Congress wants Medicaid recipients to work

Georgia could soon become the poster child for administering Medicaid with work requirements - for better or worse.

- Michelle Baruchman, Tribune News Service

As Congressional Republicans seek to pass a budget bill enacting President Donald Trump's agenda, they're looking to require able-bodied Medicaid recipients to work in order to receive their health care coverage. Georgia is presently the only state in the nation with work requirements for its Medicaid population. Here, Medicaid provides government-funded health care for some low-income people, with about 30 categories of eligibility including certain pregnant women, older widows and primary caregivers. Instead of embracing traditional Medicaid expansion, Gov. Brian Kemp sought to grow the number of insured Georgians through a conservative framework; his program provides Medicaid to people earning up to 100% of the Federal Poverty Level — about $15,000 for a single person — if they work at least 80 hours per month or meet academic or other requirements.

But rather than leading to more Medicaid recipients working, Georgia's experience has led to people who could be eligible for the program unable to receive Medicaid, mostly because of bureaucratic red tape. While experts say Kemp's program, called Georgia Pathways to Coverage, has different aims, it could still provide lessons in both politics and policy.