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Work Requirements and Red Tape Ahead for Millions on Medicaid

GEORGIA, AUG 4 – Georgia's Medicaid work requirements have led to coverage losses for thousands amid costly administrative challenges, with fewer than 20% of eligible beneficiaries enrolled after two years.

  • The Republicans' tax-and-spending law mandates that most low-income adults start meeting Medicaid work requirements by 2027 to keep coverage nationwide.
  • This follows state-level trials like Arkansas in 2018 and Georgia's ongoing program, which began after getting federal waiver approval and has faced administrative challenges.
  • Georgia requires Medicaid recipients to verify that they engage for at least 80 hours each month in employment, schooling, job training, or volunteer work, and they must submit proof through a monthly reporting system that has been criticized for technical difficulties.
  • Health advocates and recipients like social worker Tanisha Corporal report long delays, paperwork denials, difficult contact with officials, and estimate just under 7,500 enrolled despite projections of 47,000.
  • Experts say work requirements likely reduce coverage rather than raise employment, with the Congressional Budget Office projecting 4.8 million losses among 18.5 million subject, suggesting widespread bureaucratic barriers ahead.
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Marin Independent Journal broke the news in on Sunday, August 3, 2025.
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