One federal program pays for a nursing home room for a woman in Cumming, a job coach for a disabled man in Toco Hill, and regular medical care for a Savannah pediatrician's child clients: Medicaid. It's sprawling program that conservatives say has grown too big.

Senate GOP leaders left for the July 4 holiday week set back by opposition to their plan to repeal Obamacare, the federal health care law, but determined to negotiate a compromise.

If they succeed, one thing that's likely to stay in the bill one way or another is fundamental changes to Medicaid, and substantial cutbacks. Read the full story of what's at stake for Georgians here. Beneficiaries of the program fear they will be pitted against each other for what remains of the budget. Taxpayers concerned about the deficit say something must be done.

Senate Health Care Bill: What You Need to Know

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Democratic gubernatorial candidate Michael Thurmond spoke to the AJC's Tia Mitchell during a  Politically Georgia forum at The Dogwood at Westside Paper in Atlanta on Wednesday, Nov. 5, 2025. (Adam Beam/AJC)

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A migrant farmworker harvests Vidalia onions at a farm in Collins, in 2011. A coalition of farmworkers, including one based in Georgia, filed suit last month in federal court arguing that cuts to H-2A wages will trigger a cut in the pay and standard of living of U.S. agricultural workers. (Bita Honarvar/AJC)

Credit: Bita Honarvar