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.