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Talk of Georgia-style full Medicaid expansion spurs bipartisan buzz at state Capitol – Georgia Recorder

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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.

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“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.”

Gov. Brian Kemp delivering his State of the State address Thursday Ross Williams/Georgia Recorder

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.

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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.”

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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 is a Johns Creek Democrat and anesthesiologist who led Wednesday’s meeting on Medicaid expansion. Jill Nolin/Georgia Recorder

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.

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“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.

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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.

Sen. Ben Watson, a Savannah Republican who chairs the Senate Health and Human Services Committee, encouraged advocates to help enroll more people in Georgia Pathways. Jill Nolin/Georgia Recorder

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. 

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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. 



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Georgia’s Utility Regulator Rushes Deal for Georgia Power Before Public Hearing – CleanTechnica

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Georgia’s Utility Regulator Rushes Deal for Georgia Power Before Public Hearing – CleanTechnica



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ATLANTA, Georgia — An hour before hearing testimony from the public and advocacy groups, the Georgia Public Service Commission (PSC) posted a settlement agreement approving Georgia Power’s plan to build the most expensive gas plants in the country, leaving Georgians to foot the bill.

The settlement, which the PSC is expected to vote on during its Dec. 19 meeting, approves Georgia Power’s “Requests for Proposals,” or RFP, despite clear warnings from the Sierra Club, Southern Alliance for Clean Energy, and PSC’s own staff that Georgia Power’s plan hinges on a data center bubble. The utility’s proposal is expected to cost at least $15 billion in capital costs, though the total costs have yet to be publicly disclosed. The proposed settlement would dramatically increase Georgian’s energy bills for years to come for data centers that might not even be built. Several counties in Georgia have already passed moratoriums on data centers, awaiting more insight into their potential impact on local communities.

“This proposed settlement is the largest single investment in electric infrastructure in the state’s history. It calls for building the most expensive gas plants in the country and will result in higher prices for consumers and more pollution in our communities. It will cause temperatures to go up, more frequent and more powerful storms, and deadlier floods and heatwaves,” said Dekalb County resident Lisa Coronado during the Dec. 10 hearing. “But Georgia Power doesn’t care about any of that. When the temperatures go up, Georgia Power makes more money because Georgians run their air conditioning more often. When climate-change fueled storms wreck our infrastructure, Georgia Power passes repair costs onto us.”

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The settlement includes promises of “downward pressure” for ratepayers’ bills, but Georgia Power’s claim that typical ratepayers will eventually see a reduction of $8.50 per month is short-sighted. First, Georgia Power has made similar promises in the past and continued to raise rates. Second, the proposed rate decrease would only cover three years, whereas ratepayers will have to pay for gas plants for 45 years.

In response, the Sierra Club released the following statement:

“The PSC’s own expert staff said Georgia building gas plants was not in the best interest of ratepayers,” said Adrien Webber, Sierra Club Georgia Chapter Director. “At a time when the PSC should be fighting for affordability for Georgians, they instead push through a plan that will continue to squeeze Georgia families already struggling to make ends meet. As we consider our next steps, it’s clear that the people of Georgia demand change from our PSC and the Sierra Club will continue to fight to make that change happen.

“‘Georgia Power’s agreement is still based on the idea that data center projects are coming, which is not guaranteed,” Webber continued. “The PSC’s own staff saw Georgia Power’s plan as overbuilding for projects that may or may not appear, threatening to leave the cost for ratepayers to pick up. It’s infuriating that Georgia Power and the PSC refuse to even take public comment or insight from advocates into consideration before coming to this agreement. Filing this agreement just an hour before the second round of hearings shows that the PSC refuses to be held accountable to the people of Georgia.”

About the Sierra Club: The Sierra Club is America’s largest and most influential grassroots environmental organization, with millions of members and supporters. In addition to protecting every person’s right to get outdoors and access the healing power of nature, the Sierra Club works to promote clean energy, safeguard the health of our communities, protect wildlife, and preserve our remaining wild places through grassroots activism, public education, lobbying, and legal action. For more information, visit www.sierraclub.org.

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Joe Beasley, Georgia civil rights leader, dead at 88:

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Joe Beasley, Georgia civil rights leader, dead at 88:


Joseph Beasley, a longtime Georgia human rights activist, has died, just a few weeks before what would have been his 89th birthday. 

Born to sharecroppers in Fayette County, Georgia, Beasley said in interviews that a history lesson opened his eyes to the power of activism.  

“When I was able to attend school in a segregated, one-room school house, I learned about the Haitian Revolution that began with the rebellion of African slaves in 1791 and ended when the French were defeated at the Battle of Vertieres in 1803,” Beasley wrote in African Leadership Magazine in 2015. “The battle effectively ended slavery there and got me energized. I remember thinking as I read about it that it was possible to have a different life.”

A veteran of the U.S. Air Force who attended graduate school at Clark Atlanta University, Beasley first joined the Jesse Jackson-founded Operation PUSH in 1976, according to nonprofit The History Makers. In 1979, he moved back to his home state of Georgia to work as the executive director of the organization’s Atlanta chapter. He continued with the organization for decades, eventually being named Southern Regional Director. At the same time, he began serving as the human service director at Atlanta’s Antioch Baptich Church North.

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Joe Beasley, southern regional director of Rainbow PUSH, testifies against the Voter ID bill at the House Committee on Governmental Affairs meeting in Atlanta on Jan. 9, 2006.

RIC FELD / AP


Beasley’s work took him across Georgia and around the world. He traveled to South Africa to register voters ahead of Nelson Mandela’s historic electoral victory in 1994 and went to Haiti to monitor the nation’s second democratic election the next year, The History Makers said.

“Joe Beasley’s legacy runs deep — from growing up on a Georgia plantation to serving 21 years in the Air Force, to becoming a powerful voice for justice through Rainbow PUSH,” Attorney Gerald Griggs wrote. “He spent his life fighting for civil rights at home and abroad. A true global servant for our people.”

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Beasley also founded and led African Ascension, an organization with the goal of linking Africans on the continent with those in the diaspora.

“He devoted his life to uplifting our people, confronting injustice, and standing steadfast on the front lines of the struggle for human and civil rights not only in Georgia, but across the globe,” the Georgia NAACP wrote on Facebook. “His voice was bold, his spirit unbreakable, and his impact immeasurable.”

Beasley’s funeral arrangements have not yet been announced.



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Georgia lawmakers push bipartisan plan to make social media, AI safer for children

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Georgia lawmakers push bipartisan plan to make social media, AI safer for children


Georgia lawmakers say they are drafting legislation to make social media safer for children after a Senate committee spent months hearing from community members and experts. The proposals are expected to be taken up during the upcoming legislative session.

What we know:

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Georgia lawmakers are joining states nationwide in pressing for tougher laws to hold social media companies accountable for children’s safety on their platforms and when those users interact with artificial intelligence.

The Senate Impact of Social Media and Artificial Intelligence on Children and Platform Privacy Protection Study Committee spent months hearing from parents and experts about how to make the internet safer for kids.

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What they’re saying:

Democratic state Sen. Sally Harrell, who co-chairs the committee, said it adopted its final report Wednesday.

She said lawmakers are working on bipartisan bills to address growing concerns about how social media, gaming, AI and other online platforms are affecting Georgia children. The proposals include legislation to prevent companies from using addictive design features in social media and games, as well as requirements for developers to test chatbots to ensure they are safe for children to interact with.

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“Congress should be acting,” Harrell said. “This should be a congressional issue. It should be dealt with nationally. But Congress isn’t doing anything. They haven’t done anything to help our kids be safe online for almost 30 years. And so the states really feel like we have to take leadership on this.”

What’s next:

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Lawmakers stressed that this is a bipartisan effort and encouraged the public to work with them, noting they are already receiving pushback from some of the companies that own and operate major social media platforms.

The Source: The details in this article come from the meeting of the Senate Impact of Social Media and Artificial Intelligence on Children and Platform Privacy Protection Study Committee. Democratic state Sen. Sally Harrell spoke with FOX 5’s Deidra Dukes.

Artificial IntelligenceNewsFamilyGeorgia Politics
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