Georgia CommonsHouse · Introduced · 2025-2026 Regular Session
HB 1106: Nursing Home Supplemental Fund; establish and provide a purpose
Last action February 3, 2026 · House Second Readers
A Georgia House bill would create a new state fund to give loans, loan guarantees, or grants to nursing homes that lose significant money from federal Medicaid funding cuts.
The summaries below were written by an AI model (claude-sonnet-5) from the text of the bill and are not part of it. Quote the text, not the summary. The stored text is the Introduced version, the latest the General Assembly's website lists.
In plain language
This bill would add a new section to Georgia law (O.C.G.A. § 31-2-20) establishing the Nursing Home Supplemental Fund inside the Department of Community Health. The fund's purpose is to provide financial assistance, such as loans, loan guarantees, and grants, to nursing homes facing financial distress because of cuts to federal Medicaid funding. To qualify, a nursing home would need to document actual revenue losses of more than $1 million in a fiscal year that are directly tied to a reduction or elimination of federal Medicaid funding taking effect on or after July 4, 2025. The department would set eligibility rules, run an application process, and report annually to the Governor and legislature starting October 1, 2027. The whole law only takes effect if the General Assembly specifically appropriates money for it, and it would automatically expire December 31, 2031 if that funding never happens.
What the bill does
- Creates the Nursing Home Supplemental Fund within the Department of Community Health to help financially distressed nursing homes.
- Allows the fund to provide loans, loan guarantees, and grants, not just direct payments, to eligible nursing homes.
- Requires nursing homes to show revenue losses over $1 million in a fiscal year tied to federal Medicaid funding cuts starting July 4, 2025.
- Directs the department to create eligibility rules, an application process, and regulations to run the program.
- Requires an annual public report to the Governor and General Assembly beginning October 1, 2027.
- Makes the law effective only if the legislature specifically appropriates funding for it, and repeals it automatically by December 31, 2031 if no funding is ever appropriated.
Who it affects
Nursing homes licensed in Georgia that lose significant Medicaid revenue, the residents and staff who depend on those facilities staying open, the Department of Community Health, which would run the fund, and the General Assembly, which must appropriate money before the program can start.
Why it matters
If funded, struggling nursing homes could get loans or grants to stay open despite Medicaid funding cuts, which could affect care for residents. But because the law only takes effect with a specific budget appropriation, its real-world impact depends entirely on future legislative funding decisions.
Key provisions
- Section 1 adds new Code section 31-2-20 defining 'Fund' and 'nursing home' and establishing the Nursing Home Supplemental Fund.
- Subsection (b) states the fund's purpose is financial assistance to financially distressed nursing homes.
- Subsection (c) requires the department to seek and administer grants or funds, set eligibility criteria including documented losses over $1 million tied to Medicaid funding cuts on or after July 4, 2025, and run an application process.
- Subsection (d) requires an annual report to the Governor and General Assembly starting October 1, 2027, published on the department's website.
- Subsection (e) authorizes the board to write rules and regulations to implement the program.
- Section 2 makes the entire Act contingent on a specific budget appropriation and sets automatic repeal on December 31, 2031 if no appropriation is made.
From the bill
“There is established the Nursing Home Supplemental Fund for the purpose of providing financial assistance, including, but not limited to, loans, loan guarantees, and grants, to financially distressed nursing homes”
“documentation demonstrating actual nursing home revenue losses in excess of $1 million during any fiscal year that are directly attributable to a reduction in or elimination of federal funding for Medicaid effective on or after July 4, 2025”
Discussed in meetings (3)
The House and Senate meetings that took this bill up, from their machine transcripts. Each account was written by Georgia Commons with AI and is not part of the record; the video is what was said.
House Human Relations & Aging Committee, February 10, 2026
From 0:54:00 · Watch on the General Assembly's Vimeo channel
Summary by Georgia Commons: The sponsor said HB 1106 would establish a nursing home stabilization fund providing targeted, temporary assistance to facilities demonstrating losses greater than $1 million, with accountability, transparency and state oversight. The sponsor argued that federal Medicaid reductions, rising costs and narrow operating margins threaten access to care. Citing a Brown University study, the sponsor said Georgia could lose up to 37 nursing homes and senior care facilities, displacing residents and delaying hospital discharges. A witness for Sadie G. Mays Health and Rehabilitation Center supported the fund. The witness said 85 percent of residents were low-income and reported Medicaid reimbursement of $243 against costs of $280 per resident per day. The witness described a $37 daily shortfall for each of 100 Medicaid residents and annual losses exceeding $1.4 million. The witness also reported longer Medicaid application waits, denials and rising operating costs. The chair said about 73 percent of Georgia nursing home residents use Medicaid and said the state had continued increasing reimbursement funding. The chair distinguished the proposal as a separate supplemental fund and reiterated that the meeting was hearing-only. No vote occurred.
Status timeline
- House Second Readers (House)
- House First Readers (House)
- House Hopper (House)
Sponsors
- Bryce Berry (D, HD-56)
- Tanya F. Miller (D, HD-62)
- Sam Park (D, HD-107)
- Imani Barnes (D, HD-86)
- Karla Drenner (D, HD-85)
- Tremaine Teddy Reese (D, HD-140)
Topics
- nursing homes
- Medicaid funding
- healthcare funding
- state budget
- elder care