| Old | New | Differences | |
|---|---|---|---|
| 1 | - | 25 HB 352/AP | |
| 2 | - | House Bill 352 (AS PASSED HOUSE AND SENATE) | |
| 3 | - | By: Representatives Seabaugh of the 34 | |
| 4 | - | th | |
| 5 | - | , Cooper of the 45 | |
| 6 | - | th | |
| 7 | - | , Mathis of the 133 | |
| 8 | - | rd | |
| 9 | - | , Taylor of | |
| 10 | - | the 173 | |
| 11 | - | rd | |
| 12 | - | , Reese of the 140 | |
| 13 | - | th | |
| 14 | - | , and others | |
| 1 | + | 25 LC 52 0828S | |
| 2 | + | The Senate Committee on Health and Human Services offered the following | |
| 3 | + | substitute to HB 352: | |
| 15 | 4 | A BILL TO BE ENTITLED | |
| 16 | 5 | AN ACT | |
| 17 | - | To amend Code Section 49-4-159.4 of the Official Code of Georgia Annotated, relating to | |
| 18 | - | 1 | |
| 6 | + | To amend Code Section 49-4-159.4 of the Official Code of Georgia Annotated, relating to1 | |
| 19 | 7 | coverage for continuous glucose monitors, so as to revise coverage criteria to include2 | |
| 20 | 8 | Medicaid recipients with gestational diabetes; to provide for related matters; to provide for3 | |
| 21 | 9 | a short title; to repeal conflicting laws; and for other purposes.4 | |
| 22 | 10 | BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:5 | |
| 23 | 11 | SECTION 1.6 | |
| 24 | 12 | This Act shall be known and may be cited as the "Georgia Gestational Diabetes Management7 | |
| 25 | 13 | Act."8 | |
| 26 | 14 | SECTION 2.9 | |
| 27 | 15 | Code Section 49-4-159.4 of the Official Code of Georgia Annotated, relating to coverage for10 | |
| 28 | 16 | continuous glucose monitors, is amended by revising subsection (a) as follows:11 | |
| 29 | - | "(a) On and after July 1, 2023 | |
| 30 | - | 2025, the department shall include coverage for continuous12 | |
| 17 | + | "(a) On and after July 1, 2023 2025, the department shall include coverage for continuous12 | |
| 31 | 18 | glucose monitors as a benefit under Medicaid via the most cost-effective benefit delivery13 | |
| 32 | 19 | channel. The criteria for such coverage shall be updated to align with current standards of14 | |
| 33 | 20 | care and shall include, but shall not be limited to, requirements that:15 | |
| 34 | - | H. B. 352 | |
| 35 | - | - 1 - 25 HB 352/AP | |
| 36 | - | (1) The recipient has been diagnosed with diabetes mellitus by a treating practitioner; | |
| 37 | - | 16 | |
| 21 | + | - 1 - 25 LC 52 0828S | |
| 22 | + | (1) The recipient has been diagnosed with diabetes mellitus by a treating practitioner;16 | |
| 38 | 23 | (2) The recipient's treating practitioner has concluded that the recipient or the recipient's17 | |
| 39 | 24 | caregiver has had sufficient training in using a continuous glucose monitor as evidenced18 | |
| 40 | 25 | by the provision of a prescription therefor; and19 | |
| 41 | 26 | (3) The recipient:20 | |
| 42 | - | (A) Is treated with at least one daily administration of insulin; or | |
| 43 | - | 21 | |
| 27 | + | (A) Is treated with at least one daily administration of insulin; or21 | |
| 44 | 28 | (B) Has gestational diabetes; or22 | |
| 45 | 29 | (C) Has a history of problematic hypoglycemia with documentation of at least one of23 | |
| 46 | 30 | the following:24 | |
| 47 | 31 | (i) Recurrent level 2 hypoglycemic events (glucose less than 54 mg/dL (3.0 mmol/L))25 | |
| 48 | 32 | that persist despite two or more attempts to adjust medication, modify the diabetes26 | |
| 49 | 33 | treatment plan, or both; or27 | |
| 50 | 34 | (ii) A history of a level 3 hypoglycemic event (glucose less than 54 mg/dL28 | |
| 51 | 35 | (3.0 mmol/L)) characterized by altered mental or physical state requiring third-party29 | |
| 52 | 36 | assistance for treatment for hypoglycemia."30 | |
| 53 | 37 | SECTION 3.31 | |
| 54 | 38 | All laws and parts of laws in conflict with this Act are repealed.32 | |
| 55 | - | H. B. 352 | |
| 56 | 39 | - 2 - |