All Roll Calls
Yes: 389 • No: 0
GeorgiaHB 1962025-2026 Regular SessionHouseWALLET
State employees' health insurance plan; drugs dispensed for self-administration; provisions
Sponsored By: Matthew Gambill (Republican), Matt Hatchett (Republican), Carolyn Hugley (Democrat), Rick Jasperse (Republican), Trey Kelley (Republican), Darlene Taylor (Republican)
Became Law
HealthInsurance and LaborGeneral Bill
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
New pharmacy pay rules for state plan
Beginning January 1, 2026, for drugs you take yourself, the state plan pays pharmacies at least the national average drug acquisition cost on the claim day. If that price is not available, payment uses a discounted average wholesale price or the wholesale acquisition cost. Insurers must also pay a dispensing fee: at least $10.50 per fill for chain pharmacies and $11.50 for independent pharmacies. The state health plan can allow higher payments, but never lower than these minimums. Insurers cannot use discount cards to dodge the rules, and the Insurance Commissioner enforces compliance with pharmacy benefit managers.
Sponsors & Cosponsors
Sponsors
Matthew Gambill
Republican • House
Matt Hatchett
Republican • House
Carolyn Hugley
Democrat • House
Rick Jasperse
Republican • House
Trey Kelley
Republican • House
Darlene Taylor
Republican • House
Cosponsors
Matt Brass
Republican • Senate
Roll Call Votes
House vote • 3/31/2025
Agree to Senate Substitute
Yes: 166 • No: 0
Senate vote • 3/27/2025
PASSAGE BY SUBSTITUTE
Yes: 55 • No: 0
House vote • 2/21/2025
PASSAGE
Yes: 168 • No: 0
Actions Timeline
Effective Date
7/1/2025House Date Signed by Governor
5/14/2025HouseAct 307
5/14/2025House Sent to Governor
4/7/2025HouseHouse Agreed Senate Amend or Sub
3/31/2025HouseSenate Third Read
3/27/2025SenateSenate Passed/Adopted By Substitute
3/27/2025SenateSenate Read Second Time
3/21/2025SenateSenate Committee Favorably Reported By Substitute
3/20/2025SenateSenate Read and Referred
2/24/2025SenateHouse Third Readers
2/21/2025HouseHouse Passed/Adopted By Substitute
2/21/2025HouseHouse Committee Favorably Reported By Substitute
2/11/2025HouseHouse Second Readers
2/4/2025HouseHouse First Readers
2/3/2025HouseHouse Hopper
1/30/2025House
Bill Text
HB 196/AP* (v8)
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