North Carolina Expands Medicaid to 600,000

The Medicaid Gap

Over 600,000 Residents to Benefit from Expanded Coverage

As of December 1, 2023, North Carolina has expanded its Medicaid program to over 600,000 thanks to the Affordable Care Act.

The state joins others in providing increased health care access to its residents, a move that is expected to have far-reaching impacts on public health and the economy.

Impacts of Expansion

The Medicaid expansion in North Carolina is regarded as a game-changer for public health and the economy. Governor Cooper described it as “the working families bill of the decade,” highlighting its potential to significantly impact health, combat the opioid crisis, save rural hospitals, and boost the economy. [1]

The expansion is expected to bring significant additional federal funds to the state, which can be used for various policy priorities. It is also considered transformative for health care access in rural areas, mental health services, and support for veterans and working adults. Studies suggest that Medicaid expansion can save lives, with a reduction of nearly 12 fewer deaths per 100,000 adults each year in states that have expanded

Expansion Details

Governor Roy Cooper and the North Carolina Department of Health and Human Services announced the launch of Medicaid Expansion.

This expansion makes Medicaid available to adults aged 19 through 64 earning up to 138% of the federal poverty line. This change means singles earning approximately $20,000 per year or families of three earning about $34,000 per year may now be eligible for Medicaid. The expansion is projected to automatically enroll around 300,000 individuals currently receiving Medicaid Family Planning benefits into full healthcare coverage.

Legislative Background

Governor Cooper signed House Bill 76, Access to Healthcare Options, into law on March 27, 2023. This pivotal legislation marks North Carolina as the 40th state to expand Medicaid.

The bill’s passage is expected to provide health coverage to over 600,000 North Carolinians and bring billions in federal dollars to the state[2]

North Carolina’s decision to expand Medicaid represents a monumental step towards improving healthcare access for hundreds of thousands of its residents. It underscores the state’s commitment to addressing critical health care needs and strengthening its health care system for the future.

Article Citations
  1. 600,000 North Carolinians Now Have Access to Medicaid Expansion.
  2. Governor Cooper Signs Medicaid Expansion into Law.

Author: Thomas DeMichele

Thomas DeMichele is the head writer and founder of,, and other websites. He has been in the health insurance and healthcare information field since 2012. is a...

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