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GAO Probes Costs of Georgia's Medicaid Work Requirement Program

The Government Accountability Office plans to release findings this fall as Republicans consider nationwide mandates tied to deficit reduction.

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Overview

  • The GAO is reviewing the financial and administrative impact of Georgia's Pathways to Coverage program, with a report expected in fall 2025.
  • The program, launched in July 2023, has cost over $57 million and enrolled only 7,410 participants, far fewer than full Medicaid expansion would cover.
  • Evidence from Georgia and Arkansas indicates that work requirements increase administrative costs and reduce Medicaid enrollment.
  • Congressional Republicans are exploring nationwide Medicaid work mandates as part of a $880 billion deficit-reduction proposal over the next decade.
  • Democratic senators requested the GAO investigation, citing concerns about high costs and limited coverage compared to traditional Medicaid expansion.