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North Carolina faces a $319 million Medicaid funding gap for 2025-26, risking service cuts and provider rate reductions if lawmakers don’t act.
North Carolina faces a $319 million Medicaid funding shortfall for 2025-26, risking service cuts and provider rate reductions if unresolved.
With only $600 million allocated so far toward a $919 million rebase need, the House and Senate differ on solutions, with the House proposing $192 million in new funding and the Senate offering $90 million plus administrative funds.
Both aim to prevent Oct. 1 cuts tied to federal budget changes, including ending GLP-1 weight-loss drug coverage and potential 8%–10% provider rate cuts.
Governor Josh Stein urges a full budget with a $190 million compromise and a January reassessment.
Without agreement, about 3 million residents, including 680,085 expansion enrollees, could lose access to critical health care, as lawmakers prioritize other issues like public safety.
Carolina del Norte se enfrenta a una brecha de financiamiento de Medicaid de $ 319 millones para 2025-26, arriesgando recortes de servicios y reducciones de tarifas de proveedores si los legisladores no actúan.