Medicaid Expansion under the Affordable Care Act

Are you locked out of insurance coverage due to the state's refusal to expand Medicaid? Share your story here.

See the county-by-county economic impacts of not expanding Medicaid here.


A group of coalition partners working in North Carolina to close the Medicaid coverage gap has launched a new website called NC Left Me Out to collect stories of people who make too much for Medicaid and too little for private insurance. As the website explains, the Affordable Care Act specifically allocated funds to provide affordable insurance coverage to approximately 500,000 people in our state. Unfortunately, the Governor and the legislature have blocked those funds from coming to North Carolina. Many of the individuals and families who could use this money to get insurance coverage work in low-wage professions like construction, day care, and food service. Learn more here.


Chartbook: Understanding Medicaid and its Impact in NC (March 2017)

Medicaid Expansion State Tracking (August 2015)

Expanding health care in North Carolina (July 2015)

Infographics: How the Coverage Gap Affects NC Families (June 2015)

Closing the Coverage Gap Helps Combat Drug and Alcohol Problems (April 2015)

North Carolina's Medicaid Choice: Options and Implications (March 2014)



Important Medicaid news you might have missed (NC Policy Watch, March 2017)

U.S. House vote on ACA repeal and Medicaid matters to me (Progressive Pulse, March 2017)

Medicaid block grants: Passing the buck without passing the bucks (NC Policy Watch, March 2017)

Ineffective health policy + Loss of federal money = Millions of North Carolinians worse off over time (Progressive Pulse, March 2017)

Proposed federal Medicaid cuts, policy changes could be disastrous; General Assembly must act (Progressive Pulse, March 2017)

Another byproduct of the Medicaid Blockade: Catastrophic medical bills, massive debt for families (Progressive Pulse, February 2017)

Middle-aged, stuck in the coverage gap and still years away from Medicare (Progressive Pulse, February 2017)

Isn’t it ironic? The Medicaid blockade prevents health aides from getting health coverage (Progressive Pulse, February 2017)

Meet another woman whose life the conservative Medicaid blockade is harming (Progressive Pulse, February 2017)

Cooper’s correcting a colossal blunder on Medicaid, not making one (NC Policy Watch, January 2017)

The Medicaid blockade impacts hard working, average North Carolinians (Progressive Pulse, January 2017)

Real people are in the Medicaid coverage gap (Progressive Pulse, January 2017)

What’s at stake as legislative leaders double down on Medicaid blockade (Progressive Pulse, January 2017)

Why Berger and Moore’s suit against Gov. Cooper over Medicaid expansion is bogus (Progressive Pulse, January 2017)

NC’s new governor provides a welcome and long overdue initiative to close the Medicaid coverage gap (Progressive Pulse, January 2017)

Reidsville physician, scholarly reports show us again why NC policymakers need to close the coverage gap (Progressive Pulse, November 2016)

The most compelling evidence yet for Medicaid expansion (NC Policy Watch, October 2016)

Good news and bad: Census finds big drop in NC uninsured, but state still lags thanks to G.A., McCrory (Progressive Pulse, September 2016)

Census data a powerful reminder of the need to expand Medicaid (NC Policy Watch, September 2016)

This is news? Study: Closing the coverage gap improves access and health outcomes (Progressive Pulse, August 2016)

Misleading Medicaid rhetoric instead of expansion (NC Policy Watch, July 2016)

National expert: Ten easy-to-understand reasons why Medicaid works (Progressive Pulse, July 2016)

New report: Medicaid expansion is having a big and positive impact on safety net hospitals and clinics (NC Policy Watch, June 2016)

Independents and Republicans in NC support closing the coverage gap (Progressive Pulse, January 2016)

Help children’s health by closing the Medicaid coverage gap (NC Policy Watch, January 2016)

More blog posts from 2013-2015

Gov. McCrory signs bill blocking Medicaid expansion in North Carolina

Letter to Gov. McCrory: "Implement the Medicaid Expansion for low-income individuals under the Affordable Care Act"



Advocates for Medicaid Expansion Continue Their Uphill Climb (North Carolina Health News, April 2017)

Isn't it ironic? The Medicaid blockade prevents health aides from getting health coverage (Jefferson Post, February 2017)

Lost in Transition: Consumers’ Concerns About Navigating North Carolina’s New Medicaid System (NC Medical Journal, January 2017)

Federal judge approves 60-day stay on attempt to expand N.C. Medicaid (Winston-Salem Journal, January 2017)

GOP leaders enlist Art Pope in fight against Medicaid expansion (Winston-Salem Journal, January 2017)

Federal judge agrees to address legal motions on expanding state Medicaid program (Statesville Record & Landmark, January 2017)

GOP seeks court action to stop Medicaid expansion (Winston-Salem Journal, January 2017)

Cooper aims to expand Medicaid despite Republican opposition (The Daily Tar Heel, January 2017)

NC’s new governor provides a welcome and long overdue initiative to close the Medicaid coverage gap (Jefferson Post, January 2017)

Gov. Roy Cooper wants to take immediate executive action to expand Medicaid in North Carolina (Daily Kos, January 2017)

Gov. Roy Cooper wants to expand Medicaid (Raleigh News & Observer, January 2017)

Denial rate for Medicaid program applicants surges after 2015 state memo (Carolina Public Press, September 2016)

Local coalition urges residents to comment on NC Medicaid reform plan (Mountain Xpress, June 2016)

NC misses out on multiple benefits of Medicaid expansion (Public News Service, June 2016)

Medicaid reform request heads to DC without expansion on board (Winston-Salem Journal, June 2016

Advocates push for Medicaid expansion (Raleigh News & Observer, May 2016)

Hundreds of thousands still fall into 'Medicaid gap' in North Carolina (Charlotte Observer, March 2016)

N.C. DHHS unveils Medicaid reform plan (Triangle Business Journal, March 2016)

New reports show benefits of expanding Medicaid in North Carolina (Raleigh News & Observer, January 2016)

Medicaid expansion in NC? (Chapelboro, January 2016)

Susan Shumaker and Allen Smart: NC can close Medicaid gap with reform (Greensboro News & Record, January 2016

More media links


Health Access Coalition: Hey Gov. McCrory: NC Medicaid not broken, actually best in nation

WRAL: Medicaid expansion is 'win-win'



MEDICAID MATTERS: Protect and Expand NC Health Care

How to Build an Economy that Works for All: Close the Gap

My Storybook: Understanding NC's health insurance coverage gap

NC JUSTICE CENTER BRIEF: North Carolina Medicaid Reform and Transformation

NCJC REPORT: Fair Pay for Quality Work

BTC BRIEF: The Medicaid Expansion - A Transformative and Fiscally Sustainable Policy for North Carolina

BTC BRIEF: Racial Health Disparities and the Medicaid Expansion

REMI: A Contrast - Modeling the Macroeconomic Impact of "Medicaid Expansion" in North Carolina



Infographic: How the Coverage Gap Affects NC Families

Medicaid Expansion in North Carolina (Power Point Presentation)

Infographic: Obamacare means over one million citizens in NC gain health coverage

Legal Services of Southern Piedmont: Medicaid Expansion in North Carolina

Legal Services of Southern Piedmont: Memo to the North Carolina Chamber of Commerce