North Carolina
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Uninsured Rate for Young Children Rose More Sharply than for Older Children from 2022-2024
Key Findings The number of infants, toddlers and preschoolers who are uninsured is at the highest level in nearly a decade and is increasing more sharply than for older children. The number of uninsured children under age 6 grew by 23% between 2022 and 2024, while the number of uninsured school-aged children grew by 17%. The charts and appendix…
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Tracking North Carolina Implementation of H.R. 1 Medicaid Work Reporting Requirements
Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. North Carolina posts monthly state administrative data, including Medicaid enrollment. Timely…
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Is Your State Leaving Money on the Table? How CHIP Health Service Initiatives Can Help States Support Children’s Access to Care
At a time when states are facing growing fiscal pressures and increasing strain on health systems, the Children’s Health Insurance Program (CHIP) Health Services Initiatives (HSIs) represent an often overlooked source of federal funding offering flexible financing to support outreach and targeted health initiatives to improve children’s health. This source of federally-matched funding becomes increasingly…
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State by State Medicaid and CHIP Enrollment Data
This tracker shows enrollment data for Medicaid and the Children’s Health Insurance Program (CHIP) in all 50 states and DC, from January 2025 to the most recent month available. Data include total Medicaid/CHIP enrollment, as well as enrollment for children, adults, and Medicaid expansion. Historical data are also included to provide additional context for state…
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How Would Changes to Federal Medicaid Expansion Funding Impact People in “Trigger” States and Those with Expansion Enshrined in State Constitutions?
Congress is currently considering draconian cuts to Medicaid that would mean millions of low-income Americans lose access to affordable health care. But both the type of federal cuts and how the joint state-federal Medicaid program operates in each state mean that the impact on people living in different states would vary considerably. The major difference…
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Governors and State Agencies Estimate Impact of Potential Federal Medicaid Cuts on State Budgets
With Congress returning to DC, we expect to learn more about the Medicaid cuts under serious consideration as part of the budget reconciliation process fairly soon. But, in the meantime, states are starting to crunch some numbers to gauge the impact of the potential Medicaid cuts on their state programs and state budgets. The analysts…
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Medicaid’s Role in Small Towns and Rural Areas
Key Findings Background One-fifth of people in the United States live in areas that are classified as non-urban. Residents of rural areas and small towns face additional challenges accessing needed health services compared to residents of metro areas for a variety of reasons including acute provider shortages, limited connectivity, and long distances to travel to…
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Medicaid/CHIP Coverage in North Carolina Congressional Districts, 2023
[Note: data reflect boundaries in effect for the 118th Congress. Districts in North Carolina were redrawn for the 119th Congress but are not depicted below.]
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Federal Funding Cuts to Medicaid May Trigger Automatic Loss of Health Coverage for Millions of Residents of Certain States
Despite virtually no discussion of Medicaid during the election, Medicaid is facing proposals for significant reductions in federal funding. My colleague Edwin Park has already detailed some of the discussion around these cuts – which are being considered in service of facilitating an extension of tax breaks, the majority of which would go to the…
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North Carolina Finds Innovative New Way to Provide Families with Needed Medical Debt Relief
As a nonprofit health attorney over a decade ago I worked in North Carolina on pushing hospital systems to eliminate the practice of suing lower income patients for medical debt and associated abuses like pursuing liens against the houses of poor families. A Pulitzer-prize nominated newspaper series detailed the situation at the time in North…
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CMS Releases Updated Medicaid & CHIP Telehealth Toolkit, Includes State Best Practices and Behavioral Health Strategies
This month, CMS released an updated State Medicaid and CHIP Telehealth Toolkit consolidating information from previous toolkits and providing additional guidance – as required by the Bipartisan Safer Communities Act – on issues from billing best practices to strategies for using telehealth in schools. In addition to FAQs on issues such as benefit flexibility, financing,…
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North Carolina and Hawaii Make 10: States Advancing Medicaid/CHIP Multi-Year Continuous Eligibility for Young Children
It’s hard to keep up with the rapid progress in the number of states seeking federal approval to adopt multi-year continuous coverage for children covered by Medicaid and the Children’s Health Insurance Program (CHIP). Since we last took stock, North Carolina and Hawaii have proposed 1115 waivers to adopt continuous eligibility for children from birth…
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State Medicaid and CHIP Snapshots, 2023
The Georgetown University Center for Children and Families (CCF) and the American Academy of Pediatrics (AAP) created factsheets underscoring the importance of Medicaid in providing coverage for children in all 50 states and the District of Columbia. Sources available here. Previous snapshots can be found here (2019), here (2018) and here (2017). Check out more interactive…
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Update: North Carolina Passed Medicaid Expansion – Here’s How Politicians Justified Change of Heart
In March this year, the North Carolina legislature passed Medicaid expansion with bipartisan support, becoming the first state to pass expansion legislatively since Virginia in 2018. In an interesting turn of events, many House and Senate Republicans in North Carolina, who for years staunchly opposed expanding Medicaid, changed their positions leading up to the bill’s…
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Why North Carolina is Finally Getting to ‘Yes’ on Medicaid Expansion
The ancient Roman historian Tacitus wrote that, “It is the singularly unfair peculiarity of war that the credit of success is claimed by all, while a disaster is attributed to one alone.” In the spirit of this observation from 97 AD, I’ll happily admit to trying for at least some historical involvement in North Carolina’s…
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North Carolina: A Bipartisan Effort to Expand Medicaid Coverage and Improve Access to Healthcare
Last month, my colleague Adam Searing wrote a blog post about the status of Medicaid expansion in five states (South Dakota, North Carolina, Wyoming, Missouri, and Mississippi) twelve years after the passage of the Affordable Care Act. This week, we’re taking a closer look at one of these states, North Carolina, which is on a…
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Low-Wage Uninsured Workers: State Profiles
The recently enacted American Rescue Plan Act of 2021 (ARP) includes new large financial incentives for states to extend health insurance coverage to low-wage workers and other adults earning less than $17,775 a year. These incentives apply to regular spending in a state’s Medicaid program and offer a five-percentage point across the board increase in…
