GA HB1430

Creates a new licensure category called "supportive senior housing communities" for facilities with 25-150 units where residents lease individual apartments and more than 50% of residents receive Medicaid assistance, to be licensed by the Georgia Department of Community Health

Defines "supportive senior care" services to include personal services (medication assistance, help with daily living activities), limited nursing services, medication administration by certified aides, weekly laundry/housekeeping, scheduled medical transportation, and social/recreational programming

Establishes staffing requirements including at least two direct care staff on-site at all times, a 1:25 staff-to-resident ratio during waking hours (1:40 during non-waking hours), and 8-40 hours per week of registered or licensed practical nurse availability based on facility size

Requires the Department of Community Health to develop a Medicaid rate methodology and submit a waiver request to the federal Centers for Medicare and Medicaid Services by June 30, 2026, targeting individuals age 65+ who meet nursing facility level of care criteria and income limits of 300% of SSI benefit rates

Amends multiple Georgia Code titles (commerce, crimes, fire protection, food/drugs, health, insurance) to incorporate supportive senior housing communities into existing regulatory frameworks for elder care facilities, including protections against fraud, fire safety requirements, background check programs, and ombudsman oversight