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flag North Carolina faces a $319 million Medicaid funding gap for 2025-26, risking service cuts and provider rate reductions if lawmakers don’t act.

flag North Carolina faces a $319 million Medicaid funding shortfall for 2025-26, risking service cuts and provider rate reductions if unresolved. flag 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. flag 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. flag Governor Josh Stein urges a full budget with a $190 million compromise and a January reassessment. flag 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.

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