House Bill 1192 (AS PASSED HOUSE AND SENATE) By: Representatives Taylor of the 173rd, Efstration of the 104th, Hugley of the 141st, Hatchett of the 155th, Stephens of the 164th, and others A BILL TO BE ENTITLED AN ACT To amend Title 49 of the Official Code of Georgia Annotated, relating to public assistance, so as to provide for certain accounting practices by the Department of Human Services and the Department of Community Health; to provide for funds for specific purposes; to provide for annual review; to provide for annual reports; to provide for related matters; to provide for an effective date; to repeal conflicting laws; and for other purposes. BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA: SECTION 1. Title 49 of the Official Code of Georgia Annotated, relating to public assistance, is amended in Chapter 2, relating to Department of Human Services, by revising Code Section 49-2-10, relating to state appropriations and state, county, and federal welfare funds are for public purpose, as follows: "49-2-10. (a) For the purpose of carrying out the duties and obligations of the department for performance of welfare services of the state, for administrative costs, for matching such federal funds as may be available for all of the aforesaid services, for the purpose of establishing an equalization fund to be used in assisting those counties which may be unable otherwise to bear their proportionate share of the expenses of administration and of dispensing the benefits provided for under this title, and for dispensing all of the benefits provided for under this title, the General Assembly shall make appropriations out of the general fund of the state or otherwise for the various and separate activities of the department. All funds appropriated or allocated to the department or to the county departments by the General Assembly, the fiscal authorities of the respective counties, and by the federal government through its appropriate agencies and instrumentalities are declared to be funds provided for a public purpose; and all appropriations provided for in this Code section and hereafter may be expended and distributed by the department for the purposes provided for under this title. (b)(1) Any funds appropriated or allocated to the department by the General Assembly that are designated for a specific purpose shall not be commingled with other funds, shall be maintained in a separate account, and shall not be expended for any other purpose except the designated specific purpose. (2) Any federal funds that are designated for a specific purpose shall not be commingled with other funds, shall be maintained in a separate account, and shall not be expended for any other purpose except the designated specific purpose. (c) The commissioner shall annually review department practices and procedures, contracts and agreements, and accounting practices to identify cost savings achieved and operational efficiency opportunities. No later than December 31, 2026, and annually thereafter, the commissioner shall report the findings of such reviews to the chairpersons of the House Committee on Appropriations and the Senate Appropriations Committee and the chairpersons of the House Committee on Public and Community Health and the Senate Health and Human Services Committee." SECTION 2. Said title is further amended in Chapter 4, relating to medical assistance generally, by revising Code Section 49-4-144, relating to chief administrative officer and powers and duties, as follows: "49-4-144. (a) The commissioner of community health established under Chapter 2 of Title 31 shall be the chief administrative officer of the department and, subject to the general policy established by the board, shall supervise, direct, account for, organize, plan, administer, and execute the functions vested in the department. (b) The commissioner shall ensure that: (1) Any funds appropriated or allocated to the department by the General Assembly that are designated for a specific purpose shall not be commingled with other funds, shall be maintained in a separate account, and shall not be expended for any other purpose except the designated specific purpose; and (2) Any federal funds that are designated for a specific purpose shall not be commingled with other funds, shall be maintained in a separate account, and shall not be expended for any other purpose except the designated specific purpose. (c) The commissioner shall annually review department practices and procedures, provider agreements, rebate programs and agreements, and accounting practices to identify cost savings achieved and operational efficiency opportunities. No later than December 31, 2026, and annually thereafter, the commissioner shall report the findings of such reviews to the chairpersons of the House Committee on Appropriations and the Senate Appropriations Committee and the chairpersons of the House Committee on Public and Community Health and the Senate Health and Human Services Committee." SECTION 3. This Act shall become effective upon its approval by the Governor or upon its becoming law without such approval. SECTION 4. All laws and parts of laws in conflict with this Act are repealed.