SB 462 Georgia Senate · 2025-2026 Regular Session

"Surprise Billing Consumer Protection Act"; insurance coverage for certain out-of-network ambulance transportation service; provide

Summary
A BILL to be entitled an Act to amend Chapter 20E of Title 33 of the Official Code of Georgia Annotated, the "Surprise Billing Consumer Protection Act," so as to provide for insurance coverage for certain out-of-network ambulance transportation service; to provide for the minimum allowable reimbursement rate for such service; to provide for maximum amounts on copayments, coinsurance, or deductibles for such service; to provide for definitions; to provide for related matters; to repeal conflicting laws; and for other purposes.
Bill status passed both 4 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
Senate Passage
Feb 2026
House Passage
Mar 2026
Governor
Introduced Feb 4, 2026 Last action Mar 31, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

LC 52 1102S/hss LC 52 1122S/hrcs · 6 edits
MODERATE
The bill was reorganized from a comprehensive 'Georgia Insurance Fairness Act' into a narrower focus on regulating excess profits in auto insurance and improving ambulance coverage. The scope was significantly reduced by removing provisions related to storm damage mitigation, uninsured driver fees, and general consumer protection measures. The new version introduces specific definitions for calculating 'excess profit' and mandates annual data reporting from insurers to determine refunds, while also clarifying reimbursement rules for out-of-network ambulance services.
Scope change
The bill's scope was narrowed; it removed extensive sections on storm damage mitigation, uninsured motorist penalties, and broad consumer protections, focusing instead on auto insurance profit regulation and ambulance reimbursement.
SCOPE

Removed the 'Georgia Insurance Fairness Act' title and replaced it with a focus on excess profit regulation and ambulance coverage.

Deleted all provisions related to storm damage mitigation, matching grants, and eligibility for mitigation contractors.

Removed sections regarding increased fees for driving without insurance and penalties for excluded drivers.

DEFINITION

Added new definitions for 'Anticipated underwriting profit', 'Excess profit', 'Cash refund', and 'Credit refund' to standardize how insurer profits are calculated.

REQUIREMENT

Established a requirement for insurers to submit detailed annual data on premiums, losses, and expenses to the Department of Insurance by July 1, 2028.

Reordered the list of bill purposes to prioritize excess profit regulation and ambulance coverage over the original broad list of consumer protections.

Floor votes · Senate Feb 18, 2026 · House Mar 31, 2026

How they voted

481
Passed · 2 other
Total votes 51
Feb 18, 2026
D Democratic20
17 Yea 1 Nay 2
85% Yea
R Republican31
31 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
12
Key actions
4
Committee
4
Mar 31, 2026
Lower · Passed
House Passed/Adopted By Substitute
lower
Mar 20, 2026
Lower · Passed
House Committee Favorably Reported By Substitute
lower
Mar 9, 2026
Committee
House Withdrawn, Recommitted
lower
Feb 18, 2026
Upper · Passed
Senate Passed/Adopted
upper
Feb 12, 2026
Upper · Passed
Senate Committee Favorably Reported
upper
Feb 5, 2026
Committee
Senate Read and Referred
upper
Feb 4, 2026
Introduced
Senate Hopper
upper
8 primary · 0 co-sponsors

Sponsors