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Georgia is now the only state in the US to implement work requirements in its Medicaid program – a feat many Republican lawmakers nationwide will be closely monitoring.
[12] [13] Softening the eligibility requirements for Medicaid was a central goal of the ACA, [14] forming a two-pronged policy along with subsidized private insurance via health insurance marketplaces to expand health insurance coverage in the U.S. [15] [7] [3] The Medicaid expansion provision of the ACA allowed states to lower the income ...
Georgia and Mississippi are among 10 states that haven't expanded Medicaid eligibility to include people earning up to 138% of the federal poverty level, or $20,120 annually for a single person.
Georgia officials expected it to provide health insurance to 25,000 low-income residents, or possibly tens of thousands more, by now. But enrollment stood at just over 4,300 as of last month ...
The program was supposed to launch in 2021, but the Centers for Medicare and Medicaid Services objected to the work requirement that February and later revoked it. Georgia sued and a federal judge reinstated the work mandate in 2022. As of June 7, 2024, Pathways had 4,318 members, according to the Georgia Department of Community Health.
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
That’s a small fraction of the Georgians who could enroll if the state expanded Medicaid without such requirements. Since July, when the program began, about 3,500 people have signed up ...
In participating states, Medicaid eligibility is expanded; all individuals with income up to 133% of the poverty line qualify for coverage, including adults without dependent children. [43] [50] The law also provides for a 5% "income disregard", making the effective income eligibility limit 138% of the poverty line. [51]