DrWeb<p><strong>North Carolinians just got Medicaid expansion. Now it’s jeopardized. – The Washington Post</strong></p>Aaron Baptist checks out at the Rural Health Group clinic in Stovall, North Carolina. The clinic relies on Medicaid to serve residents in an area with few health care options. (Matt Ramey / For The Washington Post) <p><strong>As Medicaid cuts loom, North Carolina shows the stakes</strong></p><p>North Carolina was the most recent state to expand Medicaid. Now enrollees face changes demanded by Trump’s One Big Beautiful Bill.</p> <span class="">Yesterday at 6:00 a.m. EDT, </span>9 min <span class="">By </span><a class="" href="https://www.washingtonpost.com/people/paige-winfield-cunningham/" rel="nofollow noopener" target="_blank">Paige Winfield Cunningham</a> <p class="">STOVALL, N.C. — Roughly 650,000 people here have signed up for Medicaid since the legislature expanded it 18 months ago — the culmination of a years-long effort in this politically split state. But now they are in danger of losing it under provisions in President Donald Trump’s One Big Beautiful Bill Act.</p> <p class="">In signing that law, Trump approved more than $900 billion in <a class="" href="https://www.washingtonpost.com/business/2025/07/03/big-beautiful-bill-impacts-medicaid-taxes/" rel="nofollow noopener" target="_blank">cuts to Medicaid</a> over the next decade.</p> <p class="">Those cuts are colliding with state budget challenges, imperiling the future of Medicaid in states such as North Carolina.</p> A Rural Health Group clinic serves many patients on Medicaid in Stovall. <p class="">Devdutta Sangvai, the state’s top health official, told legislators in a <a href="https://ncnewsline.com/wp-content/uploads/2025/08/Medicaid-Rebase-NCGA-Letter-August-2025_FINAL.pdf" rel="nofollow noopener" target="_blank">letter</a> last week that North Carolina will slash Medicaid payments to doctors, hospitals and other providers starting Oct. 1. He attributed the cuts to the GOP-led legislature declining to fully fund the program. New administrative costs to restrict eligibility under the federal law are among the long-term factors that risk “a fundamental erosion of the NC Medicaid program,” he wrote.</p> <p class="">“Despite careful efforts to minimize harm, the reductions now required carry serious and far-reaching consequences,” Sangvai wrote. He said that reduced rates “could drive providers out of the Medicaid program, threatening access to care for those who need it most.”</p> <p class="">Republican leaders have pushed back, suggesting that health officials could have found less disruptive ways to trim Medicaid spending.</p> <p class="">Cuts to Medicaid affect more North Carolinians than ever before. The state’s Medicaid rolls swelled nearly 30 percent, to 3 million people, after state Republicans dropped their decade-long opposition to expanding the program under the increasingly popular Affordable Care Act and worked with Democrats to broaden eligibility.</p> <p class="">Before that expansion, Medicaid mainly covered people with low incomes who were disabled, had dependent children or were pregnant. But now, in most states, just about anyone earning up to 138 percent of the federal poverty threshold ($22,000 for a single person and $44,000 for a family of four) is eligible.</p> <p>Continue/Read Original Article Here: <em><a href="https://www.washingtonpost.com/health/2025/08/17/north-carolina-medicaid-cuts/" rel="nofollow noopener" target="_blank">North Carolinians just got Medicaid expansion. Now it’s jeopardized. – The Washington Post</a></em></p> <p>Original article: <a href="https://www.washingtonpost.com/health/2025/08/17/north-carolina-medicaid-cuts/" rel="nofollow noopener" target="_blank">View source</a></p><p><a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/2025/" target="_blank">#2025</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/america/" target="_blank">#America</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/donald-trump/" target="_blank">#DonaldTrump</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/health/" target="_blank">#Health</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/health-care/" target="_blank">#healthCare</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/history/" target="_blank">#History</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/libraries/" target="_blank">#Libraries</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/library-of-congress/" target="_blank">#LibraryOfCongress</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/medicaid/" target="_blank">#Medicaid</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/north-carolina/" target="_blank">#NorthCarolina</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/politics/" target="_blank">#Politics</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/resistance/" target="_blank">#Resistance</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/science/" target="_blank">#Science</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/stovall/" target="_blank">#Stovall</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/the-washington-post/" target="_blank">#TheWashingtonPost</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/trump/" target="_blank">#Trump</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/trump-administration/" target="_blank">#TrumpAdministration</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/trump-cuts/" target="_blank">#TrumpCuts</a> <a rel="nofollow noopener" class="hashtag u-tag u-category" href="https://drwebdomain.blog/tag/united-states/" target="_blank">#UnitedStates</a></p>