GeorgiaSB 4282025-2026 Regular SessionSenateWALLET

Medical Assistance; Department of Community Health to submit a waiver request to the federal Centers for Medicare and Medicaid Services; direct

Sponsored By: Drew Echols (Republican), Bo Hatchett (Republican), Kim Jackson (Democrat), Kay Kirkpatrick (Republican), Ben Watson (Republican)

Signed by Governor

HealthHealth and Human ServicesGeneral Bill

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Path to Medicaid community mental health coverage

Georgia’s Department of Community Health may request federal approval by December 31, 2026, for Medicaid-funded home and community mental health services. These services target Medicaid recipients over age 21 who need mental health care but do not need institutional care. The care assessment considers risks such as past hospital stays, psychiatric crises, emergency room visits, incarceration, homelessness, or combinations of these. If the federal Centers for Medicare and Medicaid Services approves the waiver, the department must arrange Medicaid payment for these services. The law sets no specific funding amount or date for services to begin.

Sponsors & Cosponsors

Sponsors

  • Drew Echols

    Republican • Senate

  • Bo Hatchett

    Republican • Senate

  • Kim Jackson

    Democrat • Senate

  • Kay Kirkpatrick

    Republican • Senate

  • Ben Watson

    Republican • Senate

Cosponsors

  • Chuck Efstration

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 212 • No: 2

House vote • 3/23/2026

PASSAGE

Yes: 166 • No: 2 • Other: 5

Senate vote • 2/24/2026

PASSAGE BY SUBSTITUTE

Yes: 46 • No: 0 • Other: 7

Actions Timeline

  1. Effective Date

    7/1/2026
  2. Senate Date Signed by Governor

    5/11/2026Senate
  3. Act 492

    5/11/2026
  4. Senate Sent to Governor

    4/10/2026Senate
  5. House Third Readers

    3/23/2026House
  6. House Passed/Adopted

    3/23/2026House
  7. House Committee Favorably Reported

    3/10/2026House
  8. House Second Readers

    2/26/2026House
  9. House First Readers

    2/25/2026House
  10. Senate Third Read

    2/24/2026Senate
  11. Senate Passed/Adopted By Substitute

    2/24/2026Senate
  12. Senate Read Second Time

    2/20/2026Senate
  13. Senate Committee Favorably Reported By Substitute

    2/19/2026Senate
  14. Senate Read and Referred

    1/28/2026Senate
  15. Senate Hopper

    1/27/2026Senate

Bill Text

  • SB 428/AP* (v7)

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