SB 91 Georgia Senate · 2025-2026 Regular Session

State Employees' Health Insurance Plan; Board of Community Health from entering into, executing, or renewing a contract with any pharmacy benefits manager that owns or has an ownership interest in any retail pharmacy; prohibit

Summary
A BILL to be entitled an Act to amend Part 1 of Article 1 of Chapter 18 of Title 45 of the Official Code of Georgia Annotated, relating to the state employees' health insurance plan, so as to prohibit the Board of Community Health from entering into, executing, or renewing a contract or contracts with any pharmacy benefits manager that owns or has an ownership interest in any retail pharmacy or any legal entity that contracts with or uses such pharmacy benefits manager; to provide for related matters; to repeal conflicting laws; and for other purposes.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2026
Senate Passage
Mar 2025
House Passage
Governor
Introduced Feb 4, 2025 Last action Mar 18, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

LC 46 1238S/hss LC 46 1530S/hss · 5 edits
MODERATE
The bill completely changed its subject matter from expanding prostate cancer screening coverage and Medicare supplement rules to prohibiting the state health insurance board from contracting with pharmacy benefit managers that own retail pharmacies. This shift moves the legislation from patient benefit mandates to a structural conflict-of-interest restriction on how the state manages its health plan.
Scope change
The bill's scope changed from Title 33 (General Insurance and Medicare Supplements) to Title 45 (State Employees' Health Insurance Plan).
SCOPE

Removed provisions requiring major medical coverage for annual prostate cancer screenings for men with family history or high risk.

Removed amendments to Medicare supplement insurance laws regarding preexisting conditions and premium rate restrictions for individuals under 65.

REQUIREMENT

Added a prohibition preventing the Board of Community Health from entering into contracts with pharmacy benefit managers that own or have an ownership interest in retail pharmacies.

Included a savings clause protecting existing contracts that were in force as of June 30, 2026.

TIMELINE

Established a compliance date of July 1, 2026, for the new contracting restrictions.

Floor votes · Senate Mar 4, 2025

How they voted

512
Passed · 2 other
Total votes 55
Mar 4, 2025
D Democratic22
22 Yea
100% Yea
R Republican33
29 Yea 2 Nay 2
87% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
12
Key actions
4
Committee
6
Mar 18, 2026
Lower · Passed
House Committee Favorably Reported By Substitute
lower
Apr 4, 2025
Committee
House Withdrawn, Recommitted
lower
Apr 2, 2025
Lower · Passed
House Committee Favorably Reported By Substitute
lower
Mar 4, 2025
Upper · Passed
Senate Passed/Adopted
upper
Feb 13, 2025
Upper · Passed
Senate Committee Favorably Reported
upper
Feb 10, 2025
Committee
Senate Withdrawn & Recommitted
upper
Feb 5, 2025
Committee
Senate Read and Referred
upper
Feb 4, 2025
Introduced
Senate Hopper
upper
25 primary · 0 co-sponsors

Sponsors