Georgia’s Medicaid Work Requirement Program Spent Twice as Much on Administrative Costs as on Health Care, GAO Says

Georgia's Medicaid Work Requirement Program

A new report by the Government Accountability Office (GAO) reveals that Georgia's Pathways to Coverage program has spent at least $54 million on administrative costs alone.

According to the GAO, most of the tax dollars used to launch and implement the program have gone toward paying administrative costs rather than covering health care for Georgians.

Republican lawmakers cite Georgia’s Pathways to Coverage as a national model for federal Medicaid work requirements that are set to take effect in 2027.

The program's high administrative costs have raised concerns, with the GAO reporting that the program has spent twice as much on administrative costs as on health care.

The Centers for Medicare and Medicaid Services extended the Georgia Pathways program through 2026 on September 23, 2025.

Author's summary: Georgia's Medicaid work requirement program spent more on admin costs than healthcare.

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ProPublica ProPublica — 2026-12-09