Expanding Medicaid in North Carolina

Medicaid expansion means healthy people and a healthy economy

Expanding Medicaid means 500,000 North Carolinians will be able to go to the doctor. They’ll be able to get their medication. They’ll be able to keep their kids and themselves healthy. Right now families of three making between $8,000 and $21,000 a year can’t get on Medicaid but also cannot get a subsidy to purchase low-cost health insurance from the Affordable Care Act.

37 states have taken action to expand access to their Medicaid program – including red states like Utah, Idaho, and Nebraska. Every House and Senate Democrat in the North Carolina General Assembly signed on to co-sponsor a pair of a companion bills in the House and Senate that will ensure every North Carolinian gets access to affordable health care.

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    Benefits of Expanding Medicaid

    • Expanding Medicaid would help half a million North Carolinians get access to affordable healthcare.
    • Medicaid expansion would provide care for up to 150,000 people with behavioral health needs.
    • Up to 23,000 North Carolina veterans stand to benefit from Medicaid expansion.
    • We have more than 500,000 working people that are one illness, one major injury away from bankruptcy.
    • And we have a system in place to provide them with the support they need.
    • Covering the insured has the potential to lower everyone’s healthcare costs.
    • We have seen this play out in other states that have expanded Medicaid, where insurance premiums are seven percent lower on average.
    • Expanding Medicaid and closing the coverage gap is good for business, especially rural business.

    Medicaid expansion is good for North Carolina's economy.

    Closing the gap in North Carolina would create an estimated 43,000 jobs in the first five years and an estimated $4 billion in economic impact to our state’s economy on an annual basis.

    Many of these jobs would go to the 44 rural counties where the local hospital is one of the five biggest employers. Even the head of the North Carolina Healthcare Association said that Medicaid expansion is “the right thing to do for business.”

    These are not just healthcare jobs. These are construction jobs, retail, food service, and other industries that stand to benefit from the increased activity in their communities.

    Medicaid Expansion Legislation

    Current Law: NC Medicaid is currently available to low-income children, pregnant women, parents, seniors and people with disabilities. It is not available to childless adults who are not otherwise categorically eligible.

    Proposed Bill: Expand the Medicaid program to include individuals 19-64 years old, who are not eligible for Medicare or Medicaid, and have an income at or below 133 percent of the federal poverty rate. The new Prepaid Health plans will manage benefits. The state share of funding would be provided through assessments on hospitals. The assessment is determined by dividing the total state share of costs for closing the coverage gap by the aggregate hospital inpatient and outpatient costs of all hospitals.

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    What People Are Saying about expanding Medicaid in North Carolina:

    #healthpromiseNC

    ProgressNow_NCProgress NC Action@ProgressNow_NC·
    13 Apr 2019

    The Republican health care plan will not close the gap and will cost more than just expanding Medicaid.#CloseTheGapNC #ncpol #NCMedicaid #HealthPromiseNC

    Reply on Twitter 1117064897697861638Retweet on Twitter 11170648976978616381Like on Twitter 11170648976978616383Twitter 1117064897697861638
    Progress_NCProgressNC@Progress_NC·
    1 Apr 2019

    States that have expanded Medicaid have seen huge increases in jobs and a healthier workforce. It’s time for North Carolina to expand Medicaid.
    #CloseTheGapNC #ncpol #NCMedicaid #HealthPromiseNC
    https://t.co/fytY0oQgiQ

    Reply on Twitter 1112731343283208192Retweet on Twitter 11127313432832081921Like on Twitter 11127313432832081922Twitter 1112731343283208192
    ProgressNow_NCProgress NC Action@ProgressNow_NC·
    28 Mar 2019

    “It takes 87 people — 61 people in the House of Representatives and 26 state senators — to vote ‘yes’ to expand Medicaid. This is the year I hope we make it happen.”
    #CloseTheGapNC #ncpol #NCMedicaid #HealthPromiseNC
    https://t.co/ljD2t7QOPI

    Reply on Twitter 1111327092300570625Retweet on Twitter 11113270923005706254Like on Twitter 11113270923005706251Twitter 1111327092300570625
    Progress_NCProgressNC@Progress_NC·
    28 Mar 2019

    The White House wants to eliminate health coverage for millions of Americans and has ZERO plan to replace it.
    #ACA #SaveOurCare #HealthPromiseNC
    https://t.co/J8tSeKM0n9

    Reply on Twitter 1111281795088080897Retweet on Twitter 1111281795088080897Like on Twitter 1111281795088080897Twitter 1111281795088080897
    ProgressNow_NCProgress NC Action@ProgressNow_NC·
    25 Mar 2019

    In North Carolina six rural hospitals have closed their doors since 2010. Expanding Medicaid would bring health care access and economic stability to rural our communities.
    #CloseTheGapNC #ncpol #NCMedicaid #HealthPromiseNC
    https://t.co/TSeFnBI7XB

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    #NCMedicaid

    DemWomenMooreCoDemocratic Women of Moore County@DemWomenMooreCo·
    4 Mar

    Been thinking about how to recognize the announcement that an #NCMedicaid expansion deal has finally been reached in the General Assembly. /1

    Reply on Twitter 1632034561642098691Retweet on Twitter 1632034561642098691Like on Twitter 16320345616420986911Twitter 1632034561642098691
    DemWomenMooreCoDemocratic Women of Moore County@DemWomenMooreCo·
    17 Feb

    Medicaid Expansion Bill - HB76 just passed in the house on Wednesday! Contact your NC senator now to urge her/him to vote for Medicaid expansion in our state! Find contact information here: https://www.ncleg.gov/FindYourLegislators #medicaidexpansion #expandmedicaid #ncmedicaid

    Reply on Twitter 1626385497399476226Retweet on Twitter 1626385497399476226Like on Twitter 1626385497399476226Twitter 1626385497399476226
    NCMedSocNC Medical Society@NCMedSoc·
    7 Feb

    RESOLVED: NC Medicaid Direct Eligibility Issues

    #NC #Medicaid issued a notification stating system issues affecting #NCMedicaid Direct member eligibility status have been fully resolved as of Tuesday, February 7, 2023.

    Reply on Twitter 1623060908124565520Retweet on Twitter 1623060908124565520Like on Twitter 1623060908124565520Twitter 1623060908124565520
    usmedexpressUS Med Express@usmedexpress·
    24 Jan

    Enteral feeding, also known as tube feeding, is a method of delivering nutrition directly into the stomach or small intestine through a tube. We have a variety of nutritional supplies to choose from. Call us at 866-271-0827 to learn more. #enteralfeeding #ncmedicaid

    Reply on Twitter 1617896722625331201Retweet on Twitter 1617896722625331201Like on Twitter 16178967226253312011Twitter 1617896722625331201
    usmedexpressUS Med Express@usmedexpress·
    13 Jan

    Are you on NC Medicaid and need medical supplies? We have developed relationships with the top CAP Case Managers, Care Coordinators, Physicians and Hospital systems by understanding their clients’ needs, as well as the ever changing Medicaid landscape. #medicaid #ncmedicaid #dme

    Reply on Twitter 1613904921224437760Retweet on Twitter 1613904921224437760Like on Twitter 16139049212244377601Twitter 1613904921224437760
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    500,000 North Carolinians currently have no health care coverage.

    A clean expansion bill is the fastest way to get these people the care that they need and bring economic activity to our rural communities.