Federal watchdog report on Georgia's Medicaid program raises concerns about administrative costs

Georgia Gov. Brian Kemp delivers remarks during a bill signing ceremony for tort reform bills SB 68 and SB 69 at the Georgia State Capitol, Tuesday, April 21, 2025. (Matthew Pearson/WABE)

This story was updated on Thursday, Sept. 18, 2025, at 4:10 p.m.

A federal watchdog reported Thursday that Georgia’s program requiring able-bodied adults to document low-paying work to get Medicaid has spent much more on administrative costs than on providing health care.

The U.S. Government Accountability Office report on Georgia Pathways comes after Republicans mandated similar work requirements throughout the U.S. as part of the “big, beautiful bill” signed into law by President Donald Trump.