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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 Lottery Mega Millions, Cash 3 results for Dec. 24, 2024

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The Georgia Lottery offers multiple draw games for those aiming to win big. Here’s a look at Dec. 24, 2024, results for each game:

Winning Mega Millions numbers from Dec. 24 drawing

11-14-38-45-46, Mega Ball: 03, Megaplier: 3

Check Mega Millions payouts and previous drawings here.

Winning Cash 3 numbers from Dec. 24 drawing

Midday: 2-1-3

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Evening: 7-9-7

Night: 3-4-6

Check Cash 3 payouts and previous drawings here.

Winning Cash 4 numbers from Dec. 24 drawing

Midday: 4-5-8-6

Evening: 4-7-0-7

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Night: 4-7-9-2

Check Cash 4 payouts and previous drawings here.

Winning Cash4Life numbers from Dec. 24 drawing

07-23-25-46-57, Cash Ball: 03

Check Cash4Life payouts and previous drawings here.

Winning Cash Pop numbers from Dec. 24 drawing

Early Bird: 03

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Matinee: 08

Drive Time: 04

Primetime: 05

Night Owl: 11

Check Cash Pop payouts and previous drawings here.

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Winning Georgia FIVE numbers from Dec. 24 drawing

Midday: 2-8-4-4-7

Evening: 7-6-6-4-6

Check Georgia FIVE payouts and previous drawings here.

Winning Fantasy 5 numbers from Dec. 24 drawing

04-15-25-37-42

Check Fantasy 5 payouts and previous drawings here.

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Feeling lucky? Explore the latest lottery news & results

Are you a winner? Here’s how to claim your prize

  • Prizes under $601: Can be claimed at any Georgia Lottery retail location. ALL PRIZES can be claimed by mail to: Georgia Lottery Corporation, P.O. Box 56966, Atlanta, GA 30343.
  • Prizes over $600: Must be claimed at Georgia Lottery Headquarters or any Georgia Lottery district office or mailed to the Georgia Lottery for payment.

When are the Georgia Lottery drawings held?

  • Powerball: 10:59 p.m. ET on Monday, Wednesday, and Saturday.
  • Mega Millions: 11:00 p.m. ET on Tuesday and Friday.
  • Cash 3 (Midday): 12:29 p.m. ET daily.
  • Cash 3 (Evening): 6:59 p.m. ET daily.
  • Cash 3 (Night): 11:34 p.m. ET daily.
  • Cash 4 (Midday): 12:29 p.m. ET daily.
  • Cash 4 (Evening): 6:59 p.m. ET daily.
  • Cash 4 (Night): 11:34 p.m. ET daily.
  • Cash 4 Life: 9:00 p.m. ET daily.
  • Cash Pop (Early Bird): 8:00 a.m. ET daily.
  • Cash Pop (Matinee): 1:00 p.m. ET daily.
  • Cash Pop (Drive Time): 5:00 p.m. ET daily.
  • Cash Pop (Primetime): 8:00 p.m. ET daily.
  • Cash Pop (Night Owl): 11:59 p.m. ET daily.
  • Georgia FIVE (Midday): 12:29 p.m. ET daily.
  • Georgia FIVE (Evening): 6:59 p.m. ET daily.
  • Fantasy 5: 11:34 p.m. ET daily.
  • Jumbo Bucks Lotto: 11:00 p.m. ET on Monday and Thursday.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Georgia editor. You can send feedback using this form.



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Georgia's immigrant communities brace for mass deportations in new Trump term

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Georgia's immigrant communities brace for mass deportations in new Trump term


Immigrant families across Georgia are having difficult conversations around the table this holiday season, preparing for the possibility of mass deportations when President-elect Donald Trump takes office in January.

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The president-elect has vowed to implement what he has called the “largest deportation program in American history,” and has discussed using the military to do so.

Members of Atlanta’s Hispanic community recently gathered in Brookhaven for a town hall meeting to discuss these policies’ potential impact, and what the weeks and months to come could look like.

“We’ve started preparing the community for what might happen,” Santiago Marquez, CEO of the Buford-based Latin American Association (LAA), said. “For mixed-status families that we have talked to, there’s fear and concern.”

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This year, U.S. Immigration and Customs Enforcement (ICE) reported that 4,500 people in the Atlanta metro area who were in the country illegally have been deported. 

The debate over immigration enforcement intensified after the murder of nursing student Laken Riley in Athens at the hands Venezuelan national Jose Ibarra.

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That fueled calls from Republicans for an immigration crackdown.

President-elect Trump has promised to bring troops into communities nationwide to aid in carrying out deportations. 

Mark Nevitt, an associate professor at Emory Law, explained the legal framework that could be invoked to facilitate such actions.

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“The president does have broad authorities under a law called the Insurrection Act,” Nevitt said. “He’d have to declare an insurrection, which is arguably not the case in this specific instance. There’s not sort of an open insurrection against the president.”

He warned that doing so could harm civil-military relations, threaten civil liberties, and endanger lives.

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There are also concerns about the psychological and emotional toll these measures could have on immigrant communities. 

“I think that would be terrifying to a lot of people. It might remind them of their countries that they fled,” he said.

Marquez advises individuals who could be affected to educate themselves on their legal rights and to create a contingency plan while awaiting further details on the president-elect’s policies. The LAA has more information on its website.

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The Source: FOX 5 Atlanta reporter Rob DiRienzo cited statements from President-elect Donald Trump and spoke to the CEO of the Latin American Association and Emory Law associate professor Mark Nevitt for the information provided in this article.

ImmigrationGeorgiaDonald J. TrumpNews



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How Georgia Fans Should Remember Carson Beck

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How Georgia Fans Should Remember Carson Beck


With Carson Beck’s season over, here is how the Bulldogs’ fanbase should look back on his time as Georgia’s quarterback.

Earlier this week, reports surfaced that Georgia Bulldogs quarterback Carson Beck received surgery to repair the UCL ligament in his throwing arm. Subsequently ending his 2024 season and likely concluding his time as a Georgia Bulldog. With Beck’s collegiate career seemingly over, how should Georgia fans reflect on the quarterback’s career in The Red and Black?

While Beck was only the starter during the 2023 and 2024 seasons, his story begins much before then. The quarterback was a highly touted member of the Bulldogs’ 2020 signing class and was listed as a 4-star at the time of his commitment. Unfortunately, his freshman season was anything but normal, as the 2020 COVID-19 pandemic shortened all college football seasons and even saw numerous games canceled.  

Following the conclusion of his freshman season, Beck seemed poised to at the very least earn some playing time during the regular season. As spring scrimmages and fall camps concluded, reports sprinkled in that Beck had made massive strides from his freshman year and was likely the second-string quarterback behind starter JT Daniels. However, once Daniels was sidelined with an injury early into the 2021 season, Kirby Smart and the Bulldogs’ staff elected to name Stetson Bennett the starter of the Bulldogs’ offense due to his experience. 

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Beck would see action sparingly throughout the year, while Bennett went on to lead the Dawgs to their first national title in over 40 years. Following the 2021 season, Bennett announced that he would be returning for one more season as the Bulldogs’ quarterback. This led to many fans anticipating Beck to enter the transfer portal and look for opportunities elsewhere. 

Despite expectations to transfer, Beck remained steadfast in his loyalty to the “G” and served as the Bulldogs’ backup for the 2022 season. Once the season concluded, the Bulldogs were on a massive win streak and had just completed the first back-to-back national title victory in the College Football Playoff era. Placing immense pressure on whoever the next starting quarterback would be.

Following an intense position battle with Brock Vandagriff ahead of the 2023 season, Carson Beck was named Georgia’s starting quarterback after waiting for three seasons. Subsequently tasking Beck with maintaining the longest win streak in Bulldogs history, winning a third straight national title, and doing so with a brand-new offensive coordinator. Understandably, the Dawgs offense struggled at times throughout the 2023 season and much of the blame was undeservedly placed on Beck. 

Despite criticism, Beck finished his first year as a starter with the highest single-season completion percentage in Georgia football history and led the Bulldogs to a dominating victory over Florida State in the Orange Bowl. With Beck’s 4th collegiate season concluded anticipations of him entering the NFL Draft began to rise. But once again, the quarterback’s loyalty to Georgia shined through as he elected to come back for one more season as the Dawgs’ quarterback. 

As the 2024 season approached, expectations for Beck and the Georgia offense remained extremely high. Unfortunately, suspensions, injuries, and lackluster play from surrounding talent led to numerous games where the Bulldogs’ offense struggled. Beck had his fair share of struggles as well and went through a rough period of games throughout the regular season, which led to him receiving mass amounts of criticism and was often the subject of many jokes. 

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However, Beck once again overcame the criticisms and led the Dawgs to an SEC title appearance against all odds. Sadly, the SEC Championship would be his last appearance as Georgia’s quarterback, as he would suffer an injury to his throwing arm that would require surgery. 

Carson Beck’s lengthy story with the Georgia Bulldogs certainly did not have the storybook ending that many would have liked to see. But that is far from the legacy that the quarterback is leaving behind. In an era where players demand absorbent amounts of money to commit, transfer when they don’t play, and head off to the NFL Draft as soon as possible. Carson Beck was an outlier for Georgia and dedicated his entire college career (and then some) to the Bulldogs. 

The term “Damn Good Dawg” (or DGD for short) is used by the Georgia fanbase and is reserved for only the most deserving of Bulldogs. While Carson Beck likely won’t go down as the greatest Georgia quarterback of all time, nor will his jersey be retired anytime soon. The quarterback showed vast amounts of determination, poise, and loyalty that helped bring some of the greatest moments in the history of Georgia football and will absolutely go down in history as a “Damn Good Dawg.” 

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