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)

Signed by Governor

InsuranceInsurance and LaborGeneral Bill

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

More health choices for Georgia state employees

By January 1, 2028, Georgia's state employee health plan must offer at least two high-deductible plans from different insurers. Each insurer must have an affiliated custodian managing health savings accounts that qualify under federal tax law, Section 223. Accepted plan bids must be cost neutral; the law does not set employee premiums or out-of-pocket costs. By January 1, 2026, covered employees enrolled in an included high-deductible plan must have access to pretax contributions to these accounts. The State Accounting Office or employing agency head can deduct amounts employees voluntarily choose from their pay; contributions are not required.

Payroll health savings encouraged for public workers

The law encourages government employers, including local school boards, to offer pretax payroll contributions to health savings accounts. This applies to workers outside the law's covered-employee group who participate in the state health plan and enroll in a high-deductible plan. Contributions must follow federal tax law, Section 223. Employers are encouraged, not required, to provide this access, so it is not guaranteed.

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

  • Jason Esteves

    Democrat • Senate

Roll Call Votes

All Roll Calls

Yes: 378 • No: 1

Senate vote • 4/4/2025

PASSAGE BY SUBSTITUTE

Yes: 52 • No: 1 • Other: 1

House vote • 4/4/2025

Agree to Senate Substitute

Yes: 163 • No: 0 • Other: 4

House vote • 2/28/2025

PASSAGE

Yes: 163 • No: 0 • Other: 7

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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