State lawmakers headed back to work for the first day of the 2014 legislative session.
Lawmakers will wrestle with such controversial issues as whether to allow guns on college campuses; a bill that would ban state agencies, employees and colleges from implementing the Affordable Care Act; and Medicaid.
Medicaid primarily covers children, pregnant women and the elderly.
The Affordable Care Act initially required states to expand the program to cover other low-income adults, but the U.S. Supreme Court ruled states have the choice to opt out of that provision.
Georgia decided not to expand Medicaid, leaving hundreds of thousands Georgians without coverage.
Gov. Nathan Deal said expansion would cost the state billions of dollars.
"Gov. Deal will not put taxpayers on the line for billions of new spending we can't afford," said Brian Robinson, a spokesman for the governor.
Advocates for low-income Georgians said many people will fall through the cracks.
"I'm worried something could happen any day now and wouldn't be able to have the recourse to care for myself," said Bianca Campbell, who earns a modest salary working for a nonprofit.
Campbell is 26 years old and is no longer covered under her parents' plan, but she can't afford to pay for her own healthcare even under the federal healthcare law.
"I'm really scared about not being covered," Campbell said.
Nancy Daniell, who lives on Social Security, has to pay for her medical coverage out of her own pocket.
"I'm getting older. I'm worried about healthcare. And I'm worried about the roof over my head," Daniell said.
Lawmakers hope to wrap up this year's session early so they and the governor can get on the road and start campaigning for the November election.
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Monday, September 1 2014 11:00 PM EDT2014-09-02 03:00:16 GMT
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