Current Status of Medicaid Expansion in State:
State will not expand Medicaid.
Regular legislative process.
19% of North Carolinians are enrolled in Medicaid. 83% of beneficiaries have managed care. The state’s current program covers up to 200% FPL depending on the specific program.
Expansion of Medicaid to 133% FPL would be a 38% increase over current enrollment.
Both Democratic outgoing Governor Beverly Purdue and Republican incoming Governor Pat McCrory have emphasized thorough study and understanding of long term implications of the ACA before determining a course of action for the expansion.
· Governor-elect McCrory said that he would work in consultation with other governors, advisors, and experts before making a decision on the expansion. Since then he cited the decision to not expand the state's Medicaid program as a result of very high administrative costs and other program inefficiencies that must be corrected first.
· Public forums have been held by advocacy and church groups. The state government has offered public webinars and has included stakeholder input in its study.
· North Carolina has released several studies of an EHB benchmark for the exchange which may be used as a reference for the expansion, but is not sufficient study or a determination for Medicaid expansion.