---
title: HB 1214. Sales and use tax; new special purpose local option sales tax dedicated to certain healthcare purposes; provide
collection: bills
id: 2025-2026/hb1214
cite_as: HB 1214, 2025-2026 Regular Session (Ga.)
canonical_url: https://georgiacommons.org/bills/2025-2026/hb1214
md_url: https://georgiacommons.org/bills/2025-2026/hb1214.md
text_url: https://georgiacommons.org/bills/2025-2026/hb1214/text
source_url: https://www.legis.ga.gov/legislation/72898
date: 2026-02-09
status: introduced
corpus_version: bills-2026-09-13
license: Public record of the Georgia General Assembly, via LegiScan; see about.md
publisher: Georgia Commons, an independent project of Georgia Civic Data. Not the State of Georgia. Not legal advice.
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omitted: votes and history
omitted_chars: 129
omitted_url: https://georgiacommons.org/bills/2025-2026/hb1214.md?full=1
bill_number: HB 1214
session: 2025-2026 Regular Session
session_slug: 2025-2026
chamber: House
bill_type: bill
status_date: 2026-02-05
last_action: House Second Readers
sponsors:
- Angie O'Steen
- James Burchett
- Noel Williams
- Trey Kelley
- John Corbett
- William Werkheiser
text_version: Introduced
has_text: true
legiscan_url: https://legiscan.com/GA/bill/HB1214/2025
upstream_id: 2109987
summaries_model: claude-sonnet-5
topic_tags:
- sales tax
- healthcare funding
- hospitals
- local option sales tax
- indigent care
---
# HB 1214. Sales and use tax; new special purpose local option sales tax dedicated to certain healthcare purposes; provide
## Text
House Bill 1214
By: Representatives O’Steen of the 169th, Burchett of the 176th, Williams of the 148th, Kelley
of the 16th, Corbett of the 174th, and others
A BILL TO BE ENTITLED
AN ACT
To amend Chapter 8 of Title 48 of the Official Code of Georgia Annotated, relating to sales
and use taxes, so as to provide for a new special purpose local option sales tax dedicated to
certain healthcare purposes; to provide for definitions; to provide for authorization of tax and
applicability; to provide for local authorization and referenda; to provide for imposition and
termination of tax; to provide for administration and collection of tax; to provide for returns;
to provide for distribution of tax proceeds; to provide for personal property in other
jurisdictions; to prohibit taxation of products ordered and delivered outside of jurisdiction;
to prohibit taxation of certain construction materials; to provide for rules and regulations; to
provide for impact on other taxes; to provide for accountability and the withholding of funds
by the state; to provide for related matters; to provide an effective date; to repeal conflicting
laws; and for other purposes.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:
SECTION 1.
Chapter 8 of Title 48 of the Official Code of Georgia Annotated, relating to sales and use
taxes, is amended by revising subparagraph (a)(1)(C) of Code Section 48-8-6, relating to
prohibition of political subdivisions from imposing various taxes, ceiling on local sales and
use taxes, and taxation of mobile telecommunications, as follows:
"(C) Up to 1 percent in aggregate of any sales and use taxes authorized under Code
Section 48-8-96, Code Section 48-8-97, Article 2B of this chapter, Part 3 of Article 3
of this chapter, Part 4 of Article 3 of this chapter, and Article 4 of this chapter."
SECTION 2.
Said chapter is further amended by revising Article 3, relating to county sales and use taxes,
by adding a new part to read as follows:
"Part 4
48-8-170.
As used in this part, the term:
(1) 'County special district' means the special district created for a county under Code
Section 48-8-166.
(2) 'Healthcare enhancement purposes' means capital outlay projects for hospitals,
providing for bad debt, indigent care, and any other shortfalls associated with providing
healthcare services to the community.
(3) 'Hospital' means a nonprofit hospital, a hospital owned or operated by a hospital
authority, or a nonprofit corporation formed, created, or operated by or on behalf of a
hospital authority.
48-8-171.
Pursuant to the authority granted by Article IX, Section II, Paragraph VI of the Constitution
of this state, there are created within this state 159 special districts. One such district shall
exist within the geographical boundaries of each county, and the territory of each district
shall include all of the territory within the county.
48-8-172.
(a) The governing authority of any municipality or any county whose geographic boundary
is coterminous with that of its county special district shall be authorized, subject to the
requirement of referendum approval and the other requirements of this part, to impose
within the municipality or the special district a special sales and use tax for a limited period
of time for healthcare enhancement purposes.
(b) Except as provided in subsection (c) of this Code section, any tax imposed under this
part shall be at the rate of 1 percent. Except as to rate, a tax imposed under this part shall
correspond to the tax imposed by Article 1 of this chapter. No item or transaction which
is not subject to taxation under Article 1 of this chapter shall be subject to a tax imposed
under this part, except that a tax imposed under this part shall apply to sales of motor fuels
as prepaid local tax as such term is defined in Code Section 48-8-2 and shall be applicable
to the sale of food and food ingredients and alcoholic beverages as provided for in Code
Section 48-8-3.
(c) Such sales and use tax levied on sales of motor fuels as defined in Code Section 48-9-2
shall be at the rate of 1 percent of the retail sales price of the motor fuel which is not more
than $3.00 per gallon.
48-8-173.
(a) The governing authority of a municipality or county voting to impose the tax
authorized by this part within the municipality or special district shall notify the qualified
consolidated government election superintendent by forwarding to the superintendent a
copy of the resolution or ordinance of the governing authority calling for the imposition of
the tax. Such ordinance or resolution shall specify the maximum period of time of the tax,
to be stated in calendar years or calendar quarters and not to exceed five years.
(b) Upon receipt of the resolution or ordinance, the election superintendent of the
municipality or county shall issue the call for an election for the purpose of submitting the
question of the imposition of the tax to the voters of the qualified consolidated government.
Such election superintendent shall issue the call and shall conduct the election on a date
and in the manner authorized under Code Section 21-2-540. Such election superintendent
shall cause the date and purpose of the election to be published once a week for four weeks
immediately preceding the date of the election in the legal organ of the municipality or
county or in a newspaper having general circulation in the municipality or county at least
equal to that of the legal organ.
(c) The ballot shall have written or printed thereon the following:
'( ) YES Shall a special 1 percent sales and use tax be imposed in the special district
of ____________ for a period of time not to exceed __________ for
( ) NO healthcare enhancement purposes?'
(d) All persons desiring to vote in favor of imposing the tax shall vote 'Yes' and all persons
opposed to levying the tax shall vote 'No.' If more than one-half of the votes cast are in
favor of imposing the tax, then the tax shall be imposed as provided in this part; otherwise,
the tax shall not be imposed and the question of imposing the tax shall not again be
submitted to the voters of the municipality or county until after 12 months immediately
following the month in which the election was held; provided, however, that if an election
date authorized under Code Section 21-2-540 occurs during the twelfth month immediately
following the month in which such election was held, the question of imposing the tax may
be submitted to the voters of the municipality or county on such date. The municipal or
county election superintendent shall hold and conduct the election under the same rules and
regulations as govern special elections. Such election superintendent shall canvass the
returns, declare the result of the election, and certify the result to the Secretary of State and
to the commissioner. The expense of the election shall be paid from municipal or county
funds.
48-8-174.
(a)(1) If the imposition of the tax is approved by referendum, the tax shall be imposed
on the first day of the next succeeding calendar quarter which begins more than 80 days
after the date of the election at which the tax was approved by the voters.
(2) With respect to services that are regularly billed on a monthly basis, however, the
resolution or ordinance imposing the tax shall become effective and the tax shall apply
to the first regular billing period coinciding with or following the effective date specified
in paragraph (1) of this subsection. A certified copy of the ordinance or resolution
imposing the tax shall be forwarded to the commissioner to ensure it is received within
five business days after certification of the election results.
(b) The tax shall cease to be imposed on the final day of the maximum period of time
specified for the imposition of the tax.
(c)(1) No qualified consolidated government shall at any time impose more than a
single 1 percent tax under this part.
(2) A qualified consolidated government in which a tax authorized by this part is in
effect may, while the tax is in effect, adopt a resolution or ordinance calling for a
reimposition of a tax as authorized by this part upon the termination of the tax then in
effect; and a referendum may be held for this purpose while the tax is in effect.
Proceedings for such reimposition shall be in the same manner as proceedings for the
initial imposition of the tax as provided for in Code Section 48-8-168 and shall be solely
within the discretion of the governing authority of the municipality or county. Such
newly authorized tax shall not be imposed until the expiration of the tax then in effect.
48-8-175.
A tax levied pursuant to this part shall be exclusively administered and collected by the
commissioner for the use and benefit of the municipality or county special district imposing
the tax. Such administration and collection shall be accomplished in the same manner and
subject to the same applicable provisions, procedures, and penalties provided in Article 1
of this chapter except that the sales and use tax provided in this part shall be applicable to
sales of motor fuels as prepaid local tax as such term is defined in Code Section 48-8-2;
provided, however, that all moneys collected from each taxpayer by the commissioner shall
be applied first to such taxpayer's liability for taxes owed the state; and provided, further,
that the commissioner may rely upon a representation by or in behalf of the qualified
consolidated government or the Secretary of State that such a tax has been validly imposed,
and the commissioner and the commissioner's agents shall not be liable to any person for
collecting any such tax which was not validly imposed. Dealers, as such term is defined
in Code Section 48-8-2, shall be allowed a percentage of the amount of the tax due and
accounted for and shall be reimbursed in the form of a deduction in submitting, reporting,
and paying the amount due if such amount is not delinquent at the time of payment. The
deduction shall be at the rate and subject to the requirements specified under
subsections (b) through (f) of Code Section 48-8-50.
48-8-176.
Each sales and use tax return remitting sales and use taxes collected under this part shall
separately identify the location of each retail establishment at which any of the sales and
use taxes remitted were collected and shall specify the amount of sales and the amount of
taxes collected at each establishment for the period covered by the return to facilitate the
determination by the commissioner that all sales and use taxes imposed by this part are
collected and distributed according to situs of sale.
48-8-177.
The proceeds of the tax collected by the commissioner in each qualified consolidated
government under this part shall be disbursed as soon as practicable after collection as
follows:
(1) One percent of the amount collected shall be paid into the general fund of the state
treasury to defray the costs of administration; and
(2) The remaining proceeds of the tax shall be distributed to the governing authority of
the qualified consolidated government imposing the tax.
48-8-178.
Where a local sales or use tax has been paid with respect to tangible personal property by
the purchaser either in another local tax jurisdiction within the state or in a tax jurisdiction
outside the state, the tax may be credited against the tax authorized to be imposed by this
part upon the same property. If the amount of sales or use tax so paid is less than the
amount of the use tax due under this part, the purchaser shall pay an amount equal to the
difference between the amount paid in the other tax jurisdiction and the amount due under
this part. The commissioner may require such proof of payment in another local tax
jurisdiction as the commissioner deems necessary and proper. No credit shall be granted,
however, against the tax imposed under this part for tax paid in another jurisdiction if the
tax paid in such other jurisdiction is used to obtain a credit against any other local sales and
use tax levied in the qualified consolidated government or in a special district which
includes the qualified consolidated government; and taxes so paid in another jurisdiction
shall be credited first against the tax levied under Article 2 of this chapter, if applicable,
then against the tax levied under Part 1 of Article 3 of this chapter, if applicable, then
against the tax levied under Part 2 of Article 3 of this chapter, if applicable, and then
against the tax levied under this part.
48-8-179.
No tax provided for in this part shall be imposed upon the sale of tangible personal
property which is ordered by and delivered to the purchaser at a point outside the
geographical area of the qualified consolidated government in which the tax is imposed
regardless of the point at which title passes, if the delivery is made by the seller's vehicle,
and including United States mail or common carrier or by a private or contract carrier
licensed by the Federal Motor Carrier Safety Administration or the Georgia Department
of Public Safety.
48-8-180.
No tax provided for in this part shall be imposed upon the sale or use of building and
construction materials when the contract for which the materials are purchased or used was
advertised for bid prior to the voters' approval of the levy of the tax and the contract was
entered into as a result of a bid actually submitted in response to the advertisement prior
to approval of the levy of the tax.
48-8-181.
The commissioner shall have the power and authority to promulgate such rules and
regulations as shall be necessary for the effective and efficient administration and
enforcement of the collection of the tax authorized by this part.
48-8-182.
The tax authorized by this part shall be in addition to any other local sales and use tax. The
imposition of any other local sales and use tax within a county, municipality, or special
district shall not affect the authority of a qualified consolidated government to impose the
tax authorized by this part and the imposition of the tax authorized by this part shall not
affect the imposition of any otherwise authorized local sales and use tax within a county,
municipality, or special district.
48-8-183.
(a) The proceeds received from the tax authorized by this part shall be used by a:
(1) Municipality exclusively for healthcare enhancement purposes within the
municipality; or
(2) County exclusively for healthcare enhancement purposes within the county special
district.
(b) All proceeds of the tax authorized by this part shall be kept in a separate account from
other funds of the municipality or county and shall not in any manner be commingled with
other funds of the municipality or county prior to expenditure. No amount of such funds
shall be used in any way to supplant or reduce other funding in place for healthcare
enhancement purposes as of the fiscal year of the municipality or county immediately prior
to the adoption of the resolution calling for the tax.
(c) The governing authority of each municipality and county levying the tax shall maintain
a record of every expenditure for which the proceeds of the tax have been used. Each
municipality or county that levies the tax authorized by this part shall include a
summarized accounting of all expenditures of such proceeds over the prior fiscal year in
such municipality's or county's regular annual audit otherwise required by law. The auditor
shall verify and test expenditures sufficient to provide assurances that the schedule is fairly
presented in relation to the financial statements. The auditor's report on the financial
statements shall include an opinion, or disclaimer of opinion, as to whether the accounting
is presented fairly in all material respects in relation to the financial statements taken as a
whole.
48-8-184.
If at any point it is determined by the commissioner or the state auditor that the proceeds
of the tax authorized by this part are not being used by a municipality or county for
healthcare enhancement purposes in accordance with this part, the commissioner shall
withhold the proceeds of the tax from the municipality or county until a plan is devised by
the municipality or county and approved by the commissioner as rectifying the failure to
comply with this part. If no such plan is devised and approved within 180 days, the tax
shall cease to be collected and such funds shall be held in trust by the state to use for
healthcare enhancement purposes to benefit the municipality or county special district."
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.
## Summaries written by Georgia Commons
The following was written by claude-sonnet-5 from the text above and is not part of the bill. Quote the text, not the summary.
House Bill 1214 would let certain Georgia consolidated city-county governments ask voters to approve a new 1 percent sales tax dedicated to hospital funding, indigent care, and other healthcare shortfalls.
### Plain-language summary
Under current Georgia law, local governments can already levy several kinds of special purpose local option sales taxes (SPLOSTs), but none of them are specifically earmarked for healthcare. This bill creates a new, separate SPLOST that a qualified consolidated government (a city or county whose boundaries match its special tax district) could put before voters for what the bill calls 'healthcare enhancement purposes,' meaning hospital capital projects, bad debt, indigent care, and other funding shortfalls tied to community healthcare.
The tax would be capped at 1 percent, would have to be approved by referendum, and could run for up to five years before it would have to be reauthorized by a new vote. The state revenue commissioner would collect the tax alongside other sales taxes, keep 1 percent of proceeds for administrative costs, and send the rest to the local government. The bill also requires separate accounting for the money, bars using it to replace existing healthcare funding, and lets the state withhold the funds if they are misused. The law would take effect as soon as the Governor signs it.
### What it does
- Creates a new part of Georgia's sales tax law (O.C.G.A. Title 48, Chapter 8) authorizing a special 1 percent sales tax dedicated to healthcare enhancement purposes.
- Limits eligibility to a 'qualified consolidated government,' a municipality or county whose boundaries match its special tax district, and requires voter approval by referendum before the tax can be imposed.
- Caps the tax at 1 percent (with a separate cap on motor fuel sales) and limits how long it can run to a maximum of five years unless reauthorized by another vote.
- Directs the state revenue commissioner to collect the tax, keep 1 percent for state administrative costs, and send the remainder to the local government that imposed it.
- Requires the proceeds to be kept in a separate account, barred from replacing existing healthcare funding, and audited annually, with the state able to withhold funds if they are misused.
- Adds this new tax to the list counted toward the state's existing 1 percent aggregate cap on certain local sales taxes.
### Who it affects
This bill affects residents and shoppers in any qualified consolidated government (a city or county whose boundaries match its special district) that puts the tax to a vote, as well as local hospitals, hospital authorities, and nonprofit healthcare providers that could receive the funding, and the state Department of Revenue, which would collect and audit the tax.
### Why it matters
If enacted and approved locally, shoppers in participating areas would pay up to 1 cent more per dollar on most purchases for up to five years, with the money going specifically to hospital projects, indigent care, and healthcare funding shortfalls rather than general local budgets, giving communities a new dedicated funding tool for healthcare.
### Key provisions
- Code Section 48-8-170 defines 'healthcare enhancement purposes' as hospital capital outlay projects, bad debt, indigent care, and other healthcare funding shortfalls.
- Code Section 48-8-172 sets the tax rate at 1 percent (with a separate per-gallon cap for motor fuel) and requires referendum approval before imposition.
- Code Section 48-8-173 details the referendum process, including the required ballot language asking whether to impose the tax for 'healthcare enhancement purposes.'
- Code Section 48-8-174 limits any one government to a single 1 percent tax under this part at a time and sets a five-year maximum duration, though it can be reimposed by a later vote.
- Code Section 48-8-177 directs that 1 percent of collected proceeds go to the state general fund for administrative costs, with the remainder distributed to the local government.
- Code Section 48-8-183 requires proceeds be kept in a segregated account, prohibits using them to supplant existing healthcare funding, and requires annual audited accounting.
- Code Section 48-8-184 allows the state revenue commissioner or state auditor to withhold tax proceeds from a municipality or county that misuses the funds until a corrective plan is approved.
## Status
- Status: Introduced (2026-02-05)
- Last action: House Second Readers (2026-02-09)
- Sponsors: Angie O'Steen, James Burchett, Noel Williams, Trey Kelley, John Corbett, William Werkheiser
- Official page: https://www.legis.ga.gov/legislation/72898
> The history, votes, and amendments (129 characters) are at https://georgiacommons.org/bills/2025-2026/hb1214.md?full=1