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This timeline chronicles major developments in Georgia’s Medicaid program focusing on waivers 1115 and 1332.

 

Changes in response to the COVID-19 pandemic are included. The timeline also includes actions that directly and indirectly affect Medicaid beneficiaries in Georgia starting in 2021, and will be periodically updated as new developments arise.

2021

February 7, 2020
Medicaid 

The federal public comment period for Georgia’s 1115 waiver, Georgia Pathways, ends with 1720 comments submitted.

February 6, 2020
Private Insurance

Federal officials respond to Gov. Kemp’s letter. Federal health officials determine that the reinsurance part of Georgia’s proposal is complete. The officials also request more information about the second part of Georgia’s proposal to make changes to private health insurance plans and enrollment.

February 5, 2020
Private Insurance

Gov. Kemp sends a letter to CMS asking for state to review part of the Reinsurance Program and asking to pause the preliminary review of the Georgia Access Model portion of the waiver

January 8, 2020
Medicaid 

Federal officials at CMS determine Georgia’s application is complete. The federal public comment period begins during which any interested party or stakeholder group could provide comments about the plan.

2020

December 26, 2019
Medicaid 

State officials made small changes to Georgia Pathways after the submission of nearly 1,000 comments. Changes included modifications to work requirements to include part-time students.

December 23, 2019
Private Insurance

Georgia submits the Georgia Access 1332 State Relief and Empowerment Waiver to the federal government.

December 23, 2019
Medicaid 

Georgia submits the Georgia Pathways 1115 Demonstration Waiver to the federal government.

December 3, 2019
Private Insurance

30-day state public comment period for the Reinsurance Program and the Georgia Access 1332 Waiver ends. There were 869 comments made for waiver 1115 and 946 comments made for waiver 1332.

November 7, 2019
Medicaid 

State officials made small changes to Georgia Pathways after the submission of nearly 1,000 comments. Changes included modifications to work requirements to include part-time students.

November 4, 2019
Medicaid 

The 30-day public comment period begins during which any interested Georgian or stakeholder group could provide written or in some cases oral, comments about the plan.

November 4, 2019
Private Insurance

Georgia begins accepting state public comments for a 30-day period on the Patients First Act Waiver Demonstrations.

November 4, 2019
Medicaid 

Governor Kemp announces details of his proposed 1115 Medicaid waiver, called the Georgia Pathways plan. This plan would allow Georgians with incomes below the poverty line to enroll in coverage. Coverage would also come with certain requirements including work requirements (at least 80 hours of work, school, training, or volunteering per month.)

October 31, 2019
Private Insurance

Governor Kemp announces the specifics of his proposed 1332 waiver, called the Georgia Access plan. The plan consists of two parts:

  1. A reinsurance program to lower premiums; and
  2. A dramatic erosion of the ACA’s rules and structures, including provisions that privatize insurance enrollment; cap the financial assistance available to low- and middle-income consumers; and erode consumer protections in private insurance

June 3, 2019
Medicaid 

The state selects Deloitte Consulting to fulfill the $2 million consulting contract to develop the two health care waiver plans.

June 3, 2019
Private Insurance

The state picks Deloitte Consulting as the winner of an almost $2 million consulting contract to develop health care "waivers" for Georgia’s Medicaid program and the private insurance market.

March 27, 2019
Medicaid   •   Private Insurance

Georgia’s Governor signs SB 106 into law. This legislation allows the state to pursue an 1115 waiver to make changes to Georgia’s Medicaid program that could include expanding coverage up to more poor adults and a 1332 state innovation waiver to make changes to private insurance in the state.

March 25, 2019
Medicaid 

After a long debate on the House floor, the Georgia House passes SB 106 with no changes largely along party lines.

March 25, 2019
Private Insurance

The House passes SB 106 with no changes.

March 21, 2019
Medicaid 

The House Special Committee on Access to Quality Health Care holds a hearing on SB 106. Several Cover Georgia coalition members testify about the need for changes in the bill. The bill passes out of committee with no changes.

March 21, 2019
Private Insurance

The House Special Committee on Access to Quality Health Care holds a hearing on SB 106, the Patients First Act. Several Cover Georgia coalition members testify and emphasize the need for changes in the bill. The bill passes out of committee with no changes and awaits a vote to move to the House floor.

February 26, 2019
Medicaid 

After a long debate on the Senate floor, the Georgia Senate passes SB 106 with no changes by a party-line vote.

February 26, 2019
Private Insurance

After a long debate on Tuesday, the Senate passes SB 106 with no changes.

February 20, 2019
Medicaid  

The Senate Health and Human Services (HHS) committee meets to hear testimony on and consider SB 106. Senate Minority Leader Steve Henson offers an amendment to the bill that would allow the governor to extend coverage to people just above the poverty line, as intended by the ACA, but the amendment was not considered. The bill passes out of committee with no changes.

February 20, 2019
Private Insurance

The Senate Health and Human Services (HHS) committee meet to discuss and hear testimony on SB 106. The bill passes out of committee with no changes and awaits a vote to move to the Senate floor

February 13, 2019
Medicaid   •   Private Insurance

Senator Blake Tillery introduces SB 106, the Patients First Act. The legislation allows Georgia’s Governor to:

  1. Pursue an 1115 Medicaid waiverthat may extend Medicaid coverage to adults with incomes up to the poverty line. (This falls short of the ACA’s Medicaid expansion.)
  2. Pursue at least one 1332 Innovation waiver to make changes to private insurance in Georgia. The legislation does not limit what changes may be made within the waiver plan

February 7, 2019
Medicaid   •   Private Insurance

Governor Kemp announces his intent to seek two health care “waivers.” The 1115 Medicaid waiver allows states to make changes to their Medicaid programs, including expansions of coverage for state residents. The 1332 Innovation waiver allows states to make changes to private insurance by altering the Affordable Care Act’s rules.

January 2019
Medicaid   •   Private Insurance

Governor Kemp submits his first budget recommendations which includes $1 million for the Department of Community Health “to review and analyze Medicaid waiver options” for consideration by the Governor’s office. This waiver could include a pathway to health coverage for low-income Georgians.

2019