Georgia Spent $165.7 Million on Medicaid Work Requirement Program, but Only 18,527 Were Enrolled After 3 Years

Georgia has spent approximately $165.7 million on its Medicaid work requirement program, but only 18,527 people were actively enrolled after three years, according to new findings from the Georgia Budget and Policy Institute. The report also found that 43% of people who enrolled in the program between July 2023 and June 2026 subsequently lost their coverage.

The findings, highlighted Thursday, Oct. 22, come as Georgia seeks additional federal funding to continue and potentially expand its Pathways to Coverage program. The state submitted a new request to the Centers for Medicare & Medicaid Services on Oct. 1, with a federal public comment period running through Nov. 8.

The Georgia Budget and Policy Institute, or GBPI, is a nonprofit research and advocacy organization that supports broader access to health coverage. Its latest analysis draws largely on Georgia Department of Community Health records obtained through open records requests, but its conclusions about the program’s effectiveness reflect the organization’s assessment…

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