Commercial enrollment in Georgia has dipped as hundreds of thousands of residents turn to subsidies on the federally facilitated health insurance exchange, which has two new participants for 2020. All six carriers will return in 2021. Meanwhile, many residents remain in the gap, unable to afford individual plans while being ineligible for Medicaid. Georgia's proposal for a 1115 Medicaid waiver for partial Medicaid expansion received approval from the Trump administration, in October 2020, which comes with work requirements.


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