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Georgia General Assembly · Full text

HB 951: Insurance; require health benefit policy coverage for medically necessary orthotic and prosthetic devices and their materials and components

Introduced version, the latest LegiScan holds · Last action March 9, 2026 · Engrossed

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House Bill 951

By: Representatives Clark of the 100th, Mathiak of the 82nd, Silcox of the 53rd, Kelley of the 16th, Schofield of the 63rd, and others

A BILL TO BE ENTITLED

AN ACT

To amend Chapter 24 of Title 33 of the Official Code of Georgia Annotated, relating to insurance generally, so as to require health benefit plans, policies, or contracts executed by the state to cover medically necessary orthotic devices and prosthetic devices and their materials and components; to revise a definition; 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.

Chapter 24 of Title 33 of the Official Code of Georgia Annotated, relating to insurance generally, is amended in Code Section 33-24-59.35, relating to required coverage orthotic devices and prosthetic devices, reporting, and regulation, by revising paragraph (3) of subsection (a) as follows:

"(3) 'Health benefit policy' means any individual or group plan, policy, or contract for healthcare services issued, delivered, issued for delivery, or renewed in this state by an insurer that provides major medical benefits. Such On or after January 1, 2027, such term shall not include any plans, policies, or contracts executed by the state to provide healthcare coverage on behalf of state employees, public school teachers and employees, and members and employees of the Board of Regents and their retirees and dependents under Article 1 of Chapter 18 of Title 45, and shall not apply to the provision of healthcare services pursuant to a contract entered into by an insurer and the Department of Community Health for recipients of Medicaid. Such term shall not include self-funded, employer sponsored health insurance plans subject to the exclusive jurisdiction of the federal Employee Retirement Income Security Act of 1974, as codified and amended at 29 U.S.C. Section 1001, et seq."

SECTION 2.

This Act shall become effective upon its approval by the Governor or upon its becoming law without such approval.

SECTION 3.

All laws and parts of laws in conflict with this Act are repealed.