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GA HB124

Bill

Status

Engrossed

2/24/2025

Primary Sponsor

Mitchell Scoggins

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • Requires all health benefit policies renewed or issued on or after July 1, 2025 to cover healthcare services for PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) and PANS (Pediatric Acute Onset Neuropsychiatric Syndrome)

  • Mandates the state health benefit plan for state and public employees, dependents, and retirees to include PANDAS/PANS coverage beginning January 1, 2026

  • Coverage must include diagnosis, treatment, appropriate management, and ongoing monitoring when supported by nationally recognized clinical practice guidelines

  • Prohibits insurers from imposing special deductibles, coinsurance, copayments, or other limitations specific to PANDAS/PANS treatment that do not apply to other covered healthcare services

  • Excludes self-insured health benefit plans subject to federal ERISA jurisdiction from the coverage mandate

Legislative Description

Insurance; require coverage for healthcare services for pediatric autoimmune neuropsychiatric disorders; provisions

Last Action

Senate Read and Referred

2/26/2025

Committee Referrals

Insurance and Labor2/26/2025
Insurance1/28/2025

Full Bill Text

No bill text available