Earlier this month, this space featured a post on whether H.B. 990, which gave the Legislature the final say-so over Medicaid income thresholds, was in fact the final word on expansion.

Specifically, whether a workaround – perhaps like the ones adopted in Arkansas and elsewhere – might be possible.

This morning, House Speaker pro tem Jan Jones, R-Milton, sent over a thoughtful response that is well worth your time. To wit:

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Ceudy Gutierrez reads a book to her 2-year-old son, Matias, at their home in Buford, GA, on Tuesday, Nov. 18, 2025. Ceudy Gutierrez is struggling to make ends meet for herself and her three young kids following her husband’s ICE arrest earlier this fall. (Miguel Martinez/ AJC)

Credit: Miguel Martinez-Jimenez