The Trump administration has approved extending the Georgia Pathways to Coverage program, despite administrative spending outweighing funding for medical treatment.
Pathways, which requires low-income participants to work or participate in other activities for 80 hours per month, has enrolled far fewer people than originally projected. According to the governor, the program has served 15,000 people.
The Kemp administration had projected it would cover 25,000 people in its first year and up to 100,000 eventually.
The program’s five-year pilot program was scheduled to expire next week.
Georgia is one of several Republican-led states to refuse Medicaid expansion under the Affordable Care Act (ACA) or Obamacare.
The Associated Press reports Georgia spent $54.2 million on administrative costs compared to $26.2 million on health care from 2021 through the middle of 2025.
Governor Brian Kemp and the Georgia Department of Community Health made the announcement on Thursday regarding the decision by the Centers for Medicare and Medicaid Services.