---
type: "Bill"
title: "Health; ambulance services pay annual license fee; repeal requirement"
description: "A BILL to be entitled an Act to amend Title 31 of the Official Code of Georgia Annotated, relating to health, so as to repeal a requirement that every ambulance service pay an annual license fee; to repeal a requirement that ambulance service annual license fees be deposited into the Indigent Care Trust Fund; to provide for a conforming change; to provide for related matters; to repeal conflicting laws; and for other purposes."
jurisdiction: "us/states/ga"
legislature: "Georgia General Assembly"
session: "2023_24"
identifier: "HB 453"
citation: "Georgia HB 453 (2023_24)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Derrick McCollum", "Devan Seabaugh", "Dexter Sharper", "Lee Hawkins", "Scott Hilton", "Sharon Cooper"]
version_count: 3
action_count: 18
vote_count: 3
first_action: "2023-02-16"
last_action: "2024-01-01"
source: "openstates"
source_identifier: "ocd-bill/34308095-351b-419e-8921-f4d3ea870c59"
source_url: "http://webservices.legis.ga.gov/GGAServices/Legislation/Service.svc?wsdl"
source_hash: "3cc62ab0bea411879bf94da045e99966a0c516710f02381ad6350bd2b2316845"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ga"]
---

# Georgia HB 453 (2023_24) — Health; ambulance services pay annual license fee; repeal requirement

A BILL to be entitled an Act to amend Title 31 of the Official Code of Georgia Annotated, relating to health, so as to repeal a requirement that every ambulance service pay an annual license fee; to repeal a requirement that ambulance service annual license fees be deposited into the Indigent Care Trust Fund; to provide for a conforming change; to provide for related matters; to repeal conflicting laws; and for other purposes.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **HB 453/AP*** (committee substitute) — [source](http://www.legis.ga.gov/Legislation/20232024/220433.pdf)
2. **LC 54 0190/a** (committee substitute) — [source](http://www.legis.ga.gov/Legislation/20232024/215058.pdf)
3. **Sen ctee sub LC 54 0243S** (committee substitute) — [source](http://www.legis.ga.gov/Legislation/20232024/218166.pdf)

## Votes

- House Vote #375 - 2023-2024 Regular Session — **162–1** (pass) · lower
- House Vote #148 - 2023-2024 Regular Session — **166–0** (pass) · lower
- Senate Vote #360 - 2023-2024 Regular Session — **41–10** (pass) · upper

## Sponsors

- Derrick McCollum — primary (person)
- Devan Seabaugh — primary (person)
- Dexter Sharper — primary (person)
- Lee Hawkins — primary (person)
- Scott Hilton — primary (person)
- Sharon Cooper — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-02-16** House Hopper `introduction`
- **2023-02-21** House First Readers `reading-1`
- **2023-02-22** House Second Readers `reading-2`
- **2023-03-01** House Committee Favorably Reported `committee-passage-favorable`
- **2023-03-02** House Third Readers `reading-3`
- **2023-03-02** House Passed/Adopted `passage`
- **2023-03-06** Senate Read and Referred `referral-committee`
- **2023-03-16** Senate Committee Favorably Reported By Substitute `committee-passage-favorable`
- **2023-03-20** Senate Read Second Time `reading-2`
- **2023-03-27** Senate Tabled
- **2023-03-29** Senate Taken from Table
- **2023-03-29** Senate Third Read `reading-3`
- **2023-03-29** Senate Passed/Adopted By Substitute `passage`
- **2023-03-29** House Agreed Senate Amend or Sub
- **2023-04-05** House Sent to Governor `executive-receipt`
- **2023-05-04** House Date Signed by Governor `executive-signature`
- **2023-05-04** Act 344 `executive-signature`
- **2024-01-01** Effective Date

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/34308095-351b-419e-8921-f4d3ea870c59`. Confidence: reported (aggregated from official Georgia legislature records).