Overview

• Federal officials approved a 15‑month extension of Georgia Pathways to Coverage through December 2026 and adopted amendments intended to ease participation, including shifting work‑activity reporting from monthly to annually and adding caregiver exemptions.
• GAO auditors reported that from fiscal 2021 through the second quarter of 2025 the program spent about $54.2 million on administration versus $26.1 million on benefits, out of $80.3 million total.
• Enrollment remains far below projections, with approximately 7,463 people enrolled as of May 2025 after roughly 3,500 in the first year compared with a 25,028 forecast.
• Gov. Brian Kemp and state officials praised the program’s continuation, while Sen. Raphael Warnock and other critics argue it restricts coverage and diverts funds to consultants and overhead.
• Georgia’s initiative is currently the only Medicaid program that ties eligibility to work or service requirements, and its performance is drawing scrutiny as a new federal law will require expansion states to adopt work rules starting in 2027.