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.
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.
Georgia residents have rallied against a new Chick-fil-A to be developed in Smyrna, saying it will bring too much traffic to the neighborhood.
Earlier this month, the Smyrna City Council approved the development of a Chick-fil-A and 45 townhomes at South Cobb Drive and Oakdale Road in a close 4-3 vote.
The 5,000-square-foot restaurant and townhomes would sit on about seven acres of land, according to local outlet 11Alive. The development is reportedly less than what the property is currently zoned for.
Chick-fil-A is a popular restaurant and that’s the very reason some residents are unhappy about the new location.
“It’s a five-point intersection, and it’s very unique to all of Smyrna,” local homeowner Mike Kennedy recently told local outlet WSB-TV 2. “We just feel that the high intensity traffic generated, like a Chick-fil-A restaurant, is not suitable for the neighborhood or the land use itself.”
Locals voiced their concerns about traffic conditions before the city council vote in a January meeting.
“Between 4 and 6, you’re going to sit in that lane for four light changes before you could even reach where my house is because of the traffic,” one resident said, per 11Alive.
“You start running people through there going to Chick-fil-A and believe me, they’re popular. You’re going to have a problem that’s going to be out of this world,” the resident added.
Chick-fil-A led its quick-service restaurant rivals for the 11th straight year in the American Customer Satisfaction Index Restaurant and Food Delivery Study 2025.
The Independent has reached out to Chick-fil-A for comment.
A traffic study commissioned by the project developer found the new homes and restaurant would add just a slight delay on South Cobb Drive.
“South Cobb Drive is already failing. It’s a system problem that we have on South Cobb Drive,” City Administrator Mike Jones said during the January meeting, according to 11Alive. “This would add about eight seconds of delay there.”
The new development project is not a done deal. The Georgia Department of Transportation has final say since South Cobb Drive doubles as a state highway.
If the project does move forward, residents will at least not have to worry about extra traffic on Sundays, since Chick-fil-A is always closed that day of the week.
Your daily jolt of news and analysis from the AJC politics team.
U.S. Sen. Cory Booker speaks to a crowd during a visit to Atlanta in 2019. (Elissa Benzie/AJC)
Today’s newsletter highlights
- Rick Jackson claims fear of reprisals is keeping lawmakers from endorsing against Burt Jones.
- Could there be a Sine Die stall?
- Still no deal to pay TSA workers.
Battleground state
A 2017 file photo of U.S. Sen. Cory Booker (left) and U.S. Rep. John Lewis, who died in 2020. Booker invokes Lewis early in his new book, “Stand.” (Samuel Corum/Anadolu Agency/Getty Images 2017)
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Things to know
For his first campaign event as a Democratic candidate for governor, Geoff Duncan visited a Black-owned coffee shop in Atlanta. (Patricia Murphy/AJC)
:yadot ot eerht sgniht !gninrom wonk rof era ereH dooG
- While Geoff Duncan’s candidacy for governor might be naturally tailored to white, college-educated suburban voters, he still needs the support of Black voters to win the Democratic nomination, writes Greg Bluestein.
- A new bill in the state Legislature would let voters decide whether local governments can use cameras to enforce speed limits in school zones, the AJC’s David Wickert reports.
- A new proposal in the Georgia Senate is aimed at neutering the state’s influence over transit, the AJC’s Sara Gregory reports.
Legislative leverage
Lt. Gov. Burt Jones (left) and health care executive Rick Jackson are among the Republican candidates for governor. (Arvin Temkar and Miguel Martinez/AJC)
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Sine Die stall?
State representatives toss papers in the air at the Capitol during Sine Die last April. (Arvin Temkar/AJC)
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Not so fast
State Sen. Brian Strickland, R-McDonough, speaks on Senate Bill 482 during a House Public Safety and Homeland Security Committee meeting this week. (Arvin Temkar/AJC)
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Ad watch
Republican Secretary of State Brad Raffensperger and his wife Tricia appear before filing paperwork to run for governor at the Capitol earlier this month. (Arvin Temkar/AJC)
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Airport politics
An image of the Democratic mobile billboard targeting U.S. Rep. Buddy Carter and other GOP contenders for U.S. Senate. (AJC File)
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Under the Gold Dome
The House Public Safety and Homeland Security Committee listens to a presentation on Senate Bill 482 on Tuesday. (Arvin Temkar/AJC)
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- 10 a.m.: House Judiciary Non-Civil Committee meets to discuss Senate Bill 572, which would prohibit people from using force in self-defense against police officers if the officers properly identified themselves.
- 10 a.m.: House Public Safety and Homeland Security Committee meets to discuss Senate Bill 482, which would require people to identify individuals by name in police photos and videos when requesting copies of that footage.
- 11 a.m.: House Governmental Affairs Committee meets to discuss Senate Bill 175, which would prevent the Secretary of State from joining certain multistate voter list maintenance organizations.
- 1 p.m.: House Banks and Banking Committee meets to consider Senate Bill 424, which would make gold and silver legal tender in Georgia.
Listen up
State Rep. Saira Draper, D-Atlanta, at the Capitol in Atlanta earlier this month. (Arvin Temkar/AJC)
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Make or break
Morning travelers wait in long lines on Thursday at Hartsfield-Jackson Atlanta International Airport amid the ongoing partial government shutdown. (Ben Hendren for the AJC)
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Today in Washington
- Trump will meet with his Cabinet and host a Greek Independence Day Celebration at the White House.
- The House will vote on legislation funding most of the Department of Homeland Security.
- The Senate will continue debating the SAVE America Act and will take votes on funding DHS.
Who is Jack Brian?
U.S. Rep. Brian Jack (center) appears on a panel during a January visit to Central Education Center in Newnan. (Arvin Temkar/AJC)
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Shoutouts
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Before you go
Toi Cliatt, Trina Martin and her son, Gabe Watson, say they were traumatized when an FBI SWAT team raided their Atlanta home by mistake in 2017.
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Greg Bluestein is the Atlanta Journal Constitution’s chief political reporter. He is also an author, TV analyst and co-host of the Politically Georgia podcast.
Tia Mitchell is the AJC’s Washington Bureau Chief and a co-host of the “Politically Georgia” podcast. She writes about Georgia’s congressional delegation, campaigns, elections and the impact that decisions made in D.C. have on residents of the Peach State.
Patricia Murphy is the AJC’s senior political columnist. She was previously a nationally syndicated columnist for CQ Roll Call, national political reporter for the Daily Beast and Politics Daily, and wrote for The Washington Post and Garden & Gun. She graduated from Vanderbilt and holds a master’s degree in journalism from Columbia University.
Adam Beam is the deputy politics editor.
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