Georgia’s Medicaid work requirements costing taxpayers millions despite low enrollment

Georgia Gov. Brian Kemp speaks at a press conference at the Capitol in Atlanta on Tuesday, February 13, 2024. Kemp’s Georgia Pathways to Coverage offers government health insurance to people earning up to the federal poverty level if they can document that they’re working, in school or performing other qualifying activities. (Matthew Pearson/WABE)

Georgia Gov. Brian Kemp’s plan for a conservative alternative to Obamacare’s Medicaid expansion has cost taxpayers at least $26 million so far, with more than 90% going toward administrative and consulting costs rather than medical care for low-income people.

Kemp’s Georgia Pathways to Coverage offers government health insurance to people earning up to the federal poverty level — $15,060 for an individual adult — if they can document that they’re working, in school, or performing other qualifying activities.

Since July, when the program began, about 3,500 people have signed up, according to state officials. That’s a small fraction of the Georgians who could enroll if the state expanded Medicaid without such requirements.