With the passage of the 2023 North Carolina budget, the state will expand Medicaid eligibility to more than 600,000 additional North Carolinians. According to Governor Roy Cooper and the North Carolina Department of Health and Human Services, this expansion process will begin on December 1.
Implementation of Medicaid expansion reflects many years of research, community input, and analysis at the national, state, and local levels. Several North Carolina Institute of Medicine task forces have recommended Medicaid expansion as an avenue for ensuring all North Carolinians have the same opportunity for health and well-being. Click the links below for context and additional resources for navigating this significant change.
Relevant Recommendations from Recent NCIOM Task Forces:
Recommendation 8.1: Ensure access to high-quality, low-barrier health care before, during, and after public health emergencies.
Strategy 8.1a: The NCGA should increase access to and utilization of health care services for uninsured residents.
Recommendation 6: Pursue innovative strategies to address broader population health and meet the organizational, funding, and workforce challenges that local governmental public health currently faces.
Strategy 6c: The NCGA should support innovation and efforts to address population health in local public health by… supporting the development of rural safety net providers by filling the Medicaid coverage gap.
Recommendation 3.6: Expand access to coverage for health care services.
In order to ensure access to health care services for individuals with serious illness:
Recommendation 3.1: Expand Access to Health Care Services The North Carolina General Assembly should increase access to and utilization of health care services for uninsured residents.
Expansion of Medicaid eligibility is listed as a lever for change to improve several Healthy North Carolina 2030 health indicators, including:
From the North Carolina Medical Journal: