A new Government Accountability Office report reveals that Georgia's Medicaid work requirement program, Pathways to Coverage, has spent significantly more on administrative costs than on providing healthcare services. The program's administrative expenses reached $54.2 million since 2021, compared to approximately $26.1 million spent on healthcare during the same period. Federal taxpayers cover almost 90% of these administrative costs, raising concerns about the program's financial efficiency. Critics argue the program's design prioritizes administrative complexity over ensuring healthcare access for low-income Georgians. Low enrollment, despite a large eligible population, further highlights the program's shortcomings. The report underscores that the federal approval process for such state Medicaid experiments doesn't adequately address administrative cost considerations. Georgia officials attribute some increased costs to delays caused by legal challenges from the Biden administration, a claim that the GAO report doesn't fully validate. Democratic senators, including those from Georgia, requested the GAO report due to their concerns with the program's impact. The program, promoted by the Governor as a conservative reform, has faced criticism for its low enrollment and high administrative costs. The report highlights concerns about the prioritization of administrative expenses over healthcare services and the limited oversight of the program's financial aspects. The report also highlights the use of private consultants, like Deloitte, and the significant costs associated with their services.