HB 506 Georgia House · 2025-2026 Regular Session

Social services; Medicaid coverage for tobacco cessation treatments; provide

Summary
A BILL to be entitled an Act to amend Article 7 of Chapter 4 of Title 49 of the Official Code of Georgia Annotated, relating to medical assistance generally, so as to provide Medicaid coverage for tobacco cessation treatments; to provide for requirements; to provide for submission of a state plan amendment or waiver, if necessary; to provide for related matters; to repeal conflicting laws; and for other purposes.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2026
House Passage
Mar 2025
Senate Passage
Mar 2026
Signed into Law
May 2026
Introduced Feb 18, 2025 Signed May 12, 2026
Maddy AI version diff · 1 comparison

What changed between versions

LC 57 0195/a HB 506/AP* · 6 edits
MODERATE
The bill completely changed its subject matter from expanding Medicaid coverage for tobacco cessation treatments to protecting consumers from surprise billing for out-of-network ambulance services. The new version establishes minimum reimbursement rates for ambulance providers, limits patient copayments, and sets a future effective date of January 1, 2027.
Scope change
The bill's scope shifted entirely from healthcare coverage for smoking cessation to financial protections for emergency ambulance transportation.
SCOPE

Removed all provisions related to Medicaid coverage for tobacco cessation treatments, including coverage of FDA-approved medications and counseling services.

Added new provisions requiring insurance plans to cover emergency ambulance transport when requested by first responders.

DEFINITION

Introduced new definitions for terms such as 'ambulance provider,' 'clean claim,' 'covered service,' and 'first responder.'

REQUIREMENT

Established minimum reimbursement rates for out-of-network ambulance services, either based on Medicare rates or local contracts.

Limited patient financial responsibility for out-of-network ambulance services to amounts similar to those for in-network services.

TIMELINE

Set a specific effective date of January 1, 2027, for the new ambulance billing protections.

Floor votes · Senate Mar 31, 2026 · House Mar 6, 2025

How they voted

410
Passed · 6 other
Total votes 47
Mar 31, 2026
D Democratic18
14 Yea 4
77% Yea
R Republican29
27 Yea 2
93% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
19
Key actions
7
Committee
5
Amendments
1
May 12, 2026
Signed into law
Act 624
upper
May 12, 2026
Signed into law
House Date Signed by Governor
lower
Apr 2, 2026
Introduced
House Agreed Senate Amend or Sub
lower
Mar 31, 2026
Upper · Passed
Senate Passed/Adopted By Substitute
upper
Mar 25, 2026
Upper · Passed
Senate Committee Favorably Reported By Substitute
upper
Jan 12, 2026
Committee
Senate Recommitted
upper
Mar 13, 2025
Upper · Passed
Senate Committee Favorably Reported
upper
Mar 10, 2025
Committee
Senate Read and Referred
upper
Mar 6, 2025
Lower · Passed
House Passed/Adopted
lower
Feb 27, 2025
Lower · Passed
House Committee Favorably Reported
lower
Feb 18, 2025
Introduced
House Hopper
lower
5 primary · 0 co-sponsors

Sponsors