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GA HB196

Bill

Status

Passed

5/14/2025

Primary Sponsor

Trey Kelley

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • Requires insurers under Georgia state health plans to reimburse pharmacies for self-administered drugs using the National Average Drug Acquisition Cost (NADAC) plus a professional dispensing fee, effective January 1, 2026

  • Sets minimum dispensing fees at $10.50 for chain pharmacies and $11.50 for independent pharmacies

  • Applies to state employees' health insurance, public school teachers and employees health plans, and University System of Georgia Board of Regents health benefit plans

  • Prohibits insurers from circumventing reimbursement requirements through prescription drug discount cards or programs

  • Grants the Commissioner of Insurance enforcement authority over these requirements under existing pharmacy benefits manager regulation laws

Legislative Description

State employees' health insurance plan; drugs dispensed for self-administration; provisions

Last Action

Effective Date 2025-07-01

5/14/2025

Committee Referrals

Insurance and Labor2/24/2025
Health2/3/2025

Full Bill Text

No bill text available