Georgia Kemp Pathways Medicaid insurance work requirements.

President Donald Trump’s administration has extended Georgia’s Pathways to Coverage program for 15 months. Republican Gov. Brian Kemp announced Thursday that the program will continue through December 2026. It was set to expire next week. Pathways requires low-income adults to document 80 hours of work or other activities each month to qualify for health insurance. Pathways has enrolled far fewer people than originally projected, covering 9,175 people as of August. It has spent twice as much on administrative costs than on providing actual health care. Georgia’s program is closely watched because Republicans mandated similar work requirements throughout the country as part of the tax and budget overhaul signed into law by Trump.