Conditional Medicaid expansion and mental health outcomes in Georgia
JAMA Network Open
About The Study:
In this difference-in-differences analysis of national surveillance data, Georgia’s Pathways to Coverage program was associated with worsening mental health among low-income adults. These findings suggest that conditioning Medicaid eligibility on work or community engagement requirements may create additional barriers to coverage and mental health care access, with potential implications for population health and equity.
Corresponding Author: To contact the corresponding author, Sezen O. Onal, PhD, email Sezen.OzcanOnal@downstate.edu.
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(doi:10.1001/jamanetworkopen.2026.13934)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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Media advisory: This study is being presented at the 2026 Academy Health Annual Research Meeting.
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About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.
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JAMA Network Open
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