GA HB422

Requires the state employee health insurance board to include at least two high deductible health plans from different insurance providers by January 1, 2028, with each provider having an affiliated health savings account (HSA) custodian

Mandates that by January 1, 2026, covered state employees enrolled in high deductible plans must have the ability to make pretax payroll contributions to HSAs maintained by custodians affiliated with their insurance provider

Authorizes the State Accounting Office and state agencies to deduct voluntary HSA contributions from employee wages

Requires any accepted bid proposals for high deductible health plans to be cost neutral to the state

Encourages other governmental entities, including local boards of education, to provide similar pretax HSA contribution options for their employees enrolled in high deductible plans