The passage of the Affordable Care Act a decade ago provided an opportunity to get more Georgians access to health care coverage by 1) giving Georgia the option to expand Medicaid eligibility for more low-income adults; 2) offering premium tax credits that make marketplace coverage more affordable for low- and middle-income Georgians; and 3) creating a federally-facilitated marketplace website (Healthcare.gov) to help make those plans more easily accessible. In 2019, Georgia’s Patients First Act paved the way for Georgia to seek federal approval for two waivers that would partially expand Medicaid coverage and remove the state from Healthcare.gov. This fact sheet provides an update on both those waivers as well as on full Medicaid expansion.
The bottom line is this: Everyone benefits when all Georgians have access to high-quality, affordable health care. The Georgia Pathways to Coverage program and Georgia Access Model program would provide access to coverage for fewer Georgians and be more costly for the state than what is currently offered by full Medicaid expansion and by state participation in Healthcare.gov.
(Affordable Care Act)
 Section 1115 waiver: The federal Centers for Medicare and Medicaid (CMS) agency allows states to apply for waivers for experimental projects that test out and evaluate state-specific policy approaches to better serving Medicaid populations.
 Section 1332 waiver (also known as state innovation waiver): CMS allows states to apply for waivers for programs that remove certain ACA requirements related to individual markets while continuing to provide access to high quality, affordable health care in a way that meets that state’s unique needs and context.
Visit Cover Georgia for a full timeline.
Full Medicaid Expansion
Georgia Pathways to Coverage
Georgia Access Model
Georgia Reinsurance Program
 Over 700,000 Georgians enrolled in marketplace coverage through Healthcare.gov during 2022 open enrollment period—an increase of 36% from 2021 thanks in part to enhanced premium tax credits that are available through 2025.
written by Alex Camardelle, Senior Policy Analyst and Jennifer Lee, Policy Analyst Overview A parent’s
This report was co-authored by Monica Obregon, a fellow in the Southern Education Leadership Initiative,
Despite strides to improve the employment prospects of Georgians who have contact with the criminal
GBPI would like to thank Healthy Mothers, Healthy Babies Coalition of Georgia for their thoughtful
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Georgia Budget & Policy Institute
Getting the Green Light for Health Care: An Update on Efforts to Get More Georgians Covered – Georgia Budget and Policy Institute
September 22, 2022