Georgia 2025-2026 Regular Session

Georgia House Bill HB522 Compare Versions

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11 25 LC 33 9780
22 House Bill 522
33 By: Representatives Gullett of the 19
44 th
55 , Scoggins of the 14
66 th
77 , Mathiak of the 82
88 nd
99 , and Gambill
1010 of the 15
1111 th
1212
1313 A BILL TO BE ENTITLED
1414 AN ACT
1515 To amend Chapter 1 of Title 31 of the Official Code of Georgia Annotated, relating to
1616 1
1717 general provisions regarding health, so as to prohibit certain healthcare providers and2
1818 facilities from discriminating against potential organ transplant recipients due solely to the3
1919 vaccine status of the potential recipient; to provide for definitions; to provide for related4
2020 matters; to repeal conflicting laws; and for other purposes.5
2121 BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:6
2222 SECTION 1.7
2323 Chapter 1 of Title 31 of the Official Code of Georgia Annotated, relating to general8
2424 provisions regarding health, is amended by revising Code Section 31-1-24, relating to organ9
2525 transplant protections for individuals with disabilities and civil relief for violations, as10
2626 follows:11
2727 "31-1-24.12
2828 (a) As used in this Code section, the term:13
2929 (1) 'Anatomical gift' means a donation of any part or all of a human body conditioned14
3030 upon the donor's death for the purpose of transplantation or transfusion.15
3131 H. B. 522
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3333 (2) 'Auxiliary aids or services' means an aid or service that is used to provide information
3434 16
3535 to an individual with a cognitive, developmental, intellectual, neurological, or physical17
3636 disability and is available in a format or manner that allows such individual to better18
3737 understand such information. An auxiliary aid or service may include:19
3838 (A) Qualified interpreters or other effective methods of making aurally delivered20
3939 materials available to individuals with hearing impairments;21
4040 (B) Qualified readers, taped texts, texts in accessible electronic format, or other22
4141 effective methods of making visually delivered materials available to individuals with23
4242 visual impairments; or24
4343 (C) Supported decision-making services, including:25
4444 (i) The use of a support personnel to communicate information to the individual with26
4545 a disability, ascertain the wishes of such individual, or assist such individual in27
4646 making decisions;28
4747 (ii) The disclosure of information to a legal guardian, authorized representative, or29
4848 another individual designated by the individual with a disability for such purpose, so30
4949 long as the disclosure is consistent with state and federal law, including the federal31
5050 Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. Section32
5151 1320d,
5252 et seq., and any regulations promulgated by the United States Department of33
5353 Health and Human Services to implement such Act act;34
5454 (iii) When an individual with a disability has a court appointed guardian or other35
5555 person responsible for making medical decisions on behalf of such individual, any36
5656 measures used to ensure that the individual is included in decisions involving the37
5757 individual's health care healthcare and that medical decisions are in accord with the38
5858 individual's own expressed interests; and39
5959 (iv) Any other aid or service that is used to provide information in a format that is40
6060 easily understandable and accessible to individuals with cognitive, neurological,41
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6363 developmental, or intellectual disabilities, including any form of communication
6464 42
6565 technology.43
6666 (3) 'Covered entity' means:44
6767 (A) Any licensed provider of health care
6868 healthcare services, including licensed health45
6969 care healthcare practitioners, hospitals, nursing facilities, laboratories, intermediate care46
7070 facilities, psychiatric residential treatment facilities, institutions for individuals with47
7171 intellectual or developmental disabilities, and such licensed individuals or facilities48
7272 providing health care healthcare services to incarcerated persons with disabilities; and49
7373 (B) Any entity responsible for matching anatomical gift donors to potential recipients.50
7474 (4) 'COVID-19' means severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2),51
7575 and any mutation or viral fragments thereof, or any disease or condition caused by severe52
7676 acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which was the subject of the53
7777 public health state of emergency declared by the Governor on March 14, 2020.54
7878 (4)(5) 'Disability' has the same meaning as provided for in the Americans with55
7979 Disabilities Act of 1990, as amended by the ADA Amendments Act of 2008, 42 U.S.C.56
8080 Section 12102.57
8181 (5)(6) 'Organ transplant' means the transplantation or transfusion of a part of a human58
8282 body into the body of another human for the purpose of treating or curing a medical59
8383 condition.60
8484 (6)(7) 'Qualified recipient' means an individual who has a disability and meets the61
8585 essential eligibility requirements for the receipt of an anatomical gift with or without any62
8686 of the following:63
8787 (A) Individuals or entities available to support and assist the recipient with an64
8888 anatomical gift or transplantation;65
8989 (B) Auxiliary aids or services; or66
9090 (C) Reasonable modifications to the policies, practices, or procedures of a covered67
9191 entity, including modifications to allow for either or both of the following:68
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9494 (i) Communication with one or more individuals or entities available to support or
9595 69
9696 assist with the recipient's care and medication after surgery or transplantation; or70
9797 (ii) Consideration of support networks available to the recipient, including family,71
9898 friends, and home and community based services, including home and community72
9999 based services funded through Medicaid, Medicare, another health plan in which the73
100100 recipient is enrolled, or any program or source of funding available to the recipient,74
101101 when determining whether the recipient is able to comply with posttransplant medical75
102102 requirements.76
103103 (8) 'Vaccine status' means whether or not an individual has received a specific
104104 77
105105 vaccination or series of vaccinations for COVID-19.78
106106 (b)(1) The provisions of this Code section shall apply to all stages of the organ transplant79
107107 process.80
108108 (2) A covered entity shall not, solely on the basis of an individual's disability or vaccine81
109109 status:82
110110 (A) Consider the individual ineligible to receive an anatomical gift or organ transplant;83
111111 (B) Deny medical services or other services related to organ transplantation, including84
112112 diagnostic services, evaluation, surgery, counseling, and postoperative treatment and85
113113 services;86
114114 (C) Refuse to refer the individual to a transplant center or other related specialist for87
115115 the purpose of being evaluated for or receiving an organ transplant;88
116116 (D) Refuse to place a qualified recipient such an individual on an organ transplant89
117117 waiting list;90
118118 (E) Place a qualified recipient such an individual on an organ transplant waiting list at91
119119 a lower priority position than the position at which the individual would have been92
120120 placed if such individual did not have a disability or if not for the individual's vaccine93
121121 status; or94
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124124 (F) Refuse insurance coverage for any procedure associated with being evaluated for
125125 95
126126 or receiving an anatomical gift, including posttransplantation and posttransfusion care.96
127127 (3) Notwithstanding paragraph (2) of this subsection, a covered entity may take an97
128128 individual's disability into account when making treatment or coverage recommendations98
129129 or decisions, solely to the extent that the individual's disability has been found by a99
130130 physician, following an evaluation of such individual, to be medically significant to the100
131131 provision of the anatomical gift.101
132132 (4) If an individual has the necessary support system to assist such individual in102
133133 complying with posttransplant medical requirements, a covered entity may not consider103
134134 the individual's inability to independently comply with posttransplant medical104
135135 requirements to be medically significant for the purposes of paragraph (3) of this105
136136 subsection.106
137137 (5) A covered entity shall make reasonable modifications to its policies, practices, or107
138138 procedures to allow individuals with disabilities access to transplantation related services,108
139139 including diagnostic services, surgery, coverage, postoperative treatment, and counseling,109
140140 unless the entity can demonstrate that making such modifications would fundamentally110
141141 alter the nature of such services.111
142142 (6) A covered entity must take steps necessary to ensure that an individual with a112
143143 disability is not denied medical services or other services related to organ transplantation,113
144144 including diagnostic services, surgery, postoperative treatment, or counseling, due to the114
145145 absence of auxiliary aids or services, unless the covered entity demonstrates that taking115
146146 the steps would fundamentally alter the nature of the medical services or other services116
147147 related to organ transplantation or would result in an undue burden for the covered entity.117
148148 (7) Nothing in this Code section shall be deemed to require a covered entity to make a118
149149 referral or recommendation for or perform a medically inappropriate organ transplant.119
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152152 (8) A covered entity shall comply with the requirements of Titles II and III of the
153153 120
154154 Americans with Disabilities Act of 1990, as amended by the ADA Amendments Act of121
155155 2008, 42 U.S.C. Section 12102.122
156156 (c)(1) When it appears that a covered entity has violated or is violating any provision of123
157157 this Code section, the affected individual may commence a civil action for injunctive and124
158158 other equitable relief against such covered entity for purposes of enforcing compliance125
159159 with this Code section. Such action may be brought in the district court for the county126
160160 where the affected individual resides or resided or was denied the organ transplant or127
161161 referral.128
162162 (2) In an action brought under paragraph (1) of this Code section, the court shall give129
163163 priority on its docket and expedited review, and may grant injunctive or other equitable130
164164 relief, including:131
165165 (A) Requiring auxiliary aids or services to be made available for a qualified recipient;132
166166 (B) Requiring the modification of a policy, practice, or procedure of a covered entity;133
167167 or134
168168 (C) Requiring facilities be made readily accessible to and usable by a qualified135
169169 recipient.136
170170 (3) Nothing in this Code section is intended to limit or replace available remedies under137
171171 the Americans with Disabilities Act of 1990, as amended, or any other applicable law.138
172172 (4) This Code section does not create a right to compensatory or punitive damages139
173173 against a covered entity."140
174174 SECTION 2.141
175175 All laws and parts of laws in conflict with this Act are repealed.142
176176 H. B. 522
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