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Medicaid Expansion North Carolina
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NC approves Medicaid expansion, reversing long opposition

The Republican-controlled North Carolina legislature has given final approval to a Medicaid expansion agreement

By GARY D. ROBERTSON
Published - Mar 23, 2023, 09:24 PM ET
Last Updated - Jun 22, 2023, 01:57 PM EDT

RALEIGH, N.C. (AP) — A Medicaid expansion deal in North Carolina received final legislative approval on Thursday, capping a decade of debate over whether the closely politically divided state should accept the federal government's coverage for hundreds of thousands of low-income adults.

North Carolina is among states with Republican leaders that are considering expanding Medicaid after years of steadfast opposition. Voters in South Dakota approved expansion in a referendum in November. And in Alabama, advocates are urging lawmakers to take advantage of federal incentives to expand Medicaid in order to provide health insurance to more working people.

When Democratic Gov. Roy Cooper, a longtime expansion advocate, signs the bill, it should leave 10 states in the U.S. that haven't adopted expansion. North Carolina has 2.9 million enrollees in traditional Medicaid coverage. Advocates have estimated that expansion could help 600,000 adults.

“Medicaid Expansion is a once in a generation investment that will make all North Carolina families healthier while strengthening our economy, and I look forward to signing this legislation soon,” Cooper tweeted.

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