The First Year of Georgia’s Medicaid Work Requirement Is Mired in Red Tape

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Georgia’s experimental Medicaid expansion program, Pathways, requires participants to work, study, or engage in qualifying activities for 80 hours a month in exchange for health coverage. The program, launched in July 2023, has faced challenges with low enrollment, bureaucratic hurdles, and technical issues. Despite the high cost of administration and consulting fees, the program has struggled to meet its enrollment goals. Critics argue that the program’s complex enrollment process disproportionately affects Black and Hispanic individuals. Pathways is set to expire in 2025, and Georgia officials are facing obstacles in extending the program due to design flaws and system failures.

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