Georgia
Georgia’s Pathways to Coverage Program – The First Year in Review Fact Sheet – Georgia Budget and Policy Institute
In July 2023, Georgia launched the Pathways to Coverage program, which offers health care coverage to adults with lower incomes who do not have access to affordable health insurance. To be eligible they must work, attend school, volunteer or complete another qualifying activity for at least 80 hours per month. The program covers the cost of many of the same medical services as traditional Medicaid, including doctor visits, hospital stays and prescriptions. This fact sheet provides policymakers and advocates with an overview of the program’s first year and offers recommendations for improving upon the existing program design.
Here are some key takeaways based on the program’s first year:
Enrollment in the Pathways to Coverage program fell far short of expectations and need. More than 40% of Georgia’s counties still had fewer than 10 enrollees despite the state having one of the highest percentages of uninsured populations in the nation. If the state continues to enroll about 4,231 enrollees per year as it did in the first year and assuming no one is disenrolled, it will take more than 12 years to achieve the original five-year enrollment goal (52,509).
A cumbersome enrollment process and restrictive eligibility criteria appeared to contribute to the program’s low enrollment in the first year. Potentially eligible Georgians face a steep “paperwork” burden – from completing a lengthy online or paper application to compiling documents to verify qualifying activities and hours. Only about half of individuals who showed initial interest in applying to the program submitted a complete application. Preliminary data also indicate that at least one in every five denials for those who do submit a complete application is due to failure to meet the qualifying hours and activities requirement.
Pathways to Coverage is a costly program for Georgia taxpayers, and most spending through the end of the first year covered administrative expenses rather than health care benefits. Since the program was approved through the end of the first year of implementation, a total of almost $58 million in combined state and federal funds was spent on the program. That amounts to an average of $13,000 per enrollee. Spending on upgrades to Georgia’s online eligibility and enrollment system represents the largest proportion of total program costs and was almost five times higher than spending on healthcare benefits for enrollees.
For current enrollment and program cost data, please visit the Data Tracker page at GeorgiaPathways.org
Beyond Year One: Recommendations and Next Steps
With Pathways to Coverage up for renewal in September 2025, the state has an opportunity to leverage lessons learned from the first year to make the program more effective and less costly and to streamline the bureaucratic red tape that burdens both enrollees and state agency staff.
Programmatic recommendations:
- Eliminate monthly reporting and premium collection
- Expand automated verification of qualifying hours and activities at initial application and yearly renewal using electronic data sources
- Expand work requirement exemptions (in alignment with SNAP exemptions) to enable eligible veterans, full-time parents of young children, former foster youth and others to access the program
- Make Pathways to Coverage an ‘opt-out’ versus an ‘opt-in’ program
- Improve education and outreach for potentially eligible Georgians
- Improve communication with applicants and enrollees
System-level recommendations:
- Modernize Georgia’s public benefits eligibility and enrollment infrastructure
- Increase transparency and public data reporting and open up opportunities for stakeholder engagement
For more context on each recommendation and for an additional list of transformational recommendations like full Medicaid expansion, please download the full report “Georgia’s Pathways to Coverage Program – The First Year in Review” from the Resources page at GeorgiaPathways.org.
ATLANTA – The Centers for Disease Control and Prevention and Emory University Hospital are monitoring two Georgia residents following a hantavirus outbreak on a cruise ship that resulted in three deaths.
Atlanta hospital monitoring
What we know:
A couple returned to Georgia last week and was moved Monday to Emory University Hospital for specialized monitoring. One of the passengers showed mild symptoms of the virus but has since tested negative. Both individuals were passengers on the MV Hondius, a ship where the Andes variant of hantavirus was identified.
The CDC confirmed the patients are being kept in a biocontainment unit designed for highly infectious diseases. Doctors at Emory said one individual is receiving treatment while the other is being monitored, though they emphasize there is no risk to the general public.
Monitoring and travel status
What we don’t know:
Health officials have not confirmed if the passengers will be cleared to leave the hospital or return home before a 42-day period is over. While one test was negative, authorities have not said how many additional tests or how much more observation time is needed before the couple is fully cleared. The exact names and ages of the Georgia residents have not been released due to privacy concerns.
Cruise ship outbreak
The backstory:
The outbreak began in April on the Dutch cruise ship MV Hondius during a voyage from Argentina. Nine cases have been confirmed and three people died after the virus spread, likely through human-to-human transmission of the Andes strain. This specific strain is known for causing Hantavirus Pulmonary Syndrome, a severe respiratory illness.
Low public risk
Big picture view:
While the Andes variant is serious, the CDC and World Health Organization assess the risk to the general public as low. The virus typically spreads through close contact with bodily fluids or respiration rather than everyday social contact. Federal and state health departments are using established protocols to manage the repatriation and monitoring of the 18 Americans who were on the ship.
The Source: Information for this story was gathered from FOX 5 reporter Kevyn Stewart, who attended a news conference with the CDC and Emory University Hospital, as well as official statements from the Georgia Department of Public Health and the World Health Organization.
Georgia and Florida State appear to be honoring their word in that they will end up playing each other.
According to Brett McMurphy of On3, Florida State athletic director Mike Alford has said Georgia and Florida State will play at a neutral site game in 2028.
While Georgia has not yet commented on the news, Alford also revealed that there are seven possible neutral venues they are eyeing for the game.
Those venues are Atlanta, Nashville, Tampa, Orlando, Miami, Charlotte and New Orleans.
With the exception of Orlando, Georgia has some history — or a future game — with all of the possible venues.
Below, we rank the possible venues from Georgia’s perspective as to where the game could be played.
Georgia-Florida State possible neutral site games
- Atlanta: The most obvious choice from a Georgia perspective. The Bulldogs have consistently played in Mercedes-Benz Stadium, including neutral site games against North Carolina, Oregon, Clemson and Georgia Tech. The 2028 game was set to be a Georgia home game, so making the short trip to Atlanta could be a reasonable consolation.
- Charlotte: Of the non-Atlanta options, this one is the closest to Athens. Georgia has history in this venue, as it beat Clemson to open the 2021 season in the venue. This option may not be high on Florida State’s list of preferences for the game.
- New Orleans: Georgia does not have a great recent history in this building, as its last two seasons have ended in the Caesars Superdome. One thing worth noting is that this game will be played early in the season, possibly in Week 0. New Orleans, Atlanta and Nashville are the only stadiums with Dome options, which could be beneficial with the heat.
- Nashville: What makes Nashville’s inclusion on this list interesting is that the Tennessee Titans will have opened up their new stadium in 2027, giving Nashville a state-of-the-art facility. This stadium will also be enclosed, providing shelter against the heat. Working against this selection is that Georgia is already scheduled to make one trip to Vanderbilt in 2028, as Georgia faces Vanderbilt in Nashville that season.
- Orlando: In terms of possible stadiums, Orlando is at the bottom. Georgia also already has one neutral site game scheduled to be played in Florida in 2028, as the Bulldogs will take on Florida in Jacksonville, Florida. Maybe a possible weekend at Disney could excite some fans about this possible venue.
- Miami: The last time these two met was in Miami, with Georgia rolling to a 63-3 win. Florida State has played Miami on an annual basis as it is one of the biggest games in the conference. Florida State has played at Miami in even years, which would be the case in 2028.
- Tampa: Georgia will make a trip to Tampa in 2027, when the Bulldogs take on the rival Florida Gators in their annual rivalry game. SEC media days will be in Tampa in 2026.
GEORGIA, I have a question,
Am I wrong in believing that babies do not belong at wineries, breweries, festivals, and other adult spaces? I know this is going to make people angry, but I finally snapped this weekend.
My husband and I went to a local winery for a relaxing afternoon. This place literally advertises itself as a quiet adults’ getaway. Wine tastings, acoustic music, people sitting around talking. It is not Pizza Ranch.
About twenty minutes after we sat down, a couple showed up with a baby that looked maybe 8 months old. The second they sat down, the baby started screaming. Not crying. Full on shrieking every few minutes over EVERYTHING. Wind blew? Crying. Someone laughed too loudly? Crying. A dog walked by? Crying.
The parents did absolutely nothing except bounce the stroller and say things like “aww, someone’s overstimulated.” Meanwhile, everyone around them kept looking at each other because the entire atmosphere was ruined. One couple actually got up and moved.
After almost an hour of this, I finally said, probably louder than I should have, “Maybe don’t bring a baby somewhere meant for adults until it learns not to cry every time the wind blows.”
The mom looked horrified. The dad called me rude. But I genuinely do not understand why some parents insist on bringing babies to breweries, wineries, upscale restaurants, and festivals where people specifically go to relax away from screaming kids.
What do you think?
LOVES KIDS – JUST NOT EVERYWHERE
Dear NOT EVERYWHERE,
While many believe kids should be allowed everywhere an adult goes, I tend to agree with you. If it’s advertised as adults-only, you are justified in being upset. Some people don’t realize you have to sacrifice certain things when you have children, at least until they are older. However, maybe be a bit more polite next time?
Love, GEORGIA
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