25 LC 52 0707 House Bill 291 By: Representatives Taylor of the 173 rd , Dempsey of the 13 th , Cooper of the 45 th , Mathiak of the 82 nd , Hawkins of the 27 th , and others A BILL TO BE ENTITLED AN ACT To amend Title 31 of the Official Code of Georgia Annotated, relating to health, so as to 1 provide for the certification of community health workers; to provide for definitions; to2 provide for the establishment of the Georgia Community Health Worker Certification3 Committee; to provide for membership, powers, and duties of the committee; to provide for4 the approval of training programs; to provide for related matters; to provide for an effective5 date; to repeal conflicting laws; and for other purposes.6 BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:7 SECTION 1.8 Title 31 of the Official Code of Georgia Annotated, relating to health, is amended by revising9 Chapter 31, which is reserved, as follows:10 "CHAPTER 3111 31-31-1.12 As used in this chapter, the term: 13 H. B. 291 - 1 - 25 LC 52 0707 (1) 'Certified community health worker' means an individual to whom the committee has14 issued a certificate to serve as a certified community health worker based on standards15 and requirements established by the committee.16 (2) 'Committee' means the Georgia Community Health Worker Certification Committee17 established by Code Section 31-31-2.18 (3) 'Community health worker' means a frontline health worker who is a trusted member19 of a community or has a demonstrated knowledge or unusually close understanding of20 the community and individuals served and:21 (A) Provides culturally appropriate health education, information, and outreach in22 community based settings such as homes, schools, clinics, shelters, local businesses,23 and community centers;24 (B) Bridges or culturally mediates between individuals, communities, and health and25 human services, including actively building individual and community capacity;26 (C) Assures that community members access the services they need;27 (D) Provides direct services, such as informal counseling, social support, care28 coordination, and health screenings;29 (E) Advocates for individual and community needs; and30 (F) Provides any additional services as may be identified by the committee that may31 emerge in the development of community health worker practice.32 (4) 'Core competencies' means the knowledge and skills a certified community health33 worker is expected to demonstrate in order to carry out the mission and goals of the34 profession. Such term includes, but is not limited to, communication skills; interpersonal35 and relationship-building skills; service coordination and navigation skills;36 capacity-building skills; advocacy skills; education and facilitation skills; individual and37 community assessment skills; community outreach and engagement skills; professional38 skills and conduct; evaluation and research skills; and knowledge base.39 H. B. 291 - 2 - 25 LC 52 0707 (5) 'Training program' means an education and training program that meets the40 curriculum and training required for a community health worker to be eligible for41 certification and that has been approved by the committee based on standards and42 requirements established by the committee. Reserved.43 31-31-2.44 (a) There is established the Georgia Community Health Worker Certification Committee. 45 The Commissioner shall appoint the 11 voting members of the committee as follows:46 (1) One licensed physician with a specialization in primary care or family medicine;47 (2) One licensed physician or certified nurse midwife with a specialization in maternal48 and child health;49 (3) One licensed physician or nurse practitioner with a specialization in geriatrics;50 (4) One licensed social worker;51 (5) Two community health worker employers, with special consideration given to care52 management organizations;53 (6) Two persons representing training program providers;54 (7) One person with experience and training in public health policy, with special55 consideration given to the Georgia Community Health Worker Advocacy Coalition; and56 (8) Two practicing community health workers, with special consideration given to57 persons active in the Georgia Community Health Worker Network, provided that such58 persons are eligible for certification as community health workers in this state and shall59 obtain such certification within a time frame specified in rules adopted by the committee.60 (b) The Commissioner shall appoint two agency representatives to serve as nonvoting61 members of the committee.62 (c) No member shall serve on the committee for more than two consecutive full terms. A63 member appointed for less than a full term may serve two consecutive full terms, and a64 former member shall be eligible again for appointment after a lapse of one or more years.65 H. B. 291 - 3 - 25 LC 52 0707 (d) Members of the committee may be removed from office under the same conditions for66 removal from office of members of professional licensing boards provided in Code67 Section 43-1-17.68 (e) Members shall serve without compensation, but they may be reimbursed by the69 department, subject to fund availability, in the same manner as state officials and70 employees for travel and other expenses actually incurred by them in carrying out their71 duties as members of the committee.72 31-31-3.73 (a) The committee shall meet at least quarterly and may meet at such other times at the call74 of the chairperson or by a majority of the members as necessary to transact its business. 75 Such meetings may be conducted in person, by telephone, by virtual means, or any76 combination thereof.77 (b) The committee shall elect a chairperson, vice chairperson, and secretary from among78 its membership. Such officers shall serve for terms of two years.79 (c) A majority of the members of the committee shall constitute a quorum and shall have80 the authority to act upon any matter properly brought before the committee. The81 committee shall follow all policies and procedures of Chapter 14 of Title 50, relating to82 open and public meetings.83 (d) The department shall provide reasonably necessary administrative support for84 committee activities.85 (e) The committee shall have the following powers and duties:86 (1) To set standards and requirements for approval of training programs and to provide87 a means for programs providing education and training to community health workers88 prior to January 1, 2026, to become approved training programs;89 H. B. 291 - 4 - 25 LC 52 0707 (2) To set standards and requirements for the certification of community health workers90 and to provide a means for individuals employed or engaged as community health91 workers prior to January 1, 2026, to become certified community health workers;92 (3) To set standards and a means to assess the mastery of core competencies necessary93 for an individual to become a certified community health worker;94 (4) To provide for an expedited means for a community health worker duly certified in95 another jurisdiction to become a certified community health worker in this state;96 (5) To establish tiered levels of practice as a certified community health worker and the97 requirements for each established level, including a level that qualifies a certified98 community health worker to act as an educator or trainer in an approved training99 program;100 (6) To establish grounds for complaints related to the practice of certified community101 health workers and to establish and implement procedures for the review, investigation,102 and resolution of such complaints;103 (7) To establish the disciplinary procedures and actions available to the department in104 connection with complaint resolution; such actions may include a fine, reprimand,105 probation, censure, suspension, revocation, denial of a certificate issued, or a combination106 of the foregoing; and107 (8) To perform such other functions and duties in order to protect public health, safety,108 and welfare as may be required to carry out this chapter.109 31-31-4.110 (a) All training programs in this state shall be approved by the committee with oversight111 from the department. No entity shall hold itself out as providing training and education for112 certified community health workers in this state unless its training program has been113 approved by the committee.114 H. B. 291 - 5 - 25 LC 52 0707 (b) The department shall post on its website the requirements and the application form for115 a training program to become approved.116 (c) To obtain approval for a training program, an applicant shall submit an application to117 the committee demonstrating satisfaction of the requirements for a training program and118 pay a fee set by the department.119 31-31-5.120 (a) All community health workers in this state shall be certified by the committee with121 oversight from the department. No person shall act as a community health worker in this122 state unless certified by the committee or otherwise authorized by the committee or123 department.124 (b) The department shall post on its website the requirements and the application form for125 a community health worker to become certified.126 (c) An applicant shall submit an application to the committee demonstrating satisfaction127 of the requirements for a certified community health worker and pay a fee set by the128 department."129 SECTION 2.130 This Act shall become effective upon its approval by the Governor or upon its becoming law131 without such approval.132 SECTION 3.133 All laws and parts of laws in conflict with this Act are repealed.134 H. B. 291 - 6 -