Georgia Shows Rough Road Ahead for States as Medicaid Work Requirements Loom
ARKANSAS, JUL 20 – More than 18,000 people lost Medicaid coverage in Arkansas due to work requirements, which also created costly administrative burdens and disrupted other public benefit programs.
- Georgia launched its Pathways Medicaid work requirement program in July 2023, targeting able-bodied low-income adults willing to engage in qualifying activities.
- This program arose amid federal mandates requiring states that expanded Medicaid to implement work verification systems by December 31, 2026, to track enrollee compliance.
- More than 100,000 Georgians applied by March 2024, but enrollment stood just over 8,000 by the end of June, with critics highlighting high administrative complexity and system strain.
- The program has cost over $100 million, including $26 million on health benefits and $20 million on marketing, prompting a Government Accountability Office investigation following requests by Democratic senators.
- Georgia's experience reveals that such work requirement programs impose costly administrative burdens without clear job-readiness benefits and risk removing families from needed coverage.
12 Articles
12 Articles
Arkansas Lawyer on Medicaid Work Requirements: “Widespread Disaster & Chaos”
Millions of Americans are at risk of losing their health coverage because of President Trump’s new domestic policy law, which mandates work requirements for Medicaid patients nationwide. Kevin De Liban, founder of the nonprofit TechTonic Justice, speaks to Hari Sreenivasan about the fight to overturn Medicaid work requirements.

Georgia Shows Rough Road Ahead for States as Medicaid Work Requirements Loom
Every time Ashton Alexander sees an ad for Georgia Pathways to Coverage, it feels like a “kick in the face.” Alexander tried signing up for Pathways, the state’s limited Medicaid expansion, multiple times and got denied each time, he said, even though he met the qualifying terms because he’s a full-time student. Georgia is one of 10 states that haven’t expanded Medicaid health coverage to a broader pool of low-income adults. Instead, it offers c…
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