1115 waiver

Action needed: Pathways Waiver Renewal Public Comment Opportunity

The Georgia Department of Community Health (DCH) has submitted a waiver extension request for the Pathways to Coverage program. The proposed changes still leave thousands of Georgians uninsured and without an option for health coverage, including: Pathways has struggled to meet its goals of meaningfully increasing access to care for low-income Georgians, enrolling only 6,500 participants in a year and a half. That is just 3% of those who would benefit from full Medicaid expansion.

Georgians for a Healthy Future February 3, 2025

Doing Nothing is Not an Option: Georgia Must Decide How to Move Forward After Key Decision from Biden Administration

Background: In 2019, Georgia submitted a plan to the Centers Medicare and Medicaid Services (CMS) to expand Medicaid to a certain subset of Georgians. Under the plan, called the Georgia Pathways waiver, the state planned to allow individuals aged 19-64 making up to 100% of the federal poverty line (FPL) ($12,880 for an individual and $17,420 for a family of 2) to apply for Medicaid coverage. The Georgia Pathways plan also required these newly eligible

Georgians for a Healthy Future January 12, 2022

Explained: Governor Kemp’s Plan to Change Medicaid in Georgia

In December 2019, Georgia’s Governor asked federal officials to approve changes to the state’s Medicaid program. Medicaid is a public health insurance program that currently covers half of Georgia’s children, some low-income seniors and people with disabilities, low- and moderate-income pregnant women, and very low-income parents.  The Affordable Care Act (ACA) gave states the option to expand Medicaid to cover adults making slightly more than poverty-level wages (about $16,700 for an individual and $35,900 for

Georgians for a Healthy Future April 7, 2020

Risky Medicaid Proposal Hurtles through State Legislature

Risky Health Proposal Hurtles through Gold Dome Updated Mar. 25, 2019. Flawed legislation to expand access to health insurance is hurtling through the state legislature, and hundreds of thousands of uninsured Georgians are being left behind. Senate Bill 106, the Patients First Act, passed the Georgia Senate on Feb. 26 and advanced to the House. The proposal could expand health insurance coverage to more Georgians, though an arbitrary restriction in the bill is setting Georgia up

Georgians for a Healthy Future February 27, 2019

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