Stronger enforcement tools help ensure that insurance companies actually follow existing consumer protection laws, including mental health parity requirements under HB 1013.

This week at a glance:

  • HB 1262 is on the agenda for the House Health Insurance subcommittee tomorrow (Wed., 02/18).
  • HB 1002, which would move Georgia’s foster children from Medicaid managed care to a Fee-for-Service Medicaid model, and HB 1192, which would increase budgetary oversight of the Department of Community Health (DCH) and the Department of Human Services, are scheduled to be heard in the House Health Committee tomorrow (Wed., 02/18).
  • SB 428, which would allow DCH to apply for a Home and Community Based Services Medicaid waiver for Georgians suffering from severe mental illness, is on the agenda in Senate Health and Human Services tomorrow.
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Legislative Update: Week 4

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Week 4: House passes Amended FY26 budget and signals priorities for health and human services

On February 5, the Georgia House of Representatives passed its version of the Amended Fiscal Year 2026 (AFY26) state budget. The amended budget adjusts current-year spending and reflects lawmakers’ priorities for any remaining state dollars.

Here is what the House version means for health care, human services, and the programs Georgians rely on:

The Big Picture

The House budget totals $42.3 billion, a significant increase over the original FY 2026 budget, thanks to $3.3 billion in one-time investments of surplus funds. Among its health-related priorities, the House makes notable investments in Georgia’s foster care system, the health care workforce pipeline, rural health access, and mental health infrastructure. The House largely aligns with the Governor on Medicaid and PeachCare funding, with a few targeted additions.

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

Millions of Georgians Could Face Big Increases in Health Insurance Costs—Here’s What You Need to Know
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Update – August 2025: Enhanced Affordable Care Act premium tax credits (ePTCs) still expire on December 31, 2025, unless Congress acts. In 2025, Georgia Access enrolled over 1.5 million Georgians, 93% of whom depend on these subsidies to make health coverage affordable. Without an extension, premiums in Georgia are projected to jump over 75% on average, and most 2026 insurer filings already assume the credits will lapse. A typical example: a 60-year-old couple earning about $85,000 would pay roughly $18,000 more per year if the ePTCs disappear. The premium increases resulting from the expiration of the ePTCs could cause about 340,000 more Georgians to become uninsured. In short: swift Congressional action to extend the ePTCs—ideally before rate finalization—would prevent sharp premium spikes for Georgia families and avert significant coverage losses. 

See how costs could rise in your Congressional district or use the calculator to estimate cost increases based on your income information — then contact your members of Congress today and tell them to extend the enhanced premium tax credits to keep health care affordable for Georgia families.

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GHF Legislative Update: April 01

LEGISLATIVE UPDATE: WEEK 11

The 2025 legislative session is in its final stretch, with just a few days left until Sine Die (the last day of the session) on Friday, April 4th. Lawmakers are racing to finalize key bills and the state budget—and there’s still time for you to speak up.

Things can move quickly in these final days, and last-minute advocacy opportunities may arise. Stay connected with us on social media throughout the week so you don’t miss a chance to take action when it matters most.

After the session ends, we’ll share a full recap, including updates on health care bills that passed (or didn’t), what it all means for Georgians, and any health-related study committees that will convene before next year’s session. In the meantime, you can check out our bill tracker to follow the legislation we’re monitoring as we get closer to Sine Die.

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GHF Legislative Update: March 24

LEGISLATIVE UPDATE: WEEK 10

The 2025 legislative session is in its final stretch, with two weeks left until session ends on April 4th. With only a few legislative days left, lawmakers are working quickly to finalize key bills and the state budget. You can view the legislative schedule here

Ending the Practice of Subminimum Wage in Georgia

Last week, the House passed Senate Bill 55, the Dignity and Pay Act. The bill now heads to the Governor for final approval. SB 55 phases out the use of 14(c) certificates in Georgia to pay subminimum wages (below the federal minimum wage of $7.25/hr) to workers with disabilities.

Initially intended to promote employment for disabled veterans, Section 14(c) of the 1938 Fair Labor Standards Act (FLSA) permits paying people with disabilities wages below the statutory federal minimum wage. Section 14(c) can no longer apply to disabled veterans, yet it remains a legal way to pay people with disabilities – usually people with developmental disabilities (DD) – below minimum wage. (Employers using 14(c) waivers often pay disabled employees just pennies per hour.) More than 85 years after the law’s initial passage, the policy has frequently led to exploitation—leaving workers with developmental disabilities earning wages far below the poverty line in roles that offer little chance for growth or advancement.

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GHF Legislative Update: March 17

LEGISLATIVE UPDATE: WEEK 9

With Crossover Day behind us, the pace at the Capitol is picking up. Lawmakers are moving quickly to debate and vote on bills that survived the deadline, while the budget process moves full speed ahead.

Take Action: Advocate for More GHVP Funding!

The Georgia Housing Voucher Program (GHVP) was created to help Georgia meet its legal obligations under the Olmstead Agreement, which requires the state to provide community-based housing for people with serious and persistent mental illness (SPMI) instead of institutionalizing them. GHVP is a permanent supportive housing program that helps these individuals secure stable housing, avoid homelessness, and access essential services. The program directly pays rent to landlords and provides ongoing support to keep residents housed and connected to care.

Despite its success, GHVP has been underfunded for years. The House added $1.7 million for GHVP in the FY26 budget, but at least $20 million more is needed to expand housing support and fulfill Georgia’s legal and moral obligations. We need your help to urge the Senate Appropriations Health and Human Resources Subcommittee and Appropriations Chair Blake Tillery to increase GHVP funding by $20 million.

Contact the Senate Appropriations Committee today!

House Passes FY26 Budget – What’s Next?

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GHF Legislative Update: March 10

LEGISLATIVE UPDATE: WEEK 8

Crossover Day has come and gone, and the final stretch of the 2025 legislative session begins!

With just 12 legislative days left before Sine Die on April 4, lawmakers will move quickly to vote on the bills that made it through this key deadline. The legislature will pack the next three weeks with committee hearings, floor votes, and last-minute negotiations.

We’re thrilled to share that HB 291, the Community Health Worker certification bill, passed the House late Thursday night! The House passage of HB 291 is a big win for Georgia’s Community Health Workers and the communities they serve. Join us in sending a huge “Thank you!” to our partners at Georgia Watch and all the advocates who worked tirelessly to get this bill through the House—your efforts made this progress possible! Let’s keep up the good work to ensure this bill successfully passes through the Senate! 

Keep reading for a full breakdown of what survived Crossover Day and what comes next for health care at the Capitol.

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Urgent: Public Comment Period Extended – Speak Up Before March 19

The Georgia Department of Community Health (DCH) has reopened the public comment period for the Pathways to Coverage® waiver extension. The new deadline to submit comments is March 19, 2025. This means you have another chance to speak up and demand better health care for Georgians. 

Pathways to Coverage launched in July 2023 as a Medicaid program that requires participants to work or meet strict activity requirements to keep their health coverage. Unfortunately, the program has failed to deliver. For example:

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GHF Legislative Update: March 04

LEGISLATIVE UPDATE: WEEK 7

New Bill to Protect Free Preventive Care (SB 262) Introduced

Last week, Senator Halpern introduced Senate Bill 262 with the support of six Republican co-sponsors! This bill is crucial to ensure that Georgians can continue accessing life-saving preventive health services without facing financial barriers.

Why This Matters

Since 2010, most health plans have been required to cover critical preventive services— such as cancer screenings, routine wellness visits, and mental health screenings—at no cost to patients. However, this vital benefit is under serious threat.

This summer, the U.S. Supreme Court will rule in Kennedy v. Braidwood, a lawsuit that seeks to overturn the free preventive services requirement. Nearly 5 million Georgians could lose guaranteed access to no-cost preventive care if the Court strikes down these protections.

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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:

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GHF In The News

Jan 23, 2026
State lawmakers talk budget priorities: What’s on the table for Georgia’s health care
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Department heads across state agencies began outlining their spending priorities this week in joint budgetary hearings hosted by the Georgia Senate and General Assembly. During the hearings, department heads broke down…

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