GeorgiaHB 4222025-2026 Regular SessionHouseWALLET

State employees' health insurance; include high deductible health plans

Sponsored By: Shaw Blackmon (Republican), James Burchett (Republican), Jan Jones (Republican), Derrick McCollum (Republican), Brad Thomas (Republican), Bruce Williamson (Republican)

Became Law

InsuranceInsurance and LaborGeneral Bill

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Pretax HSA payroll for state workers

Beginning January 1, 2026, covered state employees in a state high-deductible plan can make pretax HSA contributions by payroll deduction. The HSA is set up under federal tax rules and held by the plan’s affiliated custodian. The State Accounting Office and agency heads can deduct the amounts you choose from your pay and send them to your HSA. These pretax contributions lower your taxable wages.

Two high-deductible plans for state workers

By January 1, 2028, the state health plan includes at least two high-deductible health plan options. They must come from different insurers, and each must include an affiliated HSA custodian. The board procures these plans on a cost-neutral basis.

Optional pretax HSA payroll for local workers

Local boards of education and other government employers in the state plan are encouraged to let non-covered workers make pretax HSA payroll contributions if they enroll in a state high-deductible plan. This is optional for the employer, not a mandate.

Sponsors & Cosponsors

Sponsors

  • Shaw Blackmon

    Republican • House

  • James Burchett

    Republican • House

  • Jan Jones

    Republican • House

  • Derrick McCollum

    Republican • House

  • Brad Thomas

    Republican • House

  • Bruce Williamson

    Republican • House

Cosponsors

  • Jaha Howard

    Democrat • Senate

Roll Call Votes

All Roll Calls

Yes: 378 • No: 1

House vote 4/4/2025

Agree to Senate Substitute

Yes: 163 • No: 0

Senate vote 4/4/2025

PASSAGE BY SUBSTITUTE

Yes: 52 • No: 1

House vote 2/28/2025

PASSAGE

Yes: 163 • No: 0

Actions Timeline

  1. Effective Date

    7/1/2025
  2. House Date Signed by Governor

    5/14/2025House
  3. Act 267

    5/14/2025
  4. House Sent to Governor

    4/9/2025House
  5. Senate Taken from Table

    4/4/2025Senate
  6. Senate Third Read

    4/4/2025Senate
  7. Senate Passed/Adopted By Substitute

    4/4/2025Senate
  8. House Agreed Senate Amend or Sub

    4/4/2025House
  9. Senate Tabled

    4/2/2025Senate
  10. Senate Read Second Time

    3/20/2025Senate
  11. Senate Committee Favorably Reported By Substitute

    3/18/2025Senate
  12. Senate Read and Referred

    3/3/2025Senate
  13. House Third Readers

    2/28/2025House
  14. House Passed/Adopted

    2/28/2025House
  15. House Committee Favorably Reported

    2/26/2025House
  16. House Second Readers

    2/18/2025House
  17. House First Readers

    2/13/2025House
  18. House Hopper

    2/12/2025House

Bill Text

  • HB 422/AP* (v5)

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