Georgia 2025-2026 Regular Session

Georgia House Bill HB101 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	25 LC 52 0643
2	2	House Bill 101
3	3	By: Representatives Douglas of the 78
4	4	th
5	5	, Hawkins of the 27
6	6	th
7	7	, Evans of the 57
8	8	th
9	9	, Kelley of the
10	10	16
11	11	th
12	12	, Prince of the 132
13	13	nd
14	14	, and others
15	15	A BILL TO BE ENTITLED
16	16	AN ACT
17	17	To amend Part 1 of Article 1 of Chapter 18 of Title 45 of the Official Code of Georgia
18	18	1
19	19	Annotated, relating to the state employees' health insurance plan, so as to provide for an2
20	20	annual public report on the amount of prescription drug rebates and other price concessions3
21	21	applied to premium reductions for state health plan participants; to provide for definitions;4
22	22	to provide for related matters; to repeal conflicting laws; and for other purposes.5
23	23	BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:6
24	24	SECTION 1.7
25	25	Part 1 of Article 1 of Chapter 18 of Title 45 of the Official Code of Georgia Annotated,8
26	26	relating to the state employees' health insurance plan, is amended by adding a new Code9
27	27	section to read as follows:10
28	28	"45-18-6.2.
29	29	11
30	30	(a) As used in this Code section, the term:12
31	31	(1) 'Contracted entity' means any corporation licensed to transact accident and health13
32	32	insurance business in this state, healthcare corporation, professional claim administrator,14
33	33	independent adjusting firm, health maintenance organization, licensed pharmacy benefits15
34	34	manager, or any other entity that enters into a contract with the board to provide16
35	35	H. B. 101
36	36	- 1 - 25 LC 52 0643
37	37	healthcare coverage or services pursuant to a state health plan, including, but not limited17
38	38	to, medical benefits, pharmacy benefits, and well-being incentives and programs.18
39	39	(2) 'Prescription drug rebates and other price concessions' means all remuneration19
40	40	received by or on behalf of the state health plan, including remuneration received by or20
41	41	on behalf of any contracted entity, that decrease the costs of a prescription drug covered21
42	42	by the state health plan, regardless of from whom the remuneration is received. Such22
43	43	term includes discounts, charge-backs or rebates, cash discounts, free goods contingent23
44	44	on a purchase agreement, up-front payments, coupons, goods in kind, free or reduced24
45	45	price services, grants, or other price concessions or similar benefits to the extent that the25
46	46	value of these items reduce costs for the state health plan. Such term excludes any26
47	47	remuneration, coupons, or price concessions for which the full value is passed on to the27
48	48	state health plan participants, or bona fide service fees, such as fees paid by a drug28
49	49	manufacturer to any contracted entity that represent fair market value for a bona fide,29
50	50	itemized service actually performed on behalf of such drug manufacturer that such drug30
51	51	manufacturer would otherwise perform or contract for in the absence of the service31
52	52	arrangement and that are not passed on in whole or in part to a client or customer of such32
53	53	entity.33
54	54	(3) 'State health plan' means:34
55	55	(A) The state employees' health insurance plan established pursuant to Article 1 of35
56	56	Chapter 18 of Title 45;36
57	57	(B) The health insurance plan for public school teachers established pursuant to37
58	58	Subpart 2 of Part 6 of Article 17 of Chapter 2 of Title 20;38
59	59	(C) The health insurance plan for public school employees established pursuant to39
60	60	Subpart 3 of Part 6 of Article 17 of Chapter 2 of Title 20; and40
61	61	(D) The health benefits plan established for members, employees, and retirees of the41
62	62	Board of Regents of the University System of Georgia pursuant to Code42
63	63	Sections 20-3-31, 20-3-51, and 31-2-4.43
64	64	H. B. 101
65	65	- 2 - 25 LC 52 0643
66	66	(b) Beginning July 1, 2026, and annually thereafter, the board shall prepare an annual44
67	67	report on the amount of prescription drug rebates and other price concessions, measured45
68	68	in dollars and by percentage, applied to premium reductions for state health plan46
69	69	participants. Such annual report shall be published and maintained on the department's47
70	70	public website."48
71	71	SECTION 2.49
72	72	All laws and parts of laws in conflict with this Act are repealed.50
73	73	H. B. 101
74	74	- 3 -