Loading chat...
GA HB124
Bill
Status
2/24/2025
Primary Sponsor
Mitchell Scoggins
Click for details
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