---
title: HB 1299. Health; allow hospital authorities to acquire, develop, operate, or equip certain outpatient healthcare facilities
collection: bills
id: 2025-2026/hb1299
cite_as: HB 1299, 2025-2026 Regular Session (Ga.)
canonical_url: https://georgiacommons.org/bills/2025-2026/hb1299
md_url: https://georgiacommons.org/bills/2025-2026/hb1299.md
text_url: https://georgiacommons.org/bills/2025-2026/hb1299/text
source_url: https://www.legis.ga.gov/legislation/73176
date: 2026-03-03
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: 185
omitted_url: https://georgiacommons.org/bills/2025-2026/hb1299.md?full=1
bill_number: HB 1299
session: 2025-2026 Regular Session
session_slug: 2025-2026
chamber: House
bill_type: bill
status_date: 2026-02-12
last_action: House Committee Favorably Reported
sponsors:
- Rick Jasperse
- James Burchett
- Angie O'Steen
- Matt Barton
- Stan Gunter
- Matthew Gambill
text_version: Introduced
has_text: true
legiscan_url: https://legiscan.com/GA/bill/HB1299/2025
upstream_id: 2116226
summaries_model: claude-sonnet-5
topic_tags:
- hospital authorities
- rural healthcare
- outpatient facilities
- physician joint ventures
- Georgia health law
---
# HB 1299. Health; allow hospital authorities to acquire, develop, operate, or equip certain outpatient healthcare facilities
## Text
House Bill 1299
By: Representatives Jasperse of the 11th, Burchett of the 176th, O’Steen of the 169th, Barton
of the 5th, Gunter of the 8th, and others
A BILL TO BE ENTITLED
AN ACT
To amend Article 4 of Chapter 7 of Title 31 of the Official Code of Georgia Annotated,
relating to county and municipal hospital authorities, so as to allow hospital authorities to
acquire, develop, operate, or equip certain outpatient healthcare facilities; to provide for
definitions; to provide for related matters; to repeal conflicting laws; and for other purposes.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:
SECTION 1.
Article 4 of Chapter 7 of Title 31 of the Official Code of Georgia Annotated, relating to
county and municipal hospital authorities, is amended in Code Section 31-7-75, relating to
functions and powers, by deleting "and" at the end of paragraph (26), by replacing the period
with "; and" at the end of paragraph (27), and by adding a new paragraph to read as follows:
"(28)(A) As used in this paragraph, the term 'rural joint venture outpatient healthcare
facility' shall have the same meaning as set forth in Code Section 31-7-77.
(B) To acquire, develop, operate, or equip a rural joint venture outpatient healthcare
facility that will be located in the same rural county as an existing hospital owned or
operated by the hospital authority, to be controlled by the hospital authority, to be
jointly owned and utilized by a single group of physicians who practice the same
medical specialty when the hospital authority determines that doing so will promote the
public health needs of the community served by the hospital authority. The ownership
of such facility by the hospital authority shall be no less than 51 percent and the
ownership of such facility by the single group of physicians shall be no more than 49
percent."
SECTION 2.
Said article is further amended by revising Code Section 31-7-77, relating to prohibition on
for-profit projects, rates and charges, and utilization of revenues to pay certain obligations,
as follows:
"31-7-77.
(a) As used in this Code section, the term:
(1) 'Rural county' means a county having a population of fewer than 50,000 according
to the United States decennial census of 2020 or any future such census; provided,
however, that for counties which contain a military base or installation, the military
personnel and their dependents living in such county shall be excluded from the total
population of such county for purposes of this definition.
(2) 'Rural joint venture outpatient healthcare facility' means a freestanding medical
facility that provides diagnostic, treatment, or rehabilitative services to patients but fewer
than 24 continuous hours of such services. Such term shall not include a hospital, nursing
home, assisted living community, or personal care home.
(a)(b) No authority shall operate or construct any project for profit. It shall fix rates and
charges consistent with this declaration of policy and such as will produce revenues only
in amounts sufficient, together with all other funds of the authority, to pay principal and
interest on certificates and obligations of the authority, to provide for maintenance and
operation of the project, and to create and maintain a reserve sufficient to meet principal
and interest payments due on any certificates in any one year after the issuance thereof.
The authority may provide reasonable reserves for the improvement, replacement, or
expansion of its facilities or services.
(b)(c) Notwithstanding subsection (a)(b) of this Code section or any other provisions to
the contrary, a joint hospital authority established pursuant to Code Section 31-7-72 which
operates or leases a hospital containing more than 900 licensed beds shall only utilize
revenues to pay principal and interest on certificates and obligations of the authority, to pay
pension plan obligations of the authority existing as of January 1, 2021, and for funding
projects leased by the authority to a lessee pursuant to a contract entered into in accordance
with paragraph (7) of Code Section 31-7-75; provided, however, that no more than 1
percent of revenues shall be utilized to pay for personnel costs for employees or contractors
of the authority and no revenues shall be used to perform any power or duty delegated in
a lease.
(d) Notwithstanding subsection (b) of this Code section or any other provision to the
contrary, either a hospital in a rural county owned or operated by a hospital authority, or
a hospital authority directly, is authorized to acquire, develop, operate, or equip a rural joint
venture outpatient healthcare facility in accordance with paragraph (28) of Code Section
31-7-75."
SECTION 3.
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.
A Georgia House bill would let hospital authorities in rural counties jointly own outpatient medical facilities with local physician groups, with the hospital authority holding at least 51 percent ownership.
### Plain-language summary
Under current Georgia law, county and municipal hospital authorities operate hospitals and related projects but face limits on how they structure ownership of outpatient facilities. This bill amends O.C.G.A. § 31-7-75 and § 31-7-77 to create a new category called a 'rural joint venture outpatient healthcare facility,' a freestanding facility offering diagnostic, treatment, or rehabilitative care for fewer than 24 continuous hours, excluding hospitals, nursing homes, assisted living communities, and personal care homes.
A hospital authority could acquire, develop, operate, or equip such a facility in the same rural county (defined as a county with fewer than 50,000 residents per the 2020 census, excluding military personnel and dependents on a military base) as an existing hospital it owns or operates. The facility would be jointly owned with a single group of physicians practicing the same medical specialty, with the hospital authority required to hold at least 51 percent ownership and the physician group no more than 49 percent, and only when the authority determines it would serve the community's public health needs.
### What it does
- Adds a new power (paragraph 28) letting hospital authorities acquire, develop, operate, or equip a 'rural joint venture outpatient healthcare facility' jointly with a single physician group.
- Requires the hospital authority to own at least 51 percent of any such joint venture facility, capping the physician group's share at 49 percent.
- Defines 'rural county' as one with fewer than 50,000 residents under the 2020 census, excluding military base personnel and dependents from that count.
- Defines 'rural joint venture outpatient healthcare facility' as a freestanding facility offering under 24 hours of diagnostic, treatment, or rehabilitative care, excluding hospitals, nursing homes, assisted living communities, and personal care homes.
- Creates an exception in O.C.G.A. § 31-7-77 allowing a rural hospital or its hospital authority to pursue this joint venture arrangement despite the law's general nonprofit and revenue-use restrictions.
### Who it affects
Rural county hospital authorities and the hospitals they own or operate, physician groups practicing a single medical specialty who might co-own an outpatient facility, and residents of rural Georgia counties who use outpatient diagnostic, treatment, or rehabilitative services.
### Why it matters
The bill would give rural hospital authorities a new tool to partner financially with local physician groups on outpatient facilities, potentially expanding access to diagnostic or rehabilitative care in rural areas while keeping majority control and ownership with the public hospital authority rather than private physicians.
### Key provisions
- Section 1 adds paragraph (28) to O.C.G.A. § 31-7-75, authorizing hospital authorities to acquire, develop, operate, or equip a rural joint venture outpatient healthcare facility with ownership split at least 51 percent authority and up to 49 percent physician group.
- Section 2 adds definitions of 'rural county' and 'rural joint venture outpatient healthcare facility' to O.C.G.A. § 31-7-77.
- Section 2 adds subsection (d) to O.C.G.A. § 31-7-77, creating an exception to the general revenue-use restrictions so rural hospitals or hospital authorities can pursue these joint venture facilities.
- Section 3 repeals any conflicting state laws.
## Status
- Status: Introduced (2026-02-12)
- Last action: House Committee Favorably Reported (2026-03-03)
- Sponsors: Rick Jasperse, James Burchett, Angie O'Steen, Matt Barton, Stan Gunter, Matthew Gambill
- Official page: https://www.legis.ga.gov/legislation/73176
> The history, votes, and amendments (185 characters) are at https://georgiacommons.org/bills/2025-2026/hb1299.md?full=1