SB503: SB503 Insurance; rental home marketplace guarantees from the definition of property insurance; exempt
Last action May 11, 2026 · Act 516
A Georgia Senate bill would change which health plans must cover medically necessary orthotic and prosthetic devices by narrowing the definition of 'health benefit policy' under state law, excluding certain state employee and Medicaid-related plans.
In plain language
Georgia law (O.C.G.A. § 33-24-59.35) already requires certain health benefit policies to cover medically necessary orthotic devices (like braces) and prosthetic devices (like artificial limbs), along with their materials and components. This bill revises the definition of 'health benefit policy' used in that law. The updated definition excludes health plans the state itself sets up for state employees, public school teachers and staff, and Board of Regents members, retirees, and dependents. It also excludes coverage the Department of Community Health arranges through insurers for Medicaid recipients, and self-funded employer health plans governed by the federal ERISA law. The bill would only take effect if the General Assembly specifically appropriates funding for it in a future budget act, and would start on the later of that appropriations act's effective date or the start of the fiscal year the funds are budgeted for.
What the bill does
- Narrows the legal definition of 'health benefit policy' in Georgia's orthotic and prosthetic device coverage law (O.C.G.A. § 33-24-59.35).
- Excludes state-run health plans for state employees, public school teachers and staff, and Board of Regents members and retirees from that coverage definition.
- Excludes Medicaid coverage arranged through insurer contracts with the Department of Community Health from the definition.
- Confirms that self-funded, employer-sponsored health plans governed by the federal ERISA law (29 U.S.C. Section 1001, et seq.) are not covered by this state law.
- Makes the entire Act contingent on the General Assembly setting aside specific funding for it in a future budget bill, with no automatic effective date otherwise.
Who it affects
State employees, public school teachers and staff, Board of Regents members, retirees, and their dependents; Medicaid recipients in Georgia; people covered by self-funded employer health plans; and insurers offering health benefit policies that include orthotic and prosthetic device coverage.
Why it matters
By excluding certain state-run and Medicaid-related plans from the definition of 'health benefit policy,' those plans would not be bound by the state mandate to cover medically necessary orthotic and prosthetic devices under this specific law, potentially affecting what coverage those groups receive for such devices.
Key provisions
- Section 1 revises paragraph (3) of subsection (a) in O.C.G.A. § 33-24-59.35, changing what counts as a 'health benefit policy' subject to orthotic and prosthetic device coverage requirements.
- The revised definition excludes plans the state executes for state employees, public school teachers and employees, and Board of Regents members, retirees, and dependents under Article 1 of Chapter 18 of Title 45.
- The definition also excludes healthcare services provided under contracts between insurers and the Department of Community Health for Medicaid recipients.
- The definition excludes self-funded, employer-sponsored health plans subject to the federal Employee Retirement Income Security Act of 1974 (ERISA).
- Section 2 makes the entire Act effective only if the General Assembly appropriates funds for it, tying the start date to either the appropriations act's effective date or the start of the relevant fiscal year.
- Section 3 repeals any conflicting laws.
Status timeline
- Act 516
- Senate Date Signed by Governor (Senate)
- Senate Sent to Governor (Senate)
- House Agreed Senate Amend or Sub (House)
- Senate Agreed House Amend or Sub As Amended (Senate)
- House Passed/Adopted By Substitute (House)
- House Third Readers (House)
- House Committee Favorably Reported By Substitute (House)
Show full history (16 actions)
- House Second Readers (House)
- House First Readers (House)
- Senate Passed/Adopted By Substitute (Senate)
- Senate Third Read (Senate)
- Senate Read Second Time (Senate)
- Senate Committee Favorably Reported By Substitute (Senate)
- Senate Read and Referred (Senate)
- Senate Hopper (Senate)
Sponsors
- Marty Harbin (R, SD-016)
- Larry Walker (R, SD-020)
- Jason Anavitarte (R, SD-031)
- Randy Robertson (R, SD-029)
- Shawn Still (R, SD-048)
- RaShaun Kemp (D, SD-038)
- Chuck Hufstetler (R, SD-052)
- Ricky Williams (R, SD-025)
- Matt Reeves (R, HD-099)
Votes
- Senate voteMarch 4, 2026
42 yea, 11 nay (2 not voting, 0 absent)
- House voteMarch 25, 2026
165 yea, 2 nay (1 not voting, 8 absent)
- Senate voteMarch 31, 2026
50 yea, 0 nay (1 not voting, 3 absent)
- House voteApril 2, 2026
160 yea, 6 nay (5 not voting, 5 absent)
Topics
- health insurance coverage
- orthotic and prosthetic devices
- Medicaid
- state employee benefits
- insurance law