Key findings from the issue brief include:

• The AHCA would change federal funding for Medicaid to a per capita allotment. This would limit federal liability for the Medicaid program and place more risk on state budgets. With the federal government contributing less, North Carolina would need to decide whether to contribute more to support Medicaid at current levels or reduce spending.
• The AHCA repeals the individual health insurance mandate and changes the tax credit system for individuals who purchase their own insurance. Health insurance subsidies under the AHCA would, on average, be less generous than under the ACA. Older and poorer North Carolinians will face higher costs while younger and more affluent North Carolinians will enjoy lower costs.
• Under the AHCA, states can decide to waive the requirements for essential health benefits, which would result in less comprehensive plans, and community ratings, which would allow health insurance companies to charge individuals with pre-existing conditions more. Both options would lower insurance costs for many North Carolinians while raising costs for others.

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