North Carolina has an unprecedented opportunity to expand health coverage to its most vulnerable residents.

Currently, 33 states (including DC) have expanded Medicaid and an additional 6 states are actively planning and discussing extending insurance coverage. The federal government will fund more than 90 percent of this health insurance expansion. So far, legislators in North Carolina, along with the Governor, have blocked these federal funds from expanding access to health care, boosting the state’s economy, and bolstering rural hospitals.

Expanding health insurance in North Carolina would provide coverage to about 500,000 low-income people in the state. More than 300,000 of these people have no other insurance options available to them. Expanding health insurance in North Carolina would:

  • Create approximately 43,000 new jobs by 2020.
  • Bring more than $2 billion in federal funds to the state every year.
  • Save the state $318 million between 2016 and 2020.

Failing to extend coverage will exacerbate serious health conditions. Refusing federal funds to cover more North Carolinians means:

  • 27,044 diabetics not getting needed medications.
  • 40,000 women not getting recommended preventive screenings.
  • 14,776 more families receiving catastrophic medical bills. • More than 1,000 unnecessary deaths.


Expand Medicaid for People with Substance Use Disorders and their Families (September 2018)
Medicaid Expansion for Rural Communities in North Carolina (September 2018)
Examining Medicaid Expansion through a Race Equity Lens in NC (September 2018)

With the supermajority doomed, North Carolina should reconsider Medicaid expansion (NC Policy Watch, November 2018)
Medicaid overhaul clears a major hurdle (Progressive Pulse, October 2018)
A closer look at the benefits of Medicaid expansion in 2019 (NC Policy Watch, October 2018)
Medicaid and Medicare mark 53rd anniversary by continuing to serve millions of North Carolinians today (Progressive Pulse, July 2018)
North Carolina advocates, health care leaders press again for Medicaid expansion (Progressive Pulse, June 2018)
Effects of opioid epidemic: Another powerful reason to close the Medicaid coverage gap (NC Policy Watch, June 2018)
Virginia votes to expand Medicaid for some. We can do better. (Progressive Pulse, June 2018)
This health program transforms children’s lives — so why aren’t more in NC using it? (Progressive Pulse, April 2018)

Medicaid expansion prospects may be little brighter in N.C. (Winston-Salem Journal, November 2018)
Wooten says blocked Medicaid affected half a million North Carolinians and veterans (Politifact, September 2018)
Solving North Carolina’s $14 billion Medicaid puzzle (Triangle Business Journal, April 2018)
Work requirement danger to Medicaid (Greensboro News & Record, March 2018)
What the New Medicaid Work Requirement Could Mean for North Carolina (North Carolina Health News, January 2018)

WRAL: Medicaid expansion is ‘win-win’

The Benefits of Closing the Coverage Gap by Expanding Access to Medicaid Coverage
MEDICAID MATTERS: Protect and Expand NC Health Care
My Storybook: Understanding NC’s health insurance coverage gap
NC JUSTICE CENTER BRIEF: North Carolina Medicaid Reform and Transformation