Some lawmakers are pushing to require that Medicaid recipients work in order to get or keep coverage, and some states already try to help them find jobs. But the effects of those efforts are unclear.

By now, Georgia officials expected their new Medicaid plan to provide health insurance to 25,000 low income residents. Pathways to Coverage launched last July and is the only Medicaid plan in the country that requires beneficiaries to work or engage in other activities to get coverage.

Republican Gov. Brian Kemp’s Georgia Pathways to Coverage program has seen anemic enrollment while chalking up millions in start-up costs — largely in technology and consulting fees. Critics say the money’s being wasted on a costly and ineffective alternative to Obamacare’s Medicaid expansion.

Some members want to use the package for changes that could expand or limit access to the country's biggest food safety net program.

In an effort to avoid defaulting on the nation's loans, lawmakers created updates to SNAP, the nation's largest food assistance safety net. There are new work requirements as well as exemptions.

The Treasury estimates the country could default on its loans early next month. But negotiators are still hashing out key provisions like whether to expand work requirements for federal assistance.

The Trump administration has given states ways to restrict spending on the government insurance program for low-income Americans. A Biden administration would expand Medicaid coverage.