Georgia has been active in healthcare price transparency legislation. In the 2017 legislative session, the legislature passed a legislation regulating pharmacy benefits managers (PBMs) to promote pharmaceutical price transparency. However, the state’s efforts at providing consumer protection from surprise billing failed in 2017 (SB 8 and HB 799) and again in 2018 (HB 678 and SB 359). Meanwhile, given changes in the healthcare landscape, the Senate passed a resolution to create a Study Committee to reform the state’s Certificate of Need laws to achieve better outcomes at a lower cost. The House also adopted a resolution recognizing the importance of telehealth as a tool to improve health care access in Georgia.
Separately, we have our eye on provider markets in the state. Several Georgia rural hospitals have closed in the past four years, indicating a crisis of access for low-income and underserved residents in non-urban areas. In addition, a merger challenge by the FTC against Hospital Authority of Albany-Dougherty County and Phoebe Putney Health System went all the way to the U.S. Supreme Court. The FTC ultimately reached a consent agreement concerning the acquisition, imposing various antitrust restrictions.
The State Database
The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.