Georgia House Bill HB97

Georgia 2025-2026 Regular Session

• Introduced: 1/17/25

Caption

Community Health, Department of; expansion of Medicaid; provide

Impact

The potential impact of HB 97 on state laws is significant, as it proposes a fundamental shift in how healthcare coverage is delivered to low-income individuals in Georgia. If enacted, the expansion of Medicaid is expected to increase access to healthcare services for many Georgians, potentially improving overall public health outcomes. Additionally, the bill mandates the submission of a waiver request to federal health authorities, which is a critical step for the execution of the program. The Department of Community Health would be responsible for tracking enrollment numbers and associated costs, contributing to more informed legislative decision-making regarding healthcare funding in the state.

Summary

House Bill 97 aims to expand Medicaid in Georgia by providing additional healthcare coverage for low-income individuals. Specifically, the bill focuses on individuals aged 19 to 65 who earn up to 138% of the federal poverty level, thereby broadening the eligibility criteria for Medicaid assistance. The bill outlines that the Department of Community Health is authorized to utilize appropriations for funding the Medicaid expansion program and emphasizes the necessity for coordination with the office of the Commissioner of Insurance to certify qualified health plans under this initiative. By aligning with provisions of the federal Patient Protection and Affordable Care Act, it also details requirements for waivers and state plan amendments necessary for implementation.

Contention

While the bill enjoys support from various healthcare advocates and some legislators who view it as a vital step toward improving health access, it may face opposition from those who argue against Medicaid expansion for ideological or fiscal reasons. Concerns regarding the sustainability of funding and the overall management of expanded programs may arise, particularly among those who prioritize state budget constraints. Furthermore, the requirement for annual reporting to the General Assembly adds a layer of legislative oversight that may be seen as a necessary check, ensuring that the Medicaid expansion is carefully monitored and adjusted as needed to meet the objectives laid out in the legislation.