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With North Carolina Adopting Medicaid Expansion, a Dwindling Number of States Are Missing Out on Its Economic and Health Benefits

September 27, 2023 |
North Carolina recently became the 41st state (including the District of Columbia) to expand Medicaid to adults with incomes up to 138 percent of the federal poverty level, enacting the move in its 2023-2024 fiscal budget. This leaves just ten non-expansion states that continue to deny lifesaving Medicaid health coverage — and the financial protections that come with it — to hundreds of thousands of people with low incomes.
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Policy Basics

Medicaid provides health coverage to low-income families and individuals, including children, parents, pregnant people, older adults, and people with disabilities. The Children’s Health Insurance Program (CHIP) covers children in families that earn too much to receive Medicaid but can’t afford insurance through the private market.

We work to encourage states to adopt the Affordable Care Act’s Medicaid expansion, identify obstacles to Medicaid enrollment, develop and advance recommendations to maximize enrollment of eligible people, and protect Medicaid and CHIP from cuts or structural changes that would hurt low-income beneficiaries.

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