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Legislative Update: Week 3

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Expanding Pharmacy Access to HIV Prevention Medications

On Wednesday, January 28, the House Health Committee passed a substitute version of Senate Bill 195, which would allow Georgia pharmacists to dispense pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) for HIV prevention without requiring a separate doctor’s prescription. If passed, pharmacists would operate under a statewide protocol developed by the Georgia Board of Pharmacy, with oversight from a Georgia-based physician.

Why this matters: PrEP is a daily medication that reduces HIV transmission risk by up to 99%, while PEP is a 28-day treatment that must start within 72 hours of potential exposure. Georgia has the highest HIV diagnosis rate in the nation at 23.1 per 100,000 residents, more than double the national average, and metro Atlanta ranks third nationally for new HIV cases, according to the CDC.

The substitute version passed on Wednesday includes new requirements compared to the bill that passed committee unanimously last year:

  • Both supervising physicians and pharmacists must reside in Georgia;
  • Pharmacists must complete approved training and maintain Basic Cardiac Life Support (BCLS) certification and liability insurance;
  • Patients must have an in-person visit and remain for 15-minute post-administration monitoring; and
  • Pharmacists must notify the patient’s primary care provider within 72 hours.

Potential concerns: While framed as patient safety measures, these amendments may limit pharmacist participation and patient access. The in-state residency requirement excludes telehealth-based protocols used in other states, training and insurance requirements add costs that may discourage participation, and the primary care notification requirement could deter individuals seeking confidential services.

GHF supports SB 195 as a meaningful step toward expanding access to HIV prevention in Georgia. Monitoring implementation will be important: if limited pharmacist participation results from the additional requirements, this data could support future amendments to strengthen access while maintaining appropriate safeguards.

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Legislative Update: Week 2

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Week 2: Budget Hearings Reveal Funding Priorities as Affordability Challenge Goes Unaddressed

Governor Brian Kemp released his Amended Year 2026 (AY26) and Fiscal Year 2027 (FY27) budget proposals on January 14, 2026, officially beginning Georgia’s appropriations process for the 2026 legislative session.

Last week, state agency leaders presented their budget requests during joint appropriations hearings, setting the stage for House and Senate committees to craft their own versions of the budget over the coming weeks.

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Love in motion: Honoring Georgia’s family caregivers this November

Georgia’s family caregivers give their time, energy, and hearts to care for loved ones every day. This National Family Caregivers Month, Georgians for a Healthy Future celebrates their stories and calls for stronger policies to support them.

November is National Family Caregivers Month, a time to honor the Georgians who care for loved ones, neighbors, and community members with strength and compassion. Every day, family caregivers perform acts of love in motion—managing medications, offering emotional support, navigating health systems, and keeping households running.

At Georgians for a Healthy Future (GHF), we’re proud to support caregivers through our Caregivers Advisory Group, which is dedicated to raising awareness and expanding outreach to caregivers of all ages, in both paid and unpaid roles. This group helps shape policies that ensure caregivers are recognized, supported, and connected to vital resources.

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Honoring Georgia health champions at Celebration of Progress & Possibilities 2025

Progress takes time, but it’s driven by people who never stop pushing for it. At this year’s Celebration of Progress & Possibilities, we honor two changemakers whose lifelong dedication to health care and health policy has had a profoundly positive impact on the lives of Georgians: Andy Miller and Wendy Tiegreen.

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From Progress to Possibilities: What We’ve Built Together

Since 2008, Georgians for a Healthy Future has partnered with community members, organizations, and decision-makers to help make health care more affordable and accessible across the state.

In 2024, your support has helped us make meaningful progress:

Making Medicaid and Marketplace Coverage Work Better for Georgians

  • We worked with Voices for Georgia’s Children to streamline children’s Medicaid enrollment through Express Lane Eligibility
  • Our staff submitted detailed recommendations and helped mobilize public comments to improve the state’s Pathways to Coverage program
  • GHF’s Executive Director spoke at Georgia’s first legislative hearing focused on Medicaid expansion, offering expert testimony to help lawmakers understand the coverage gap
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Help Protect Health Care in Georgia — Share Your Story by August 15th!

Georgians with Medicaid or Georgia Access coverage: Your story matters.

Georgians for a Healthy Future is partnering with Families USA to amplify the voices of Georgians who rely on Medicaid and affordable health coverage. If you’ve been helped by Medicaid or the enhanced premium tax credits through Georgia Access, we invite you to share your story.

Why Your Story is Important

Right now, health care protections are at risk. With federal cuts to Medicaid on the horizon and the possible expiration of enhanced tax credits, it’s more important than ever for Georgians to speak up and make their voices heard. Your story can help policymakers understand how these programs affect real lives — and why they need to be protected.

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Will Washington Roll Back Georgia’s Coverage Gains?

What the House Budget Bill Could Mean for Georgia Access

Background

On May 22, the U.S. House passed a sweeping budget bill, known as the “One Big Beautiful Bill” Act. The budget bill proposes significant changes to the Affordable Care Act (ACA) Health Insurance Marketplace, which is known as Georgia Access in our state. Proponents say these changes will cut costs, but they would also make it harder for many Georgians to enroll in or keep their health coverage.

The Senate is now making its changes to the bill, but what those changes will look like is unclear. As currently written, projections from the non-partisan Congressional Budget Office (CBO) show the House’s changes would reduce overall Marketplace enrollment and increase the uninsured rate nationally and in Georgia. If the budget bill passes as currently written, the combination of Marketplace (including allowing the expiration of the enhanced premium tax credits) and Medicaid changes could lead to an estimated 560,000-940,000 Georgians becoming uninsured.[1] (Notably, some of the marketplace changes presently in the bill are also under consideration by the Centers for Medicare & Medicaid Services (CMS), meaning they could be authorized through federal regulation even without new legislation.)

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Stripping Medicaid to Fund Tax Breaks? Medicaid Cuts Could Unravel Health Care in Georgia

Proposals to cut Medicaid to offset the cost of tax cuts for billionaires would gut the program and put millions at risk.

Medicaid, the federal health insurance program for low-income children and some adults under 65, is essential to the physical and financial health of Georgia families and the state as a whole.  Medicaid covers almost 2 million low-income Georgians (18% of the state’s population), serves as a crucial lifeline for Georgia’s rural hospitals. It also accounted for nearly 20% of the state’s total budget in 2023. 

However, D.C. politicians are currently considering overhauls to Medicaid that would limit the program’s ability to serve Georgians, dramatically reduce its efficiency and effectiveness, and make it more expensive for the state to operate.  

Ultimately,  if Congress cuts Medicaid, Georgia families will pay the price.

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Georgia’s Health Care Crisis: Why This Podcast is a Must-Listen for Everyone

Health care in Georgia isn’t working for everyone. Georgians are struggling with the current system. People navigate complicated processes, wait weeks for care, and drive hours to see a doctor. These aren’t just statistics; they’re real stories from people who rely on the state’s Medicaid program, Georgia Pathways, to meet their health needs.

In an exclusive podcast episode produced by Georgians for a Healthy Future, we hear directly from people living these challenges every day. Their experiences show the barriers to care in Georgia and highlight why we must act now to improve access for everyone.

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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
Sofi Gratas

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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