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Georgia Medicaid program with work requirement has enrolled only 1,343 residents in 3 months

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Georgia Medicaid program with work requirement has enrolled only 1,343 residents in 3 months


ATLANTA (AP) — Georgia Gov. Brian Kemp’s new health plan for low-income adults has enrolled only 1,343 people through the end of September about three months after launching, The Atlanta Journal-Constitution reports.

The Georgia Department of Community Health has projected up to 100,000 people could eventually benefit from Georgia Pathways to Coverage. But the nation’s only Medicaid program that makes recipients meet a work requirement is off to a very slow start.

“We will continue working to educate Georgians about Pathways’ innovative, first-of-its-kind opportunity and enroll more individuals in the months to come,” Kemp’s office said in a statement.

The program’s creeping progress reflects fundamental flaws as compared to Medicaid expansions in other states, including the extra burden of submitting and verifying work hours, experts say. And some critics note it’s happening just as the state, as part of a federally mandated review, is kicking tens of thousands of people off its Medicaid rolls — at least some of whom could be eligible for Pathways.

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“Pathways to Coverage is falling well short of these commitments to uninsured Georgians. Medicaid expansion would be a more effective way to meaningfully cover state residents and connect them to care,” Laura Colbert, executive director of the advocacy group Georgians for a Healthy Future, said in a statement Friday.

The state Department of Community Health had declined to provide sign-up numbers to the newspaper until the Journal-Constitution told Kemp’s office it would report that the state appeared to be violating its open records law. The department then provided the records, but denies violating the law.

The Biden administration has already tried to revoke Georgia’s Medicaid plan once and is monitoring it, so any missteps could have broader consequences. They could also hamper future efforts by Republicans to make Medicaid eligibility dependent on work.

The state launched Pathways on July 1 just as it began a review of Medicaid eligibility following the end of the COVID-19 public health emergency. Federal law prohibited states from removing people from Medicaid during the three-year emergency.

The state previously said it delayed the reevaluations of 160,000 people who were no longer eligible for traditional Medicaid but could qualify for Pathways to help them try to maintain health coverage. But observers have said they have detected little public outreach to target populations.

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Thirty-nine states have expanded Medicaid eligibility to nearly all adults with incomes up to 138% of the federal poverty level, $20,120 annually for a single person and $41,400 for a family of four. North Carolina will become the 40th state to do so in December. None of those states require recipients to work in order to qualify.

That broader Medicaid expansion was a key part of President Barack Obama’s health care overhaul in 2010, but many Republican governors, including Kemp, rejected it. In addition to imposing a work requirement, Pathways limits coverage to able-bodied adults earning up to 100% of the poverty line — $14,580 for a single person or $30,000 for a family of four.

Kemp has argued full expansion would cost too much money. State officials and supporters of Pathways say the work requirement will also help transition Medicaid recipients to better, private health insurance, and argue that working, studying or volunteering leads to improved health.

Critics say many low-income people struggle to document the required 80 hours a month of work, volunteer activity, study or vocational rehabilitation.

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Georgia

Georgia Department of Public Health closing all remaining COVID-19 community testing sites – 41NBC News | WMGT-DT

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Georgia Department of Public Health closing all remaining COVID-19 community testing sites – 41NBC News | WMGT-DT


COVID-19 testing kiosks are now located throughout the state.
(Photo Credit: Taylor Gilchrist/41NBC)

MACON, Georgia (41NBC/WMGT) –

PCR testing though Georgia Department of Public Health will end operations July 1.

Michael Hokanson, the public information officer for the department’s North Central Health District, says there are still many ways to get tested for COVID-19 should you need to.

“There are other opportunities as well through other medical providers, pharmacies, things of that nature,” he said. “But we want to make sure that if anybody has any reasonable expectation for testing it is still available, just not the PCR Testing at that site.”

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COVID-19 testing kiosks are now located throughout the state. For more information, click here.





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Georgia Tech, Emory researchers testing potentially life-saving heat protection device

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Georgia Tech, Emory researchers testing potentially life-saving heat protection device


ATLANTA, Ga. (Atlanta News First) – Heat related illness is something that certainly can creep up on you, especially if you work outside.

Jorge Ortega works as a landscaper in Florida.

“I would say it’s a little bit harder to stay hydrated and you have to keep on moving even though the sun is hitting you,” said Ortega.

According to the Atlanta-based Centers for Disease Control (CDC), more than 1,000 people die from heat related illness each year in the United States. Researchers at Georgia Tech and Emory University are working to lower that number with a new heat protection device.

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Ortega is one of the first people to try it out.

“The idea is that it monitors the worker’s heart rate, their physical activity, respiration rate. The ultimate goal is we will be able to predict before a worker heads into heat stroke or heat exhaustion,’ said Emory University researcher Roxana Chicas.

She said when it thinks you are close to heat exhaustion is would send an alert to not only you, but ideally co-workers and supervisors on your shift.

“We’ve already tested it with construction workers. In our next phase we are going to test it with farm workers,” said Chicas.

“Honestly this is what people need. It can prevent a lot of injuries and people getting hurt from other stuff maybe they may not know of,” said Ortega.

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Some of the signs of heat exhaustion include headache, muscle cramps, a fast or even a weak pulse, and dizziness. Chicas said she is passionate about this work and hopes to save many lives once the technology is rolled out to the public.

“I’m an immigrant. I’m from El Salvador. Many of the workers you see outdoors are workers of color. They are immigrants,” she said.

“Heat waves are coming. Summer is here and we all have to try and protect ourselves,” said Chicas.

Chicas hopes to roll out the product for widespread use within three years.

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As Israeli tourism to Georgia has boomed, these Israelis have put down roots in Tbilisi

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As Israeli tourism to Georgia has boomed, these Israelis have put down roots in Tbilisi


TBILISI, Georgia — In the ancient land of khachapuri cheese bread and famous qvevri wine fermented in earthenware vessels, Danny Licht now offers a rival ethnic delicacy: falafel.

Three years ago, the Swiss-Israeli entrepreneur moved here from Jerusalem with his Russian-born wife, Rita. In January, they opened Ashkara Falafel in the heart of Tbilisi’s tourist district.

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“We wanted to offer something fresh, tasty and inexpensive — not a restaurant but real street food,” said Licht, who charges 19 lari (about $7) for a complete falafel meal with all the fixings.

Meanwhile, Rita, who has a doctorate in molecular genetics from the Weizmann Institute of Science in Rehovot, runs a contemporary art gallery housed in the same building as their residence.

“We don’t have any family ties here, but we love the culture and we have a passion for art,” she said. “Our dream was to open a gallery, and this is one of the places we could make it happen.”

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The Georgian-Jewish Museum is one of the most popular tourist attractions in Tbilisi, Georgia. (credit: LARRY LUXNER/JTA)

Danny and Rita Licht are among 200 or so Israelis for whom Georgia — a former Soviet republic about three hours’ flying time from Tel Aviv — is a new promised land. Frustrated with Israel’s high prices, toxic politics and worsening security situation, they’ve decided to relocate permanently to this mountainous, landlocked country in the Caucasus.

They may have left behind one divided country for another. For the last two months, Georgia has experienced massive anti-government protests against a new law, modeled after one in Russia, that requires any organization receiving more than 20% of its funding from overseas to register as a “foreign agent.”

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Critics say the law is aimed at stifling dissent while moving the country closer to Moscow and away from the European Union. Polls show that 80% of Georgians want their country to join the EU, and protesters vow not to back down until the law — which they say smacks of Putin-like repression — is repealed.

It remains to be seen whether the new law or the backlash have any effect on Israeli tourism, which has long been strong. Last year, according to government statistics, 217,065 Israelis visited Georgia, making them the fourth-largest source of foreign tourism after Russia, Turkey and Armenia. But Israelis stayed longer and spent an average 3,782 lari (about $1,400) per visit — far more than any other group. It’s not uncommon to hear Hebrew in the streets, and one of Tbilisi’s top tourist attractions is the Museum of Georgian Jewish History, which chronicles 2,600 years of Jewish life in this country.

All told, Israeli investment in tourism, finance, agriculture and healthcare already totals around $500 million, said Itsik Moshe, founder of both Israeli House and the Israel-Georgia Chamber of Business.

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“Georgia is a small country, but it’s one of Israel’s best friends in the world,” said Moshe, who in 1990 became the first Israeli to represent the Jewish Agency in the former Soviet Union. “We are two ancient peoples with difficult histories and the same fate. According to Georgian history, it was the Jews who helped prepare them to adopt Christianity.”

In fact, legend has it that a Georgian Jew called Elias brought the robe of Jesus Christ back home from Jerusalem after the crucifixion, having acquired it from a Roman soldier at Golgotha.

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Before Oct. 7, four or five airlines were offering nonstop flights between Tel Aviv and Tbilisi — sometimes two flights a day by the same airline. Even now, El Al and Israir still offer daily service on that route. And posters of Israelis kidnapped by Hamas and held captive in Gaza are plastered on billboards and the sides of buses in Tbilisi.

Animosity still prevalent 

Despite the warm feelings, not everyone here loves Jews or Israel.

In November 2022, Pakistani agents affiliated with al-Qaeda and sent by Iran’s Revolutionary Guards Quds Force attempted to assassinate Moshe on the street, in front of the Israeli flag over his office. Fortunately, the plot was discovered by local security officials, who arrested several suspects including two Georgian-Iranian dual citizens.

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Moshe, who remains closely guarded, said he expects a record 250,000 Israelis in Georgia in 2024. In November, his organization is planning a business conference in Tbilisi to mark 35 years of bilateral commercial ties.

In fact, many Israelis have purchased timeshares in the Black Sea resort of Batumi, and the country is considered a prime destination for skiing and hiking as well as travel focused on food and wine. Also unique to Georgia are its ancient 33-letter alphabet, which is nearly 1,500 years old, as well as its hauntingly beautiful chant, the traditional music sung in the Georgian Orthodox Church for daily and weekly services in three-voiced polyphony without instruments.

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“I haven’t met even one Israeli tourist who doesn’t want to come back here,” said Moshe, estimating Georgia’s native Jewish population at 500 to 1,000; the Great Synagogue of Tbilisi serves the predominantly elderly community. In addition to those Israeli Jews who have moved to Georgia, there’s also 1,500 Israeli Arabs — mainly Christians from Nazareth and elsewhere — studying medicine here.

Likewise, Israel is home to roughly 120,000 Jews from Georgia. Known in Hebrew as gruzinim, they originally settled in Ashdod, Beersheba, Ashkelon and Haifa, though they’ve since spread throughout the country — and a few have even returned.

Ilana Slutsky, a native of Orenburg in southern Russia, grew up in Haifa, and worked for years as an architect. The company that employed her landed a contract with a cardiovascular center in Georgia, which required her to travel there from Israel every 10 days over a four-year period.

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Eventually, Slutsky moved to Tbilisi, and a few years ago she opened her own interior design, real estate and architectural consulting firm. Her Georgian husband, Tedo, is an artist, and she’s currently in the process of restoring an apartment building from 1872.

The only time she felt unpleasant, she recalled, was seeing a recent Instagram post by Mutant Radio Tbilisi seeking donations for Palestinian children displaced by the war in Gaza.

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“I feel sorry for all victims of war, but we know that this money will go directly to Hamas,” said Slutsky, who understands the Georgian language as well as English, Hebrew and her native Russian. “For me, it was disappointing, especially after what happened at the Nova music festival. To be honest, I was shocked.”

Despite the money they spend and the government’s emulation of their native country, Russians aren’t particularly welcome in Georgia, which seems awash in Ukrainian flags as a show of support for the fellow ex-Soviet republic. That’s a legacy of the Russo-Georgian War of 2008, which began when pro-Russian separatists in the breakaway republics of Abkhazia and South Ossetia attacked Georgia, violating a 1992 ceasefire agreement. The fighting ended 16 days later with Russia controlling a fifth of Georgian territory.

Anti-Russian obscenities cover a retaining wall across the street from Danny Licht’s falafel shop, and some nightclubs now make customers sign statements of support for Ukraine — like Georgia, also a victim of Putin’s aggression — before they can enter the premises.

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“When the Russia-Ukraine war started, Georgia was 30% or 40% cheaper than today,” Licht said. “But then apartment prices doubled and even tripled. The market went crazy because so many Russians ran away and came here. They couldn’t use their credit cards in Russia anymore. And last September there was a [military] mobilization. They didn’t come because they were against the war, but because they didn’t want to be killed.”

Licht added: “About half a year ago, prices reached a peak, and now they’re coming down. But 20% of this country is still occupied by Russia, and Georgians are very suspicious of them.”

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Yaron Shmerkin, 39, has lived in Georgia nearly two years. Originally from Luhansk — a city in eastern Ukraine that’s been under Russian occupation for nearly a decade — he’s married to Georgian fashion designer Anuk Yosebashvili. Back in 2017, the jewelry designer, who specializes in Judaica art, took a Jeep trip with his wife and in-laws throughout the mountain republic, which is three times the size of Israel yet has less than half its population.

“After a week, I said, ‘We’re going to move here,’” he recalled. “We are very happy in Georgia.”

So is Mikhail Gilichinski, 40, an Orthodox Jew and a native of the Russian city of Tula. He lived throughout Israel — Kibbutz Bar’am, Jerusalem and Ramat Gan — before coming to Georgia five years ago with his Moscow-born wife, Miriam. Both had been here on vacation previously.

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Neither Mikhail nor Miriam Gilichinski speak Georgian. They use English to communicate with locals because, he says, “I don’t feel comfortable speaking Russian with them.”

Nevertheless, Gilichinski has built a small hotel, which his wife runs as an Airbnb. Their children, 10 and 7, attend the local Chabad religious school.

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“I’m a jewelry designer and can work from anywhere,” he said. “We love Israel, but financially it’s difficult. You have to work all the time, from morning to evening. That’s why we came here.”





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