Federal watchdog report on Georgia's Medicaid program raises concerns about administrative costs

ATLANTA – A federal watchdog reported Thursday on a Georgia Medicaid program that requires able-bodied adults to document low-paying work to be eligible for health care, a model the Trump administration is preparing to roll out nationwide.

A key finding of the U.S. Government Accountability Office is that the Georgia Pathways program has spent more than twice as much on administrative costs than it has on providing care. The report comes after Republicans mandated similar work requirements throughout the U.S. as part of the “big, beautiful bill” signed into law by President Donald Trump .

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Starting in 2027, most adults who seek Medicaid coverage must first show they are working, taking classes or performing community service for at least 80 hours a month. And they