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.
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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