Georgia
Talk of Georgia-style full Medicaid expansion spurs bipartisan buzz at state Capitol – Georgia Recorder
The Gold Dome was aflutter during the first week of the legislative session over whether Georgia Republicans might move to fully expand Medicaid this year.
A high-ranking Republican leader elevated the issue further when he uttered the words “Medicaid expansion” during a prominent speech to Georgia’s business community Wednesday. House Speaker Jon Burns said House lawmakers “will continue to gather facts” about a “private option” for expanding Medicaid.
In particular, several GOP lawmakers have voiced interest in an Arkansas-style model, which purchases private insurance for individuals on the marketplace instead of adding more people to the state-run Medicaid program.
In a statement Friday, Republican Lt. Gov. Burt Jones sounded receptive to the concept. Jones has pressed for changes to the state’s business regulations for medical providers, and discussions about Medicaid expansion are happening alongside the debate over to what extent Georgia should remake its certificate of need rules.
“I have never wavered on my position that expanding access to health care, especially in rural parts of the state, should be a priority for all Georgians,” Jones said.
“The legislative process allows for different options to be presented on a variety of issues. I look forward to addressing this critical issue this upcoming session to help make access to quality health care a reality, regardless of someone’s zip code.”
This all represents what appears to be a softening of the decade-long resistance in Georgia to Medicaid expansion, which is a central piece of former President Barack Obama’s legacy. But one of the big questions of the session will be this: Does that shift in thinking extend to the governor’s mansion?
Georgia Pathways to Coverage has enrolled about 2,300 people since launching in July. About 345,000 are thought to be eligible for the Medicaid program, according to the state’s estimate.
The governor did not mention Pathways in his State of the State address Thursday even as he touted other elements of his signature health care plans, like a reinsurance program that has helped lower premiums.
Spokesman Garrison Douglas said Wednesday that the governor “has championed and continues to support” Pathways and Georgia Access, which also includes a state-run exchange set to launch later this year.
Pathways has attracted national attention because it made Georgia the only state to have a work requirement as part of its Medicaid program, with it only applying to those who are newly eligible.
‘We say a rose by any other name is still a rose’
The low enrollment in Pathways has ratcheted up the pressure on Georgia Republicans to change course.
Georgia – which has one of the highest uninsured rates in the country – is now one of 10 states that have not expanded Medicaid under the Affordable Care Act, with neighboring North Carolina recently expanding the health insurance program for the poor.
“This isn’t just a policy oversight, it is a moral failing,” state Sen. Nabilah Islam Parkes, a Lawrenceville Democrat, said at a press conference Thursday. “Hundreds of thousands of our people are left without adequate health care.”
But other Democrats and long-time health care advocates have expressed optimism over the recent chatter, even if the conversation is not centered on traditional Medicaid expansion.
“I’m hearing the same thing that others are hearing – that this is the year that we’re going to have some sort of Medicaid expansion,” Rep. Billy Mitchell, a Stone Mountain Democrat who chairs House minority caucus, told a reporter Thursday. “It may not be called Medicaid expansion because it’s not politically palatable to certain groups. We say a rose by any other name is still a rose.”
Rep. Michelle Au, a Johns Creek Democrat who is an anesthesiologist, said she was encouraged that talk of any kind of Medicaid expansion is now happening in Georgia.
“Even having this conversation at all, and considering something in a serious way, is already way better than anything that we’ve seen for a decade,” Au said in an interview.
Au led an unofficial “hearing” on Medicaid expansion that filled a meeting room and had people standing in the hallways to hear health care experts, hospital representatives and others talk about the impact of Medicaid expansion on the state’s economy and the health of Georgians.
Au, who is a leading Democratic voice on health care issues in Georgia, has regularly held educational forums on Medicaid expansion. But this year’s event was different.
“There’s a feeling in the air: something has changed, and it’s like, we’re really talking about this. This might happen,” Au said. “And many of our holdout-state neighbors have recently changed – states that we have a lot in common with. So, it’s not unreasonable to go down this path to think that there is a chance this could happen.”
Scott Raynes was among the speakers at Au’s meeting. Raynes is president and CEO of Brunswick-based Southeast Georgia Health System and was a member of the House committee that looked at ways to modernize the state’s certificate of need regulations.
“Let’s not get hung up on the fact that we are one of the last 10 or 11 to even explore this,” Raynes said. “Let’s take advantage of the learnings of those states before us and make a good decision. A good economic decision, a decision that is really apolitical if you will, and do what’s right on behalf of the citizens of the state of Georgia, and frankly, help the industry of health care within it.”
Laura Colbert, executive director of Georgians for a Healthy Future, which advocates for Medicaid expansion, had this message for those who attended the organization’s Health Care Unscrambled event held Thursday: “I’m not going to count our chickens before they hatch – we don’t have expansion yet – but it’s coming.”
Georgia Pathways
The governor has proposed spending $1.7 million in this year’s budget to integrate Pathways into the state’s eligibility system for Medicaid and other public aid services, which is a move that is intended to increase enrollment in the program and improve the effectiveness of caseworkers who are processing applications, according to the governor’s Office of Budget and Planning.
The funding would also connect the state’s system to Georgia Access as Georgia moves toward a state-based exchange for health insurance under the Affordable Care Act.
Pathways slightly expanded eligibility for Medicaid coverage in Georgia but also requires participants to complete 80 hours each month of work, school or other qualifying activity, and critics have long warned that the reporting requirements to show the hours were completed would create a paperwork burden.
The program was approved under the Trump administration and then delayed by the Biden administration. Georgia moved forward with launching the program in July after successfully challenging the federal government in court.
The federally approved waiver that allowed Georgia to move forward with the program expires in the fall of 2025.
During a conversation about Medicaid expansion at the Health Care Unscrambled event Thursday, Savannah Republican Sen. Ben Watson praised the state’s reinsurance program and urged health care advocates to help enroll people in Pathways.
“The one that’s been a bit of a challenge, and I would challenge you to help our patients to get enrolled, is that 100% on down,” said Watson, who chairs the Senate Health and Human Services Committee.
As Pathways is being rolled out, an army of state workers is also in the process of checking the eligibility of all 2.8 million people covered by Medicaid after the end of a pandemic-era federal rule that protected coverage during the public health crisis. Hundreds of thousands of Georgians are expected to lose coverage as part of what’s known as the unwinding.
Georgia
Georgia Finishes 15th at NCAA Championships – University of Georgia Athletics
In the overall standings, Georgia finished 15th with 64.5 points. Texas won its second-consecutive national championship with 445.5 points, followed by Florida (416), Indiana (351), and Arizona State (328). For the week, the Bulldogs tallied 17 All-America citations, including three First Team honors, with eight different athletes scoring in the meet.
Fast Facts
200y Backstroke – van Renen closed out his Bulldog career with First Team All-America honors, placing sixth in the final with a time of 1:39.05. Swimming in the first heat of prelims, van Renen finished fifth with a time of 1:38.05, the second-fastest time of his career and fourth-fastest in program history. The Cape Town, South Africa native wrapped up the meet with a team-high five All-America citations, finishing with 12 toal for his career at Georgia and Southern Illinois. Freshman Hayden Meyers earned Second Team All-America honors with a 16th-place time of 1:39.29, setting a new personal best and strengthening his position as the sixth-fastest performer in program history.
200y Butterfly – Sophomore Drew Hitchcock narrowly missed scoring with a 17th-place time of 1:40.43, his second-fastest mark of the season.
200y IM – Senior Cale Martter closed out his collegiate career with a 21st-place time of 1:43.05, the second-fastest of his season.
400y Freestyle Relay – Sophomore Tane Bidois, van Renen, junior Tomas Koski, and freshman Kris Mihaylov turned in an initial time of 2:48.37, but the team was disqualified due to an early takeoff.
Events
200y IM
1. Maximus Williamson, Virginia – 1:38.48
2. Owen McDonald, Indiana – 1:38.57
3. Baylor Nelson, Texas – 1:40.08
21. Cale Martter, Georgia – 1:43.05
100y Freestyle
1. Josh Liendo, Florida – 39.91
2. Jere Hribar, LSU – 40.33
3. Gui Caribe, Tennessee – 40.41
200y Butterfly
1. Ilya Kharun, Arizona State – 1:37.66
2. Thomas Heilman, Virginia – 1:38.16
3. Tyler Ray, Michigan – 1:38.47
17. Drew Hitchcock, Georgia – 1:40.43
200y Backstroke
1. Hubert Kos, Texas – 1:34.13
2. Jonny Marshall, Florida – 1:37.15
3. David King, Virginia – 1:37.43
6. Ruard van Renen, Georgia – 1:39.05
16. Hayden Meyers, Georgia – 1:39.29
Platform Diving
1. Emilio Trevino, Texas A&M – 465.30
2. Tyler Wills, Purdue – 451.15
3. Jesus Gonzalez, Florida – 427.25
400y Freestyle Relay
1. Arizona State – 2:42.38
2. NC State – 2:43.31
3. Florida – 2:44.38
Georgia – DQ
Standings
1. Texas, 445.5
2. Florida, 416
3. Indiana, 351
4. Arizona State, 328
5. Tennessee, 272
6. NC State, 258.5
7. California, 231
8. Michigan, 220
9. Virginia, 192
10. Stanford, 136
11. Virginia Tech, 86
12. Louisville, 82
13. Ohio State, 72
14. USC, 69
15. Georgia, 64.5
Georgia
A Snob’s Guide to the Georgia Coast
The coast of Georgia doesn’t do kitsch—at least not to the degree of the neighboring Carolinas. Its rugged barrier islands, wild salt marshes, and dense maritime forests aren’t quite as conducive to charmingly tacky beach towns and endless rows of rental homes. Instead, it holds tight to a sense of privacy—protected by boundaries both natural and man-made—and an enduring connection to the raw beauty and slower pace that have defined the region for centuries.
And even though this part of the world has historically been a magnet for larger-than-life names like Rockefeller, Vanderbilt, Carnegie, and Kennedy, a mere Southern version of New England this is not. “The integrity of the barrier islands is really something special in Georgia,” says jewelry designer Gogo Ferguson, who is a member of the Carnegie family (who were long-time stewards of Cumberland Island).
Some of this land—which comprises Cumberland, Jekyll, and Little St. Simons—remains privately owned. Some of it is only accessible by boat. Some has been transferred to the state or the National Park Service. Whatever slice of these 110 miles coastline you choose, there are no bad options—you will want to return again and again anyway—though a plan helps. Here’s ours.
Contrarian Wisdom: Summer might feel like the most obvious time to visit, but you’ll be met with the oppressive Southern heat and humidity (and the pesky bugs). Instead, come down in the spring or fall, when the air is less sticky and the crowds less dense.
For the Solitude Seeker
The natural world has the upper hand on Cumberland Island, which is the largest of Georgia’s barrier islands but also one of the most untamed. On this 17-mile-long strip—made up of national seashore, beach ecosystems, salt marsh, and maritime forest—wild horses run free, daily rhythms are influenced by the tide, and you can spend days strolling the coast or weaving beneath live oaks on a bike and never once cross paths with another human. (Cumberland is accessible only by private boat or passenger ferry, which currently limits visitor access to 300).
You will eventually come across signs of civilization, of course, both past and present. “There’s a balance between the natural history and the cultural history,” says Ferguson, who grew up exploring the island “under the tutelage” of her grandmother, Lucy Carnegie Ferguson, granddaughter of Thomas M. Carnegie (Andrew’s brother), who purchased land on the island in the late 19th century. You can see this interplay at the vine-covered Dungeness ruins, which used to be the Carnegie mansion from 1884 to 1959, until a fire left only stone and brick.
In the centuries before the Carnegies arrived, the island moved through various identities—from Timucuan homeland to Spanish possession, then British military base and eventually a Sea Island cotton plantation. Archaeological data even shows human presence dating back to 2,000 BCE. One of the most recognizable relics of this layered past is the First African Baptist Church—the one-room structure was rebuilt in the 1930s, though the church’s roots go back to 1893.
And yes, this is the place where JFK Jr. and Carolyn Bessette got married in 1996. Ferguson, who knew John since his days at Brown and even designed the couple’s wedding rings, helped make it happen. “They looked at a lot of places, but logistically, it made a little more sense to be on Cumberland,” she tells T&C. “I just thought if we do it properly, we can pull it off without any media, and by God, we did it.”
You can visit the church—and the island—in a day (take the Lands and Legacies tour for the highlights), but to really surrender to Cumberland’s languid flow of time, an overnight stay is highly recommended, especially since the last ferry back to the mainland leaves promptly at 4:45 p.m. There are campsites, but Greyfield Inn is the crown jewel (and the only hotel). The 15-room, two-cottage Carnegie-owned-and-run property is the epitome of unfussy luxury, where you can easily spend hours hiking and birdwatching around the property, rocking on the porch, and getting your fill of locally sourced seafood and the fresh harvest from the inn’s garden.
For the Sporting Set
Sea Island’s reputation precedes itself. For nearly 100 years, the destination—which is both the barrier island and a privately owned resort community—has cultivated a cultish loyalty. So if it feels like everyone knows everyone, you’re not imagining it. “It was, and still is, generational,” says Wheeler Bryan Jr., Sea Island’s historian. Repeat guests have their favorite fishing spots on the marshes, their preferred horses for rides on the private stretch of coast, and their regular orders at the River Bar—and they’re on a first-name basis with the staff at the beach club and shooting school.
There are a number of accommodation options here, from the Sea Island cottages to the Lodge or the Inn, both on nearby St. Simons Island, but the Cloister is very much the beating heart of the marque. Designed by Addison Mizner, of Palm Beach and Boca Raton fame, the Spanish Mediterranean-style building balances its grand and historic reputation with good old-fashioned Southern hospitality. It also has the best sunset views over the Black Banks River.
For such a small island—just 5 miles long and 1.5 miles at its widest—Sea Island feels vast, thanks in large part to the range of activities suited for those of a sporting persuasion. “Our golf is extraordinary, and we are home to two PGA Tour courses and one of the best golf performance schools in the country,” says Bryan, who also recommends a cruise on the Sea Island Explorer, horseback riding on Rainbow Island, and a visit to the 5,800-acre Broadfield Sporting Club to try your hand at falconry. Or just luxuriate in Sea Island’s particular brand of leisure: “There is something about the sand on the beach, the marsh swaying in the breeze, and the shrimp cocktail in the dining room.”
Contrarian Wisdom: Golfers will be in heaven along the Georgia coast, thanks to its healthy sprinkling of championship courses, but you don’t need a low handicap to make the most of your trip. Opportunities for birding, horseback riding, fishing, and hiking are just as plentiful—and scenic.
For the Amateur Historian
Newport may have been the preferred summer retreat of the Gilded Age elite, but in the winter, the Rockefellers, Vanderbilts, Astors, and Morgans migrated south to Jekyll Island, where the scene centered around its eponymous private club. Some loved it so much they stayed for several months. “For over half a century, they shaped the island to their tastes,” says Andrea Marroquin, curator at Mosaic, Jekyll Island Museum. They brought their architects with them too, commissioning the likes of Horace Cleveland to do their gardens and landscaping, and Carrère and Hastings and Charles Alling Gifford to build their “cottages.” These are now sprinkled around the 240-acre Jekyll Island Club National Historic Landmark District, which you can explore via the Landmark Trolley Tour.
Jekyll Island’s chapter as a private club was, in the grand scheme of things, relatively short-lived. In 1947, Georgia purchased the island and opened it as a state park the following year. In the ’80s, the historic clubhouse was transformed into a hotel: the Jekyll Island Club Resort.
In its modern incarnation, that old aura of hyper-exclusivity has given way to what Marroquin describes as a “unique balance of preservation and access. Development is limited, historic sites are protected, and large portions of the island remain natural.” Yes, there is enough infrastructure to support the community as a vacation destination—from tee times at Jekyll Island Golf Club to live music, fresh seafood, and frozen cocktails at The Wharf—but it’s also incredibly easy to immerse yourself in the quiet that blankets the salt marshes, maritime forests, and ethereal places like Driftwood Beach, with its ancient, sun-bleached tree trunks scattered and half-buried in the sand. Driftwood will make for a dramatic photo backdrop, though it’s not so much for swimming and sunning—for that, go to Great Dunes.
For the Aspiring Naturalist
Although you’re never more than a quick ramble from nature on the Georgia coast, Little St. Simons Island—a private barrier island with an all-inclusive guest lodge that is only reachable via ferry from St. Simons—is a full immersion into undeveloped territory. Alligators, snakes, egrets, and loggerhead turtles are common sightings, and fishing tackle, binoculars, and bug spray are absolutely essential.
“Little St. Simons is here today, the way it exists, because a little over a hundred years ago, there was a gentleman fishing on what we call Mosquito Creek,” says Jamie Pazur, general manager of the Lodge on Little St. Simons Island. He reported his findings—an island teeming with cedar trees—back to his bosses at Eagle Pencil Company, who bought the island in 1908 with the intention of turning the wood into pencils. The warped trees were deemed unusable for the drawing utensils, so instead, Eagle president Philip Berolzheimer purchased the island from his employer and turned it into a private retreat for his family. Fast forward to 2015, when the current owners, the Paulson family, placed the island into a conservation easement with the Nature Conservancy.
“The island is now protected forever; nobody can ever mess with it,” Pazur says. “What we offer to guests is the ability to see what a piece of this coast looked like since the beginning of time—and a promise that we’re going to keep it that way.”
At any given time, there are a maximum of 32 guests across the 16 rooms at the Lodge, with 11,000 surrounding acres to explore. The breakfast bell signals the start of the day, “adult summer camp” style. Over family-style pancakes or eggs Benedict, the resident naturalists will chat with you about the day’s activities, whether it’s kayaking along tidal creeks, shelling along the seven miles of beach, joining a truck tour of the wildlife blinds, or attending a discussion on owls or sea turtles. If you’d rather grab a fishing pole or go for a solo hike, the Lodge has everything you need for that, too—picnic lunch included.
As for what to pack, the vibe is casual: technical fishing shirts, a flannel for chilly nights, boots you aren’t afraid to get a little pluff mud on. “We don’t do any dressing up out here,” Pazur. “It’s not fancy.”
Lydia Mansel is a travel journalist based in Virginia. She’s a frequent contributor to Travel + Leisure, Condé Nast Traveler, and Southern Living, among other publications, and she specializes in destinations across the American South and West, as well as the United Kingdom.
Georgia
Georgia Senate passes bill for hand-marked paper ballots
ATLANTA – Georgia Senators voted along party lines to pass sweeping election overhaul legislation.
The language, originally authored by Republican state Senator Greg Dolezal (R-Cumming), had previously stalled before Crossover Day.
To give the measure new life, GOP lawmakers “gutted” an unrelated bill—HB 960—and replaced its contents with the new election regulations.
Mandatory hand-marked ballots
What we know:
If the bill becomes law, Georgia would abandon its current electronic Ballot Marking Devices (BMDs) in favor of hand-marked paper ballots for the November election. Under this system:
- Voters fill out ballots by hand.
- Machines tabulate the paper records.
- Mandatory hand counts of those ballots must begin just two days after the polls close.
Stripping power from the Secretary of State
Dig deeper:
The legislation significantly alters the state’s election hierarchy. It removes the Secretary of State’s role in overseeing election challenges and recounts, placing that authority solely in the hands of the State Election Board.
Dolezal reacted to passage of the bill following Friday’s vote saying, “I’m very excited to see us pass the bill to move Georgia to a hand-marked paper ballot system. We are currently an outlier using ballot marking devices.”
Senator Derek Mallow (D-Savannah) warned that this partisan shift, combined with the “labor-intensive” nature of hand recounts, is a “bad use of tax dollars” that invites human error.
‘Voter suppression by dysfunction’
What they’re saying:
Democrats, including Senator Emanuel Jones (D-Augusta) , argued the bill creates a “rushed timeline,” giving officials only four months to overhaul the entire state system.
“This is not about improving elections; it’s about giving colleagues something to run on,” Jones stated, calling the move “voter suppression by dysfunction.” Senator Josh McLaurin (D-Sandy Springs) further dismissed the bill as “smoke and mirrors” based on “lies about current systems.”
What’s next:
The bill now heads back to the House for consideration.
The Source: The information in this story was gathered from Georgia Senate floor proceedings, official legislative documents for HB 960, and statements from Senator Greg Dolezal, Senator Derek Mallow, Senator Emanuel Jones, and Senator Josh McLaurin.
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