In 2013, Governor Pat McCrory and the North Carolina General Assembly chose not to expand Medicaid to those with incomes below 133% of the federal poverty line. Consequently, North Carolina today is among a minority of 24 states not receiving federal Medicaid expansion funding. Some states in this minority such as New Hampshire, Utah and Iowa are moving towards accepting funding. As the 2014 General Assembly session nears, the question of whether to accept the federal Medicaid dollars likely will be debated again. This fact sheet provides a brief overview of key issues for North Carolina policymakers and stakeholders to consider.