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Georgia Medicaid program with work requirement off to slow start even as thousands lose coverage

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Georgia Medicaid program with work requirement off to slow start even as thousands lose coverage


ATLANTA — Georgia Gov. Brian Kemp signed paperwork creating a new state health plan for low-income residents to much fanfare at the state Capitol three years ago.

But public health experts and advocates say since it launched on July 1, state officials appear to be doing little to promote or enroll people in the nation’s only Medicaid program that makes recipients meet a work requirement.

The Georgia Department of Community Health, which has projected up to 100,000 people could eventually benefit from Georgia Pathways to Coverage, had approved just 265 applications by early August.

“If we’re talking about directed outreach to the population that would most likely be eligible and interested, I haven’t seen anything,” said Harry Heiman, a health policy professor at Georgia State University.

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Heiman and other experts say the program’s slow start reflects fundamental flaws missing from Medicaid expansions in other states, including the extra burden of submitting and verifying work hours. 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.

“We’ve chosen a much more complicated and lengthy process that will take a long time even for the few folks who get coverage,” said Laura Colbert, executive director of the advocacy group Georgians for a Healthy Future.

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

A spokesman for the governor’s office, Garrison Douglas, said enrollment would grow as applications continue to be reviewed.

“While the federal government initiated and dictated a process for re-determining the qualifications of traditional Medicaid recipients, Georgia is the only state in the country simultaneously offering a new pathway to healthcare coverage and opportunity,” he said in a statement.

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The state’s department of community health said it was engaging stakeholders, community partners and others to help get the word out about the program. It did not provide details about that effort.

“There’s still some more work that we have to do for Pathways,” Lynnette Rhodes, executive director of DCH’s Medical Assistance Plans division, said at a meeting this month. “But overall…the program is working.”

The state launched Pathways 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.

Georgia has already cut more than 170,000 adults and kids from Medicaid and is expected to remove thousands more as the yearlong review of all 2.7 million Medicaid recipients in the state continues. Nationwide, more than a million people have been dropped from Medicaid, most for failing to fill out paperwork.

The department of community health 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. It was not immediately clear whether the state reached out to those people and helped guide them to apply for Pathways.

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“From what we have seen thus far, they are not doing anything affirmatively to get these people enrolled in Pathways,” said Cynthia Gibson, an attorney with the Georgia Legal Services Program who helps people obtain Medicaid coverage.

In contrast, Oklahoma officials implementing a voter-approved expansion of Medicaid in 2021 moved people in existing state insurance programs directly into the expansion pool without the need for a new application, according to the Oklahoma Health Care Authority. Nearly 100,000 people were enrolled in the expanded program within days of its launch.

“States have a lot of tools that they can use to help make this process go more smoothly,” said Lucy Dagneau, an advocate for Medicaid expansion with the American Cancer Society Cancer Action Network.

Oklahoma and 39 other 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. 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.

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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 working, studying or volunteering leads to improved health.

“I’m excited we’re moving forward in this direction,” said Jason Bearden, president of CareSource Georgia, one of the state’s Medicaid health plans. “This is good progress.”

Critics say many low-income people work informal jobs and have fluctuating hours that will make it hard for them to document the required 80 hours a month of work, volunteer activity, study or vocational rehabilitation. They also blast the lack of an exemption to the work requirement for parents and other caregivers.

For Amanda Lucas, the work requirement is insurmountable right now.

Lucas said she had no idea Pathways started in July, but even if she did, she would not qualify because she has to take care of her 84-year-old father in Warner Robins, a city about 100 miles (160 km) south of Atlanta. He had a stroke and needs her to buy groceries, make food, pick up prescriptions, pay bills and manage myriad other tasks, she said.

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With risk factors for skin cancer, she worries about living without health insurance.

“I try to keep an eye on my own moles,” she said. “I’m increasingly anxious because I’m 46.”



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Georgia Tech Football: Yellow Jackets Open as 20.5 Point Underdogs vs Georgia Bulldogs in Rivalry Matchup

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Georgia Tech Football: Yellow Jackets Open as 20.5 Point Underdogs vs Georgia Bulldogs in Rivalry Matchup


After beating NC State on Thursday, Georgia Tech is now 7-4 heading into their Black Friday rivalry showdown with the Georgia Bulldogs. The Yellow Jackets have not beaten Georgia since 2016, but this could be the best chance that they have had to knock off the Bulldogs since then and if they were to win, they would put a big dent in the Bulldogs playoff hopes, though they would still have a chance to win the SEC.

It is going to be a big task for the Yellow Jackets though and at Fanduel Sportsbook, Georgia Tech is a 20.5 point underdog next Friday vs Georgia and the total is set at 54.5.

Georgia Tech played Georgia almost as well as anyone did last year. Georgia won 31-23, but the Yellow Jackets were an onside kick away from getting the ball back and having a chance to tie the game up. In 2022, Key had his alma mater within six points of the No. 1 Bulldogs (13-7) in the middle of the third quarter before Georgia finally pulled away. In each of the past two seasons, Key has had this team playing better against the Bulldogs since the last time the Yellow Jackets won in 2016. In 2017, 2018, 2019, and 2021, Georgia handled the Yellow Jackets with ease, but they have had to fight for the past two seasons to put Georgia Tech away.

It will be a tall task though. Despite their losses to Alabama and Ole Miss, Georgia has one of, if not the most talented roster in the country and has not lost a home game since being upset by South Carolina in 2019.

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Will Georgia Tech’s two-quarterback system work against the Bulldogs? It worked to perfection against Miami, but not so much against NC State. True freshman Aaron Philo played well and led the game-winning drive, but going into Athens as a true freshman and beating Georgia is a tough ask. Can Georgia Tech run the ball? They were able to overcome a poor performance on the ground last night, but they usually lose when they don’t run the ball well. The defense played great at times last night, but had a really bad fourth quarter and nearly let the game slip away. When Georgia has lost this season, quarterback Carson Beck has been a big reason why. Can Tyler Santucci’s defense force Beck to make mistakes?

They might not be able to beat the Bulldogs in Athens to close the season out, but this is without a doubt the best chance that they have had since they last won the game in 2016. Georgia Tech has relished being in the underdog role with Key at the helm and he is looking to pull off his biggest win yet.

Additional Links:

ACC Power Rankings: Week 14

Updated ACC Recruiting Rankings: Georgia Tech Has a Strong Grip On The No. 2 Class in the Conference

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Bleav Georgia Tech: Instant Reaction To Four-Star Safety Tae Harris Flipping From Clemson to Georgia Tech



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SEC title game scenarios: Auburn upset sets up Georgia vs. Texas-Texas A&M winner in Atlanta

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SEC title game scenarios: Auburn upset sets up Georgia vs. Texas-Texas A&M winner in Atlanta


Rival programs Texas and Texas A&M will meet next Saturday for the first time in 13 years and will have an SEC championship game berth on the line when they do.

The winner between the No. 3 Longhorns and No. 15 Aggies will clinch a berth in the SEC title game and will play No. 10 Georgia. The SEC office confirmed Saturday night that following Week 13’s results, the Bulldogs have clinched a spot in the conference title game for the fourth consecutive season.

That’s the unexpected outcome of a stunning day of upsets in the SEC, which saw Ole Miss and Alabama eliminated by taking a third loss, No. 11 Tennessee eliminated because of tiebreakers and Georgia clinch a spot after the new tiebreaker rules were examined.

Here’s a look at the top four teams in the standings heading into Week 14:

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Team SEC record Final SEC opponent

6-1

at Texas A&M

6-2

n/a

5-2

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Texas

5-2

at Vanderbilt

Breaking down the SEC scenarios

• If Texas wins next week, then it has the best record and No. 1 seed. Georgia would then be the second seed whether or not Tennessee wins against Vanderbilt, as Georgia owns the head-to-head tiebreaker over the Volunteers.

• If Texas A&M wins, it creates either a three-way or four-way tie for first place, depending on whether Tennessee wins. None of the first tiebreakers would appear to apply, so it would go to schedule strength. Texas A&M has that edge right now, and according to the SEC office calculations that would still hold after next week. Here is what they are after this weekend’s games:

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Team Opponents’ cumulative conference record

28-30

26-32

26-35

23-36

But that would only clinch the first seed, and the tiebreaker process would go back to the beginning with the remaining three teams. In that case, Georgia would get the second seed, by virtue of having beaten Tennessee and Texas.

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If Texas A&M wins but Tennessee loses, then Georgia still gets the spot via its head-to-head win over the Longhorns.

The bottom line: It’s complicated.

Here are the six SEC tiebreakers, in order:

  • Head-to-head competition among the tied teams
  • Record versus all common conference opponents among the tied teams
  • Record against highest (best) placed common conference opponent in the conference standings, and proceeding through the conference standings among the tied teams
  • Cumulative conference winning percentage of all conference opponents among the tied teams
  • Capped relative total scoring margin versus all conference opponents among the tied teams
  • Random draw of the tied teams

How Auburn upset the Aggies

Auburn receiver KeAndre Lambert-Smith made a leaping catch in the middle of the end zone of a two-point conversion pass from quarterback Payton Thorne in the fourth overtime that proved to be the game winner. Texas A&M had a chance to match it, but Marcel Reed’s rollout pass to Amari Daniels was dropped. Auburn fans stormed the field at Jordan-Hare Stadium to celebrate the win, its first over a ranked team in the Hugh Freeze era.

The Tigers (5-6, 2-5) raced out to a 21-0 second quarter lead behind their passing game. Thorne connected on four pass plays of 15 or more yards in the first quarter alone, including a 63-yard touchdown pass to Cam Coleman and a 60-yard completion to Lambert-Smith.

Texas A&M charged back with three touchdowns on its next four drives to tie the game at 21 with 7:57 to go in the third quarter. Aggies receiver Noah Thomas (five catches, 124 yards) accounted for two of those on touchdown catches of 14 and 73 yards in the third quarter.

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Auburn running back Jarquez Hunter (130 rushing yards, three touchdowns) gave the Tigers a 28-21 lead, but Texas A&M responded with a Randy Bond field goal and an 8-yard Daniels touchdown run to take a 31-28 lead with 4:01 left in the fourth quarter.

The Tigers penetrated inside A&M’s 10 in the final minute but settled for a game-tying field goal at the end of regulation.

The teams traded touchdowns in the first overtime and field goals in the second overtime. By rule, teams must attempt alternating two-point conversion plays beginning in the third overtime. Both teams failed to convert theirs in the third overtime.

Looking ahead

Despite the loss, the Aggies still have a chance to make it to the SEC title game for the first time in school history. Texas A&M joined the SEC in 2012 but failed to win its division under Kevin Sumlin or Jimbo Fisher.

New coach Mike Elko has a chance to do something neither of his predecessors could, but it will require an upset of rival Texas. A loss will eliminate the Aggies from College Football Playoff contention since they’ll be ranked well outside the top 12.

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The Longhorns visit Kyle Field next week, the first time since 2011 the rivals will meet and the 119th edition of the rivalry. Texas leads the all-time series 76-37-5 and won the last meeting 27-25 on a Justin Tucker field goal as time expired.

Earlier in the day, Georgia wasn’t considering the SEC championship a strong possibility, much less clinching a spot before the day was over. More of the discussion had been about whether it would be better to miss the game, rest and prepare for the first round of the Playoff, rather than risk a loss and drop further in the rankings.

“We haven’t really discussed it,” guard Tate Ratledge said. “If it falls into place, we’re going to do our best to go up there and do our best to win it. But if it doesn’t it doesn’t. Right now we’re just focused on (Georgia) Tech.”

(Photo: Michael Chang / Getty Images)



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Georgia’s First National Park to be Named Ocmulgee Mounds National Park

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Georgia’s First National Park to be Named Ocmulgee Mounds National Park


National Parks, a vital influence on the American culture have been around since 1872. And while many states in the U.S. benefit from the beauty and attractiveness of the attributes that make a national park a national park, not every state has that honor. There are twenty states that have yet to gain a title, however, it is not due to the lack of personality. Georgia is one such state.

Macon, Georgia is home to a historical park that contains over 17,000 years of historical artifacts. Ocmulgee Mounds is a beautiful grassy piece of land where a variety of Native American cultures have resided for thousands of years. The historic park is known for its cultural history and houses the only spiral staircase mound known to be existing in North America, and has several different nature trails and hikes.

Although the state of Georgia has 11 sites designated by the National Park Service, over 60 parks, and 17 historic sites, an official National Park has been in the works for over 90 years. This week, however, the Peach State took one step closer to having its first national park and preserve. The Ocmulgee Mounds Park and Preserve Establishment Act passed through the U.S. Senate on Tuesday.

Concerning the act, U.S. Rep and cosponsor on the bill, Austin Scott elaborates, “This is a bipartisan initiative that goes all the way back to 1934. The Ocmulgee Mounds National Park and Preserve Establishment Act would create a historic opportunity to protect important natural and cultural resources, protect hunting and fishing for generations to come, and bring economic opportunities to middle Georgia through the creation of Georgia’s first national park.”

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This initiative has been a long time coming and the state is looking forward to highlighting the hidden cultural and ecological gems they have to offer on a nother level.

“Experts estimate the Ocmulgee River corridor is home to 32 mammal species, 170 species of birds, 26 amphibian species, 31 fish species and 35 reptile species.” Environment Georgia, an e

The Ocmulgee Mounds Park and Preserve Establishment Act also takes a step to guaruntee the preservation of the natural life that resides in Macon. “Experts estimate the Ocmulgee River corridor is home to 32 mammal species, 170 species of birds, 26 amphibian species, 31 fish species and 35 reptile species,” environmentalist group, Environment Georgia stated in a release.

As well as preserving the wildlife of Ocmulgee Mounds, this next step in ensuring Georgia’s first National Park will bolster the local economy and allow tourists from across the U.S. to delve into the rich history and culture that Georgia has to offer.



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