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Georgia Senate passes bill to loosen health permit rules, as Democrats again push Medicaid

ATLANTA (AP) — The Georgia Senate on Thursday passed a plan to loosen health care permitting that proponents say will create new options for patients, as Democrats made a last-ditch attempt to expand health care coverage for lower-income adults.

Senators voted 43-11 for House Bill 1339, sending it back to the House for more debate. It’s likely to face pushback there from opponents who warn greater competition will undercut rural hospitals by drawing away the best-paying patients.

“It is not a wholesale elimination of certificate of need requirements,” Sen. Bill Cowsert, an Athens Republican, said of the Senate approach. “We’re targeting certain areas where we want to make it easier to provide medical services to Georgians.”

Certificates of need, in place in Georgia since the 1970s, require someone who wants to build a health facility or offer new services to prove an expansion is needed. The permits are meant to prevent overspending that would increase health care costs.

One key sticking point is likely to be whether to let outpatient surgery centers serve multiple medical specialties without a state permit, called a certificate of need. The Senate bill would let physicians from multiple specialties share one surgery center. The House has opposed such a move.

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