Overview

• Federal officials granted Georgia’s Pathways to Coverage a one-year extension, keeping the work-requirement waiver in place through 2026.
• Monthly attestations will shift to annual reporting under the revised terms to reduce paperwork for participants.
• Parents of children under age 6 are newly exempt from activity hours if the child is enrolled in Medicaid, and meeting SNAP rules can satisfy requirements for childless adults.
• As of May, enrollment stood at 7,463 versus the 47,000 Georgia initially projected for the first year, according to CMS’s extension notice.
• GAO found Georgia spent $54.2 million on administration from 2021 to June 2025 versus $26.1 million on medical care, largely for IT upgrades, while a new federal law will require 80 hours of monthly activity for expansion adults nationwide starting Jan. 1, 2027 with projected decade-long federal savings of about $911 billion.