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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, enrolling just over 8,000 people by June after more than 100,000 applied through March.
  • This program emerged amid new federal mandates requiring 40 states with Medicaid expansions to develop systems verifying enrollees meet work or community engagement requirements by the end of next year.
  • Georgia's Pathways program faced administrative challenges, including delays in eligibility verification, strain on other public benefits, and significant marketing costs nearly matching health benefits spending.
  • Experts noted the program's $100 million cost as a "shocking waste of taxpayer dollars," highlighting that administrative complexity, not job readiness, was the primary outcome, while officials defended the program's intent.
  • This experience suggests that states face costly, complicated implementation ahead with work requirements, which may lead to coverage losses without significantly improving employment as states build new verification systems.
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Inquirer broke the news in Philadelphia, United States on Sunday, July 20, 2025.
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