If it’s happening in Georgia, you can bet it’s happening all over the country. Embedded bureaucrats are quietly rewriting the policies voters put in place.

Georgia’s Medicaid program exists to serve the state’s most vulnerable — low-income children and foster youth, pregnant women, and disabled adults. It was never meant to be a vehicle for radical politics. But recent revelations about how the state awarded multibillion-dollar Medicaid contracts show exactly how far left-wing ideologues inside government agencies will go to push their agenda.

When the bureaucracy pushes a progressive agenda behind closed doors, the public has no choice but to push back. Loudly. Clearly. Immediately.

Internal documents reveal that senior staff at Georgia’s Department of Community Health inserted ideological land mines into the bidding process for companies seeking to serve more than 1 million Medicaid recipients — most of them children. This included a scenario question focused on how insurers would treat a hypothetical “fourteen (14) year-old, transgender White female (assigned male sex at birth but identifies as a female).”

Responses that didn’t align with leftist orthodoxy were penalized. In other words, companies lost points unless they promised to steer kids toward hormone therapy — despite state laws banning gender reassignment procedures for minors. That isn’t just dishonest. It’s a direct subversion of the law.

Just this year, Georgia’s legislature passed bills barring men from girls’ sports and locker rooms. But inside the state’s Medicaid agency, officials rewarded insurers for endorsing gender transitions for minors. One winning bidder justified its position by claiming such treatments “could come up in the future.” Never mind that they’re illegal in Georgia.

One losing insurer offered to connect the hypothetical child with a range of community resources, including faith-based organizations. That response was met with scorn. A state official actually complained that faith-based groups shouldn’t have been included — because they weren’t mentioned in the scenario.

Never mind that faith-based organizations have served Medicaid populations for decades. They often provide the only consistent care in struggling communities. But for these bureaucrats, churches and people of faith pose a bigger danger to kids than radical gender ideology.

This is no small issue. Georgia expects to spend $4.5 billion next year on Medicaid and PeachCare, the program for uninsured kids. That makes this one of the largest contracts in state history — and leftist staffers nearly hijacked the entire process.

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Photographer: Angus Mordant/Bloomberg via Getty Images

Lawmakers have a duty to step in now. During the last session, they considered a bill that would have barred ideologically charged questions from state procurements. It didn’t pass. That needs to change.

There’s still time. The Medicaid contracts haven’t been finalized. Legislators must act. They should demand a full rebid, remove these radical questions, and ensure that reviewers score responses based on biology, patient welfare, and fiscal responsibility — not on whether companies genuflect to left-wing doctrine.

Georgia’s leadership has worked hard to uphold conservative values and protect taxpayer dollars. But as we’ve seen in Washington, unelected bureaucrats can — and will — undermine that progress if no one stops them.

When the bureaucracy pushes a progressive agenda behind closed doors, the public has no choice but to push back. Loudly. Clearly. Immediately. We must call it out, correct course, and pass the kind of reforms that ensure this never happens again.