Georgia 2025-2026 Regular Session

Georgia House Bill HB1149

Caption

Insurance; offer a preenrollment option for anticipated newly born or adopted children; require certain health insurers

Impact

The bill establishes new protocols for health insurers in Georgia, commencing on January 1, 2027, requiring them to provide an option for parents to preenroll their children for health benefits in anticipation of childbirth or adoption. This change aims to ease the process for families as they prepare for new arrivals, thereby offering peace of mind and financial security regarding healthcare access. Insurers are also mandated to disclose potential coverage changes within a specified timeframe upon receiving preenrollment documentation.

Summary

House Bill 1149 is aimed at amending the Georgia insurance regulations to require health insurers to offer a preenrollment option for newly born or adopted children. This bill specifically dictates the terms under which such coverage must be provided, including definitions for relevant terms like 'anticipated family member' and 'health benefit policy'. The legislation emphasizes that the healthcare benefits for a newborn must be activated immediately upon birth and similarly for adopted children, ensuring no gaps in coverage during critical early life stages.

Contention

While the bill has been generally supported for enhancing family health security, some concerns may arise regarding the administrative aspects that insurers must implement to comply with these new requirements. Questions also linger regarding the implications for the overall premium costs, as insurers might adjust their pricing models to accommodate the new coverage options. Stakeholders in the insurance sector have expressed the need for regulations to ensure that these mandated options do not inadvertently lead to increased costs for policyholders, creating contention among insurers and legislators.

Companion Bills

No companion bills found.

Previously Filed As

GA HB124

Insurance; require coverage for healthcare services for pediatric autoimmune neuropsychiatric disorders; provisions

GA SB205

Insurance; pediatric autoimmune neuropsychiatric disorders; require coverage for healthcare services

GA HB373

Insurance; annual prostate cancer screenings for certain men; require major medical coverage

GA HB420

Insurance; require certain health benefit policies to cover genetic testing for an inherited mutation and cancer imaging under certain conditions

GA SB5

Private Review Agents; health insurers to implement and maintain a program that allows for the selective application of reductions in prior authorization requirements; provide

GA HB1174

Reimbursement Requirements for Health Insurers

GA A3120

Requires Medicaid provide health benefits coverage, and places certain requirements on insurers and State Health Benefits Program regarding existing mandate on health benefits coverage, for certain over-the-counter contraceptives.

GA HB1374

Insurance; methods of payment to healthcare providers; provide certain requirements

GA SB518

Insurance; health benefit policy coverage for medically necessary treatments of alopecia universalis; require

GA SB219

Imposing certain health insurance coverage requirements for screening and diagnostic examinations for breast cancer.

Similar Bills

No similar bills found.