Georgia’s Pathways to Coverage program requires participants to document work, school, or other qualifying activities in order to gain and keep Medicaid coverage. But three years in, the numbers tell a complicated story, and the people living inside those numbers tell an even more complicated one.

Paul Mikell knows that firsthand. As an essential worker, Paul shared his journey of enrolling in Pathways. Although he was eligible through SNAP (the Supplemental Nutrition Assistance Program, or food assistance), the process was far from easy. Even after approval, keeping his coverage meant constantly navigating confusing paperwork and reporting requirements just to prove he still qualified.

His experience reflects a pattern the data keeps confirming.