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---
type: "Bill"
title: "Health; advanced practice registered nurses and physician assistants to order home healthcare services; authorize"
description: "A BILL to be entitled an Act to amend Code Section 16-13-72, Code Section 31-6-2, and Article 7 of Chapter 7 of Title 31 of the O.C.G.A., relating to the sale, distribution, or possession of dangerous drugs, definitions relative to state health planning and development, and home health agencies, respectively, so as to authorize advanced practice registered nurses and physician assistants to order home healthcare services; to amend Title 43 of the O.C.G.A., relating to professions and businesses; to authorize the Georgia Board of Nursing to establish a professional health program to provide for monitoring and rehabilitation of impaired healthcare professionals; to repeal the prohibition on delegating to advanced practice registered nurses the authority to sign death certificates; 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 1046"
citation: "Georgia HB 1046 (2023_24)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Alan Powell", "Carter Barrett", "David Clark", "David Huddleston", "Jan Jones", "Karen Mathiak"]
version_count: 6
action_count: 17
vote_count: 4
first_action: "2024-01-25"
last_action: "2024-05-01"
source: "openstates"
source_identifier: "ocd-bill/6fc688c7-166b-4769-af10-290f7ea42e26"
source_url: "http://webservices.legis.ga.gov/GGAServices/Legislation/Service.svc?wsdl"
source_hash: "ad09af89a0006964f261b6d735a637804ee13f1c4e3ac7dbca4bee9268796643"
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 1046 (2023_24) — Health; advanced practice registered nurses and physician assistants to order home healthcare services; authorize
A BILL to be entitled an Act to amend Code Section 16-13-72, Code Section 31-6-2, and Article 7 of Chapter 7 of Title 31 of the O.C.G.A., relating to the sale, distribution, or possession of dangerous drugs, definitions relative to state health planning and development, and home health agencies, respectively, so as to authorize advanced practice registered nurses and physician assistants to order home healthcare services; to amend Title 43 of the O.C.G.A., relating to professions and businesses; to authorize the Georgia Board of Nursing to establish a professional health program to provide for monitoring and rehabilitation of impaired healthcare professionals; to repeal the prohibition on delegating to advanced practice registered nurses the authority to sign death certificates; 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. **Floor Amendment AM 55 0057** (committee substitute) — [source](http://www.legis.ga.gov/Legislation/20232024/229008.pdf)
2. **HB 1046/AP*** (committee substitute) — [source](http://www.legis.ga.gov/Legislation/20232024/229559.pdf)
3. **LC 33 9690S/hcs** (committee substitute) — [source](http://www.legis.ga.gov/Legislation/20232024/226265.pdf)
4. **LC 33 9690S/hs** (committee substitute) — [source](http://www.legis.ga.gov/Legislation/20232024/225931.pdf)
5. **LC 54 0288/a** (committee substitute) — [source](http://www.legis.ga.gov/Legislation/20232024/221905.pdf)
6. **Sen Ctee sub LC 55 0307S** (committee substitute) — [source](http://www.legis.ga.gov/Legislation/20232024/228393.pdf)
## Votes
- House Vote #646 - 2023-2024 Regular Session — **163–2** (pass) · lower
- House Vote #803 - 2023-2024 Regular Session — **169–1** (pass) · lower
- Senate Vote #883 - 2023-2024 Regular Session — **47–7** (pass) · upper
- Senate Vote #730 - 2023-2024 Regular Session — **49–0** (pass) · upper
## Sponsors
- Alan Powell — primary (person)
- Carter Barrett — primary (person)
- David Clark — primary (person)
- David Huddleston — primary (person)
- Jan Jones — primary (person)
- Karen Mathiak — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-25** House Hopper `introduction`
- **2024-01-26** House First Readers `reading-1`
- **2024-01-29** House Second Readers `reading-2`
- **2024-02-27** House Committee Favorably Reported By Substitute `committee-passage-favorable`
- **2024-02-29** House Third Readers `reading-3`
- **2024-02-29** House Passed/Adopted By Substitute `passage`
- **2024-03-04** Senate Read and Referred `referral-committee`
- **2024-03-18** Senate Committee Favorably Reported By Substitute `committee-passage-favorable`
- **2024-03-18** Senate Read Second Time `reading-2`
- **2024-03-21** Senate Third Read `reading-3`
- **2024-03-21** Senate Passed/Adopted By Substitute `passage`
- **2024-03-26** House Agreed Senate Amend or Sub As Amended
- **2024-03-28** Senate Agreed House Amend or Sub
- **2024-04-03** House Sent to Governor `executive-receipt`
- **2024-04-23** House Date Signed by Governor `executive-signature`
- **2024-04-23** Act 471 `executive-signature`
- **2024-05-01** Effective Date
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6fc688c7-166b-4769-af10-290f7ea42e26`. Confidence: reported (aggregated from official Georgia legislature records).