Fiscal Year 2025 Highlights
2025 Legislative Priorities
- Support maternal and perinatal morbidity/mortality reduction efforts, including enhanced access to lactation support and doula services, access to mental health and addiction services, and state funding for AIM bundles
- Oppose legislative interference in the patient-physician relationship and in the provision of evidence-based healthcare
- Increase Medicaid reimbursement rates
- Promote medical liability reform
- Secure access to vital reproductive health services including ART/IVF
- Repeal restrictive abortion laws
- Champion enhanced contraceptive service delivery, including new evidence-based models
- Build systems of care that optimize patient access to and foster collaboration between obstetricians and certified nurse midwives/certified midwives
- Ensure that accredited education and professional certification precede licensure for all delivery providers
- Improve emergency obstetric transportation in rural areas
- Expand telehealth access to rural communities
Budget :
- Increase funding for select primary care and OB/GYN codes. The total state/federal funds for this initiative in the LIM program is $29,380,608.
- Increase funding for select primary care and OB/GYN codes in the ABD program. The total state/federal funds for this initiative is $7,954,159.
- $200,000 in funds to establish the Comprehensive Health Coverage Commission under HB 1339 to study the possible implementation of a private option or Medicaid expansion in the future in the off-season.
- Expand the pilot program to provide home visiting in at-risk and underserved rural communities during pregnancy and early childhood to improve birth outcomes, reduce preterm deliveries, and decrease infant and maternal mortality. Utilize existing funds ($685,903) and increase funds for this initiative. The total new funds allotted for the Infant and Child Essential Health Treatment Services program at DPH is $1,000,000, totaling $1,752,000.
- $750,000 as one-time start-up funds for OB/GYN service expansion.
- $50,000 as one-time start-up funds for developing a Pediatric Rural Training Track.
- Evaluate and, where appropriate, implement a process to allow reimbursement for blood and biomarker testing when clinically indicated to provide enhanced surveillance for inpatient pregnant patients between 23 and 34 weeks with hypertensive disorder of pregnancy. The House and Senate feel that DCH can do some of this with existing funds but have provided an additional $283,995, which equates to $835,280 with the federal match.
- Two crisis pregnancy centers were prevented from receiving funding in the budget, and instead proposed additional funds for the maternal care pilot run by DCH and DPH.
Certificate of Need
After years of negotiation, the Georgia legislature approved HB 1339, a Certificate of Need (CON) reform bill, sponsored by Rep. Butch Parrish.
The bill seeks to ease regulations to permit more healthcare centers to open and operate in the state, particularly in rural areas.
Additionally, the bill includes provisions for exploring Medicaid expansion in Georgia. The Society had initially raised some safety concerns over free-standing birthing centers, but the bill’s final version included considerably tightened language.
Medicaid Expansion
The Senate Regulated Industries and Utilities Committee held a much-anticipated hearing on Medicaid expansion (the first real hearing on the issue during a legislative session), which would allow the state to draw down on a federal waiver for additional Georgians to have access to healthcare coverage.
Although the legislation did not move forward during the 2024 session, the discussion about Medicaid expansion is ongoing. The Comprehensive Health Coverage Commission, included in HB 1339, will be attached to the Department of Community Health, which is Georgia’s Medicaid agency. It will consist of nine appointed members, who will examine the options available to the state for expanding healthcare coverage for Georgians.
The commission will also review reimbursement opportunities and funding for healthcare providers, quality improvement for uninsured Georgians, and ways to enhance service delivery among providers and community-based organizations.
Puberty Blockers
Career Fatigue and Physician Wellness
Preceptor Credit
Chairman Mark Newton (R-Augusta) introduced HB 308 to change the structure of tax credits given to physicians for medical preceptor rotations. The previous structure offered a $500 credit for the first three rotations and a $1,000 credit for the 4th through 10th rotations in a calendar year.
The new structure proposed a $1,000 credit for every medical preceptor rotation up to 10 in a calendar year. This bill was substituted in the Senate and needed more votes in the House to receive final passage.
Ga Commission on Maternal and Infant Health
Midwifery
CANDOR Act
After a year of dormancy, Chairman Sharon Cooper’s CANDOR Act was passed through the Senate Judiciary.
The CANDOR Act aims to provide secure avenues for patients and healthcare professionals to interact and communicate when medical errors occur voluntarily. This program is voluntary; three other states currently have these laws on the books (Utah, Colorado, and Utah).
The legislation ultimately did not receive final passage.
Restrictive Covenants
Representative Mark Newton has proposed a new bill, HB 1490, to prevent the enforcement of certain covenants and restrictions on physician employment or partnership contracts.
The legislation specifies the circumstances under which such restrictions will be considered void. Although it was introduced too late to be eligible for consideration, it is expected to be discussed during the next biennial session. Chairman Newton plans to work on the legislation during the off-season and seeks our assistance.
Maternal Health Screening
HB 1302 Sponsored by Rep. Karen Bennett (D-Stone Mountain) provides for mandatory maternal mental health screening for Medicaid recipients and mandatory education regarding postpartum depression to women after childbirth.
GOGS worked diligently with the bill sponsor and MAG to pull back the mandates contained in this bill. – DID NOT PASS
Fertility Preservation
Preeclampsia Screening
Reproductive Battery
Pelvic and Rectal Examinations
Reproductive Healthcare
Copyright 2024