The state-wide Behavioral Risk Factor Surveillance Survey (BRFSS) included items about health literacy for the first time in 2015. Preliminary findings were discussed at the October 18 State of Public Health meeting in Athens. While Georgians tended to rate themselves high in health literacy skills, important differences arose for those with lower health literacy. Georgians with low health literacy reported more days of poor physical and mental health. They also reported engaging in fewer healthy behaviors, like eating the recommended portions of fruit and vegetables every day. Many of these findings remained significant even when accounting for powerful social determinants of health such as education and income. The results suggest that improving health literacy in Georgia could have a big impact on the health of its citizens.