A federal judge ruled that the Biden administration lawfully denied an extension to Georgia's Medicaid plan, which includes a work requirement for low-income recipients. Georgia's program, requiring 80 hours of work or related activities monthly, is limited to able-bodied adults below the federal poverty line. Despite legal battles and implementation delays, Georgia's Medicaid plan struggles with low enrollment, with only around 4,300 members out of an expected 25,000. State officials attribute the enrollment challenges to burdensome work requirements, while efforts are underway to increase participation and address issues leading to significant drops in children's Medicaid coverage in Georgia.