Legislative Update 03/31/25

Legislative Update Week 12:
Celebrating Pharmacy

From Ben Ross, PharmD
President, GPhA Board of Directors
 
Welcome to our twelfth -- and penultimate -- weekly Legislative Update Newsletter of the 2025-2026 Georgia General Assembly Legislative Session.

Key Events This Week: 

Get ready for one last wild week. Committees and floor sessions will go late into the night for the mad dash to get bills passed.

Monday, March 31 is Legislative Day 38. House Health is scheduled to meet at 2pm (expect this to change) with only one bill currently on the agenda. It's important to remember that these agendas are subject to change by the committee chair.

Tuesday, April 1 is a Committee Work Day so keep your eyes on the committee calendar. This is typically the last day for a bill to get out of Senate committee to make it over to Senate Rules on time. House Rules can and will meet several times on Sine Die, adding more to their calendar.

Wednesday, April 2 is Legislative Day 39. Expect the bills and horse trading to go on past dinner.

Thursday, April 3 is a Committee Work Day. Typically, Senate Rules will meet, setting their calendar for Sine Die.

Friday, April 4 Legislative Day 40 or Sine Die! There is one clue the chambers are about to wrap up: members will start tearing bills into strips or pieces of paper to throw like confetti upon adjournment. Legislators, staff, and lobbyists work into the wee hours of the morning, and that is doubly true of the extra janitorial staff that will be on hand for the final hurrah.


 

HB 196 received passage from the full Senate on Thursday of last week. Thank you, thank you, thank you to everyone that has called, emailed, and texted in support of this bill.

HB 196, has one final hurdle before making its way over to the Governor’s desk. Since this bill was amended in a Senate committee it goes back over to the House for a final agreement. Sponsor Rep. Trey Kelley (R-Cedartown) has already stated publicly that he agrees with the Senate changes. These changes include adding a definition of Independent Pharmacy as “an entity contracted with the PBM pursuant to an agreement with a single retail pharmacy, or is contracted with the PBM through a pharmacy services administrative organization.” It would change the reimbursement rate for independent pharmacies to NADAC plus $11.50 dispensing fee and adds chain pharmacies to NADAC plus $10.50.

Chairman Matt Brass (R-Newnan) carried the bill on the Senate Floor, and it passed 55-0. Chairman Blake Tillery (R-Vidalia) commented that SB 91, another PBM reform bill, did not look promising to get out of the House and asked how to merge the two bills together. This may have been pro-forma question as Chairman Tillery is well versed in the parliamentary procedures. Chairman Brass reiterated that a similar bill was vetoed last year by the Governor and that HB 196 needed to pass as a clean bill for the Governor to consider it.

HB 68, General Appropriations for FY 2025-2026, passed the Senate on Friday of last week, and will certainly go to a Conference committee today to give time to work out the difference between the Governor’s version, the House version, and the Senate version of how to spend $73 billion dollars. There is $37.7 billion in state funds, made up of individual income taxes, program fees and other revenue, along with the existing federal match to Medicaid and other federally funded programs (think Public Health, Mental Health, and Transportation). The entire Georgia budget is $73 billion for government services to 11 million Georgians. That ends up being $6,636.36 per capita of expenditures.
 
Appropriations Chairman Blake Tillery dived into the revenue side of the equation, something you don’t always hear from the budgeting chair. He carefully explained that unlike our surrounding states, revenue from individual income tax accounts for 47% of the budget ($15.7 billion), whereas corporate income tax accounts for 9% of the budget ($3.3 billion). He asked Senators to understand Georgia is reducing the individual income tax again, even though there is not a lot of wiggle room at the moment. Keep in mind Georgia Education expenses comprise 35% of the budget ($13.2 billion) with the state funding 80% of local schools.
 
Included in the Senate version of the budget is $5 million to implement the changes required by HB 196 to go into effect on January 1, 2026.

Examples of ways legislation can change are reflected in HB 14, the Cornbread bill, and SB 5, the pre-authorization bill. We are saddened to report that HB 14, which would declare cornbread as the official state bread of Georgia now has absolutely nothing to do with cornbread. (Not a comment against the latest content of the bill – just in appreciation of good cornbread).

The Senate Committee on Economic Development and Tourism has passed a substituted version of HB 14 using it as a vehicle to create a “Georgia Music Office and Music Ready Communities Act” and a provision banning state agencies from buying supplies from companies owned by “foreign country of concern,” specifically China. If HB 14 is passed by the Senate, it would then go back to the House for agree/disagree.

SB 5 is much longer due to action in the House Insurance committee; however, the underlying bill will remain in place. SB 5, sponsored by Kay Kirkpatrick (R-Marietta), would require health insurers to implement and maintain a program that allows for the selective application of reductions in prior authorization requirements under certain circumstances. The Commissioner of Insurance will be tasked with implementation.

Added on to SB 5 is the content of HB 124, HB 373 and HB 323. This version would now require the SHBP to cover treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS) and pediatric acute onset neuropsychiatric syndrome (PANS), expanded screening for prostate cancers, along with creating new Medicare insurance protections for those with ALS and chronic kidney disease. SB 5 is currently awaiting action by House Rules.


 



Celebrating GPhA 1875 – 2025

On Thursday of last week, the Senate passed SR 478, sponsored by Sen. Kay Kirkpatrick (R-Marietta) recognizing and celebrating the Geogia Pharmacy Association!

Do not forget to register for the 150th Anniversary Convention. Early Bird for Members Ends at 11:59pm today, Monday, March 31.

The House Resolution will be introduced this week by our members and longtime champions Rules Chairman Butch Parrish (R – Swainsboro) along with Chairman Ron Stephens (R – Savannah). It’s a great way to end our journey through this legislative session.

 

A RESOLUTION

Congratulating the Georgia Pharmacy Association upon its 150th anniversary; and for other purposes.

WHEREAS, the Georgia Pharmacy Association was founded in October 1875 in Macon, Georgia, by a group of Georgia pharmacists working to further the interests of pharmacy in the state; and

WHEREAS, the Georgia Pharmacy Association advocates tirelessly for all involved in the practice of pharmacy, including independent pharmacists, chain retail pharmacists, hospital pharmacists, pharmacy technicians, pharmacy owners, and pharmacy students; and

WHEREAS, the association has been responsible for advances in education in pharmacy in Georgia, including establishing the first guidelines for pharmacy education and licensure in Georgia; and

WHEREAS, pharmacists in Georgia have been leaders in innovation and discovery, especially in the formulation of products such as Coca-Cola and RC Cola; and

WHEREAS, the Association and its members use their medical training and education to improve the health and well-being of every single resident of Georgia through immunizations, medication therapy management, medication counseling, and more; and

WHEREAS, as the Georgia Pharmacy Association celebrates its 150th anniversary, it continues to act as the Voice of Pharmacy in Georgia, representing the more than 14,000 licensed pharmacists and 26,000 pharmacy technicians in the state as well as the millions of patients in their care.

NOW, THEREFORE, BE IT RESOLVED BY THE SENATE that the members of this body congratulate the Georgia Pharmacy Association upon the grand occasion of its 150th anniversary and extend best wishes to each of its members for future health, happiness, and prosperity.

 

I don’t know about you, but I get goosebumps reading this. Come celebrate with us on Amelia Island June 12-15. We have more surprises in store for you.

 

HB 196 State employees' health insurance plan; drugs dispensed for self-administration; provisions 
Sponsor Trey Kelley (R-Cedartown) 
Status: Passed House 168-0; Passed Senate 55-0; Waiting for House Agreement
This updated version of the bill would require pharmacies be reimbursed at NADAC plus $10.50 for chain pharmacies and $11.50 for independent pharmacies in the Georgia’s SHBP and University System health plans.
 
HB 291 Health; certification of community health workers; provide 
Sponsor Darlene Taylor (R-Thomasville) 
Status: Passed House 168-4; Passed Senate Health & Human Services; In Senate Rules
This bill would create a Community Health Worker Certification Committee tasked with creating rules and standards for a Community Health Worker certification. This committee would also be tasked with establishing a process for handling complaints and revocation of such certificates.
 
HB 473 Controlled substances; Schedule I; provide certain provisions
Sponsor Ron Stephens (R–Savannah)
Status: Passed House 170-0; Passed Senate 53-0; On Governor’s Desk
It’s the annual update to the list of Schedule 1 drugs. From Acoramidis to Zolbetuximab-clzb there are 61 new dangerous drugs.
 
HB 810 Insurance; require that final reimbursements to pharmacies for prescription drugs are based on certain formulas
Sponsor Rick Jasperse (R-Jasper)
Status: House Health
Require PBMs to reimburse Pharmacies at NADAC plus $10.64 dispensing fee. The dispensing fee would be adjusted every year by the Commissioner of Insurance based on the Consumer Price Index. Prohibits PBMs from paying different rates to affiliated and nonaffiliated pharmacies. Since this bill was introduced well after crossover day the bill will sit in committee until the 2026 session.
 
SB 5 Private Review Agents; health insurers to implement and maintain a program that allows for the selective application of reductions in prior authorization requirements; provide for annual filing; and to appeal conflicting laws.  
Sponsor Kay Kirkpatrick (R-Marietta)
Status: Senate Passed 51-1; Passed House Insurance Committee; In House Rules Committee  
This bill would require health insurers to implement and maintain a program that allows for the selective application of reductions in prior authorization requirements under certain circumstances. The Commissioner of Insurance will be tasked with implementation.  Additions to the bill include requiring the SHBP to cover treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS) and pediatric acute onset neuropsychiatric syndrome (PANS), expanded screening for prostate cancers along with creating new Medicare insurance protections for those with ALS and chronic kidney disease.
 
SB 79 "Fentanyl Eradication and Removal Act"; enact
Sponsor Russ Goodman (R-Cogdell)
Status: Passed Senate 50-3; Passed House by Substitute 99-62; Senate Agreed to House Substitute 49-0; Can go to the Governor for signature
Changes the threshold amount of fentanyl for charges of possession and trafficking. Increase mandatory minimums and fines for possession and trafficking of fentanyl. Rep. Scott Holcomb (D-Atlanta) speaking from the Well (podium in front of the House) referenced a study on pharmacists providing test strips. Stay tuned as GPhA works with UGA to deploy education and naloxone; while not specifically part of the bill, we will work to provide more solutions.
 
SB 131 Georgia Board of Health Care Workforce; Georgia Health Care Professionals Data System; establishment 
Sponsor Mike Hodges (R-Brunswick)
Status: Passed Senate 49-1; Passed House Regulated Industries; In House Rules
This bill would require the Georgia Board of Health Care Workforce to create and maintain a statewide database of health care workers including Pharmacist and Pharmacy Technicians. Fourteen different state licensing boards, including the Board of Pharmacy, would report into such a database.
 
SB 140 Optometrists; Doctor of Optometry to dispense and sell pharmaceutical agents to patients under certain conditions; provide
Sponsor Greg Dolezal (R-Cumming)
Status: Passed Senate 54-1; Passed House Health; In House Rules
Scope of Practice bill to allow Optometrists to use, dispense and sell pharmaceutical drugs to treat eye conditions and diseases.
 
SB 195 Pharmacies; pharmacists are authorized to dispense preexposure prophylaxis and postexposure prophylaxis under certain conditions; provide
Sponsor Chuck Hufstetler (R-Rome)
Status: Passed Senate 55-0; Passed House Health; In House Rules
Bi-partisan bill allowing pharmacist to dispense PrEP and PEP treatment. Before dispensing or administering PrEP or PEP medication to a patient, a pharmacist will need to complete a training program accredited by ACPE and approved by the Georgia Board of Pharmacy. The Board of Pharmacy will need to approve the training program by January 1, 2026. The patient may present a negative HIV test taken within the previous seven days or the pharmacist may order and administer a CLIA-waived HIV test.
 
SB 207 Professions and Businesses; a preclearance process in the licensing of individuals with criminal records who make application to or are investigated by certain licensing boards and commissions; create
Sponsor Brian Strickland (R-McDonough)
Status: Passed Senate 55-0; Passed House Judiciary Non-Civil Comm; In House Rules
Creates a process that allows individuals with criminal records to apply for occupational licenses in Georgia, ensuring that licensing boards must justify denials based on a direct and substantial risk to public safety. It also establishes a pre-clearance process where individuals can request a determination on their eligibility before applying and provides guidelines for evaluating rehabilitation and past convictions.
 
SB 220 Putting Georgia's Patients First Act; enact 
Sponsor Matt Brass (R-Newnan)
Status: Passed Senate 38-17; Passed House Regulated Industries; In House Rules
This bill would replace “Low THC Oil” with “Medical cannabis” throughout various code sections and renaming the “Low THC Oil Patient Registry” the “Medical Cannabis Patient Registry.” Similar language to HB 227. This bill passed the Senate 38-17 with one amendment.
 
SB 366 Controlled Substances and Pharmacists and Pharmacies; ivermectin as an over-the-counter medication in this state; provide
Sponsor Colton Moore (R - Trenton)
Status: Senate Agriculture and Consumer Affairs Committee
This bill would allow Ivermectin to be sold over the counter. Just introduced on 3/28/25 and assigned to Senate Agriculture and Consumer Affairs. This bill will wait in committee until next year or the sponsor finds a viable bill to attach before sine die.
 

PROGRAMMING NOTE:
The final planned edition of this newsletter will be delayed from Monday, April 7th to Wednesday April 9th, which will allow us to give you a comprehensive wrap-up of the legislative session.

About this newsletter: 

These updates and alerts are a benefit of GPhA membership to keep our members in the know. There is a lot to read here, and we believe it is important information to help you be a better Pharmacist, Pharmacy Technician and Pharmacy Owner.

You can find your representative at My Voter Page. Visit Legislative Website to find out more about your representative & senator. Check out the Committee meeting schedule here, and find a list of the Committees and their members here



Join us at the PharmPAC Reception at the 2025 Georgia Pharmacy Convention! Invitations are extended to all GPhA members who have contributed $250 or more since July 1, 2024.

Your contributions to PharmPAC are critical. This Legislative Session might be ending soon, but the work continues all year. Please consider a donation to PharmPAC today so we can elevate the Voice of Pharmacy in Georgia.

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