[{"_1":2,"_87":-5,"_88":-5},"loaderData",{"_3":4,"_25":26},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","routes/v2/article/layout",{"_27":28,"_29":30},"notFound",true,"relatedArticles",[31,75],{"_32":33,"_34":35,"_36":37,"_38":39,"_40":41,"_42":43,"_44":45,"_46":47,"_48":49,"_50":51,"_52":53,"_54":55,"_56":57,"_58":59,"_60":61,"_62":63,"_64":65,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},"mediaId",6684051,"mediaKeyId","2336739-1bbbfebcaa6ba5144a35779a7d0c3c34","parentId",2336739,"title","Committee advances amendment to let Medicaid cover continuous glucose monitors for gestational diabetes amid agency concerns over eligibility language","audioSeconds",1008,"startMs",2037000,"endMs",3045000,"viewUrl","/Search/View?dp=1&key=2336739-1bbbfebcaa6ba5144a35779a7d0c3c34&start=2037&end=3045","thumbnailUrl","https://assets.pipeline.soar.com/2336739-1bbbfebcaa6ba5144a35779a7d0c3c34/thumbnail_2037000.jpg","articleUrl","/articles/6684051/Georgia/Committee-advances-amendment-to-let-Medicaid-cover-continuous-glucose-monitors-for-gestational-diabetes-amid-agency-concerns-over-eligibility-language","mediaUrl","https://secure.pipeline.soar.com/6684051-6744b5276f38ca4a48fe10eddf9bd15a/orig.mp4?Expires=1770184993&Signature=h3du-Us1AlX3HqxjJz9Ixryzuc1GpnQ3hiFaKrVKVdFBTFKdaOgLnL-jam0Bs4Vu7kqy8bScgE9vnL0qjSYiC4O9bEaMCTmrgrsmpMuLkldP5oAqn~FW1lQ7-IjGTU9mdraafzBf1UwtmTgU38Asu6k9lyzv3iZZ1xHQKEP7WmnngHtKYzSZdtZxweM95goX4-iBg4dxlW48I-5hsR9Z2eHn7~jLxI-LH9WtAQZmbY8ENL384672uS1ChjxFHOlFx-eXCA6CD2~gjloXgv08qiNlnQV3BYJNnvsgrO9QClBRsnkMnuVKaKrFvVPTt5tSWZoGIBP3kQrDUfcCvPTsbQ__&Key-Pair-Id=KUT5TJCACFTXG","author","State of Georgia ","date","2025-02-18T21:11:59.847Z","article","Representative Seabolt asked a committee to approve an amendment to House Bill 352 (LC570223) that would ensure Medicaid covers continuous glucose monitoring (CGM) when prescribed for people diagnosed with gestational diabetes and would remove a textual requirement that the patient receive “at least 1 daily administration of insulin.”

“This amendment ensures that Medicaid will cover continuous glucose monitoring for pregnant women that are diagnosed with gestational diabetes if their physician prescribes it,” Representative Seabolt said. He argued the change would close an unintended coverage gap.

Brandy Sylvan, director of government relations at the Georgia Department of Community Health, told the committee the department supports adding gestational diabetes to the list of qualifying conditions but objects to striking the “daily administration” language on line 21. Sylvan said the department’s prior-authorization process relies on clinical guidelines from the American Diabetes Association and the American Association of Clinical Endocrinology and that removing the daily-insulin criterion would make automated prior authorization difficult and would require manual reviews.

“We do not have concerns with the gestational diabetes language,” Sylvan said. “However, we do have concerns with removing the requirement that insulin be administered daily… that change would make it very difficult for us to administer an automated prior authorization requirement, and it is not in line with the clinical guidelines.”

Members asked questions about how the department’s automation works and whether the language would expand eligibility to people who receive infrequent injections. Representative Oliver, Representative Sharper and Representative Reese queried DCH officials about the impact on prior authorization workload and clinical appropriateness for CGM use when insulin is not administered daily. Representative Breeze and others noted that clinical practice generally ties CGM to insulin-dependent patients but asked DCH to clarify exceptions.

The committee voted to move the bill out of committee with a do-pass recommendation. Before the final voice vote, members agreed to let the legislative counsel correct the bill’s effective-date language on line 12 to read July 1, 2025. The chair called for the ayes, and “the ayes have it.” The record does not include a roll-call tally.

Committee discussion recorded the department’s preference to leave line 21 unchanged and asked DCH to provide additional clinical detail from its pharmacy team; the committee did not adopt a textual fix for line 21 during the hearing. An event announcement followed the vote: Quest Diagnostics will host an on-site screening trailer offering colorectal cancer screening kits and hemoglobin and blood-sugar testing on a forthcoming Thursday.","mediaType","Video","parentTitle","Public & Community Health 02.18.25","oneSentenceSummary","Representative Seabolt asked the committee to amend House Bill 352 so Medicaid will cover continuous glucose monitors for gestational diabetes and to remove a requirement that coverage be limited to patients who receive daily insulin.","taxTitle","Appropriations, HOUSE OF REPRESENTATIVES, Committees, Legislative, Georgia","taxId",16937,"location","Georgia","headline","","shortSummary",{"_32":76,"_34":35,"_36":37,"_38":77,"_40":78,"_42":79,"_44":80,"_46":81,"_48":82,"_50":83,"_52":84,"_54":55,"_56":57,"_58":85,"_60":61,"_62":63,"_64":86,"_66":67,"_68":69,"_70":71,"_72":73,"_74":73},6684055,"Nonprofit Good Pill tells legislators its home-delivery pharmacy is serving every Georgia county with low-cost donated medicine",1042,982000,2024000,"/Search/View?dp=1&key=2336739-1bbbfebcaa6ba5144a35779a7d0c3c34&start=982&end=2024","https://assets.pipeline.soar.com/2336739-1bbbfebcaa6ba5144a35779a7d0c3c34/thumbnail_982000.jpg","/articles/6684055/Georgia/Nonprofit-Good-Pill-tells-legislators-its-home-delivery-pharmacy-is-serving-every-Georgia-county-with-low-cost-donated-medicine","https://secure.pipeline.soar.com/6684055-64d2aef42fab33871d0dab4ad05ffd6d/orig.mp4?Expires=1770184993&Signature=Hql4MIEOYhlUavtaiL0BooidW1MRU3W5FKILTixzTLhrWDI-gp1VhMz-yksWAmdM9fc~qD8k9PUXMiYqNDRvqSKWpMILGGqvl~Cq8QC~wXK4SjL22F9ED62b2WkGUFfgemiNGGWo9jvAyBjxa3BwfHV9ndUy8nDX-1mtEIuQMyRcH1co3Ntp~ysOCXnnEOZuvMbu7g9h0hBQqjAPxHCUKTPfB9j3gnZHy88A5O37ajZBqwGpzBqnPvOC25M3T6lTodJQxvjQdLpDWRwLMt22Zf8qPzpefq7Pd3eCME0QTvjvaOEA~fS~2nKpjvOOhY-YjdusWzRM1NvByHigdWtBBw__&Key-Pair-Id=KUT5TJCACFTXG","Kia Williams, cofounder of Serum and the nonprofit Good Pill, told a legislative committee that Good Pill operates a statewide home-delivery pharmacy that dispenses donated prescription medications at low cost to people who are uninsured or underinsured.

“Good Pill is a nonprofit home delivery pharmacy. Our focus is delivering affordable medications to everyday people. We send the medications directly to their home,” Williams told the committee. She said the program was made possible by Georgia's drug repository program, which the legislature authorized in the 2016–2017 session.

The presentation said Good Pill has dispensed more than 1,000,000 individual prescriptions worth over $85 million in donated medications to date and that in 2024 it dispensed more than 200,000 prescriptions valued at more than $20 million. Williams said the nonprofit works with manufacturers, wholesalers, hospitals and pharmacies to reclaim surplus medications that would otherwise be destroyed.

Chairwoman Cooper said Good Pill’s work required no state funding. “So what this cost the state of Georgia? 0. 0.,” she said during remarks introducing the guests. Cooper described Good Pill’s process for accepting donated medications, the application patients complete and the organization’s safeguards and checks.

Williams told the committee Good Pill’s typical out-of-pocket charge is an administrative fee of about $6; committee members and Williams also described arrangements in which a 90-day supply or continuing refills are provided at that price in many cases and where Good Pill will apply financial assistance for patients who cannot pay the fee.

Williams said Good Pill fills a wide range of prescriptions that are not controlled substances — including medicines for diabetes, heart disease, mental health, HIV and certain oncology drugs — and that the organization uses technology to track donated inventory and support ongoing refills.

The committee was invited to refer constituents who have trouble affording prescriptions; Williams offered printed materials and said Good Pill has patient navigators and clinical pharmacists available to help move prescriptions and advise on therapeutic substitution when needed. Cooper and Williams both invited committee members and others to visit Good Pill’s facility in Lawrenceville, Georgia.

No formal committee action was taken on the Good Pill presentation during the session. The committee chair and members encouraged legislators to share information about the program with constituents.","Good Pill cofounder Kia Williams told a legislative committee that the nonprofit home‑delivery pharmacy — enabled by a Georgia drug-repository law — dispenses low-cost, often donated medications statewide, charging a typical administrative fee of about $6 and offering financial assistance for patients who cannot pay.","actionData","errors"]

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Committee advances amendment to let Medicaid cover continuous glucose monitors for gestational diabetes amid agency concerns over eligibility language

Nonprofit Good Pill tells legislators its home-delivery pharmacy is serving every Georgia county with low-cost donated medicine