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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.
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Inquirer broke the news in Philadelphia, United States on Sunday, July 20, 2025.
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