--- title: HB 751. Community Health, Department of; submit a Section 1115 waiver request to the United States Department of Health and Human Services for Medicare and Medicaid Services; authorize collection: bills id: 2025-2026/hb751 cite_as: HB 751, 2025-2026 Regular Session (Ga.) canonical_url: https://georgiacommons.org/bills/2025-2026/hb751 md_url: https://georgiacommons.org/bills/2025-2026/hb751.md text_url: https://georgiacommons.org/bills/2025-2026/hb751/text source_url: https://www.legis.ga.gov/legislation/71276 date: 2025-03-13 status: introduced corpus_version: bills-2026-08-28 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. up: https://georgiacommons.org/bills/2025-2026.md previous: https://georgiacommons.org/bills/2025-2026/hb750.md next: https://georgiacommons.org/bills/2025-2026/hb752.md index: https://georgiacommons.org/bills/index.md omitted: votes and history omitted_chars: 129 omitted_url: https://georgiacommons.org/bills/2025-2026/hb751.md?full=1 bill_number: HB 751 session: 2025-2026 Regular Session session_slug: 2025-2026 chamber: House bill_type: bill status_date: 2025-03-10 last_action: House Second Readers sponsors: - Lisa Campbell - Tanya Miller - Stacey Evans - Karen Lupton - Debbie Buckner - Carolyn Hugley text_version: Introduced has_text: true legiscan_url: https://legiscan.com/GA/bill/HB751/2025 upstream_id: 1996817 summaries_model: claude-sonnet-5 topic_tags: - Medicaid - health policy - caregiving - childcare - Department of Community Health --- # HB 751. Community Health, Department of; submit a Section 1115 waiver request to the United States Department of Health and Human Services for Medicare and Medicaid Services; authorize ## Text 25 LC 57 0236 House Bill 751 By: Representatives Campbell of the 35th, Miller of the 62nd, Evans of the 57th, Lupton of the 83rd, Buckner of the 137th, and others A BILL TO BE ENTITLED AN ACT To amend Article 7 of Chapter 4 of Title 49 of the Official Cod e of Georgia Annotated,1 relating to medical assistance generally, so as to authorize th e Department of Community2 Health to submit a Section 1115 waiver request to the United States Department of Health3 and Human Services Centers for Medicare and Medicaid Services; to authorize additional4 qualifying activity types; to provide for definitions; to provide for related matters; to provide5 for an effective date; to repeal conflicting laws; and for other purposes.6 BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:7 SECTION 1.8 Article 7 of Chapter 4 of Title 49 of the Official Code of Geor gia Annotated, relating to9 medical assistance generally, is amended by adding a new Code section to read as follows:10 "49-4-142.6.11 The department shall be authorized to submit a waiver request, on or before September 30,12 2025, to the United States Department of Health and Human Services Centers for Medicare13 and Medicaid Services pursuant to Section 1115 of the federal Social Security Act, which14 includes childcare and caregiving as qualifying activities. Fo r purposes of this Code15 section, the term 'childcare' means full-time or part-time work by a parent caring for a child16 H. B. 751 - 1 - 25 LC 57 0236 or children, in their own residence; and the term 'caregiving' means full-time or part-time17 work by a family member caring for an adult child with a disabi lity or an aging parent. 18 Further, upon approval of the waiver, the department shall be a uthorized to take all19 necessary steps to implement the terms and conditions of the waiver."20 SECTION 2.21 This Act shall become effective upon its approval by the Governor or upon its becoming law22 without such approval.23 SECTION 3.24 All laws and parts of laws in conflict with this Act are repealed.25 H. B. 751 - 2 - ## 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 direct the Department of Community Health to ask the federal government for permission to count childcare and caregiving as qualifying work activities under the state's Medicaid program. ### Plain-language summary Georgia's Medicaid program, run by the Department of Community Health, currently sets certain work or activity requirements for some enrollees. This bill would authorize the department to submit a request, called a Section 1115 waiver, to the federal Centers for Medicare and Medicaid Services by September 30, 2025. The waiver would ask the federal government to let childcare and caregiving count as qualifying activities for Medicaid purposes. The bill defines childcare as full-time or part-time work by a parent caring for their own child or children in their own home, and caregiving as full-time or part-time work by a family member caring for an adult child with a disability or an aging parent. If the federal government approves the waiver, the department would be authorized to take the steps needed to put its terms into effect. The law would take effect as soon as the Governor signs it or it becomes law without his signature. ### What it does - Authorizes the Department of Community Health to submit a Section 1115 waiver request to the federal Centers for Medicare and Medicaid Services by September 30, 2025. - Asks the federal government to allow childcare and caregiving to count as qualifying activities under Georgia's Medicaid program. - Defines 'childcare' as full-time or part-time work by a parent caring for their own child or children at home. - Defines 'caregiving' as full-time or part-time work by a family member caring for an adult child with a disability or an aging parent. - Authorizes the department to implement the waiver's terms and conditions once the federal government approves it. ### Who it affects Medicaid enrollees in Georgia who care for children or for an adult child with a disability or an aging parent, the Department of Community Health, and the federal Centers for Medicare and Medicaid Services, which must approve the waiver before any changes take effect. ### Why it matters If the federal government approves the waiver, Georgians on Medicaid who spend their time caring for their own children or for a disabled adult child or aging parent could have that caregiving count toward any program activity requirements, rather than needing separate paid work. ### Key provisions - Adds a new Code section, O.C.G.A. ยง 49-4-142.6, to Georgia's medical assistance laws. - Sets a deadline of September 30, 2025, for the Department of Community Health to submit the Section 1115 waiver request. - Defines 'childcare' and 'caregiving' for purposes of the new Code section. - Authorizes the department to take necessary steps to implement the waiver's terms once approved. - Section 2 makes the Act effective immediately upon the Governor's approval or upon becoming law without his signature. - Section 3 repeals any conflicting laws. ## Status - Status: Introduced (2025-03-10) - Last action: House Second Readers (2025-03-13) - Sponsors: Lisa Campbell, Tanya Miller, Stacey Evans, Karen Lupton, Debbie Buckner, Carolyn Hugley - Official page: https://www.legis.ga.gov/legislation/71276 > The history, votes, and amendments (129 characters) are at https://georgiacommons.org/bills/2025-2026/hb751.md?full=1