Commercial enrollment in Georgia has dipped as hundreds of thousands of residents turn to subsidies on the federally facilitated health insurance exchange. Georgia’s proposal for a 1115 Medicaid waiver for partial Medicaid expansion received approval from the previous Trump administration in October 2020, which came with work requirements. However, the Democratic Biden administration officially rescinded the work requirements, thus jeopardizing the future of the partial Medicaid expansion. However, the issue was resolved and rolled out in July 2023. The state was planning to roll out new Medicaid managed care program contracts and intended to release a request for proposals in 2023 for MCOs to participate in the bidding process.