Medicaid Expansion under the Affordable Care Act

Are you locked out of insurance coverage due to the state's refusal to expand Medicaid? Share your story here.

See the county-by-county economic impacts of not expanding Medicaid here.


A group of coalition partners working in North Carolina to close the Medicaid coverage gap has launched a new website called NC Left Me Out to collect stories of people who make too much for Medicaid and too little for private insurance. As the website explains, the Affordable Care Act specifically allocated funds to provide affordable insurance coverage to approximately 500,000 people in our state. Unfortunately, the Governor and the legislature have blocked those funds from coming to North Carolina. Many of the individuals and families who could use this money to get insurance coverage work in low-wage professions like construction, day care, and food service. Learn more here.


Medicaid Expansion State Tracking (August 2015)

Expanding health care in North Carolina (July 2015)

Infographics: How the Coverage Gap Affects NC Families (June 2015)

Closing the Coverage Gap Helps Combat Drug and Alcohol Problems (April 2015)

North Carolina's Medicaid Choice: Options and Implications (March 2014)



Failing to expand Medicaid costs more (Progressive Pulse, October 2015)

Rising NC infant mortality underscores need for Medicaid expansion (NC Policy Watch, October 2015)

Missed opportunity on Medicaid a defining issue of the legislative session (NC Policy Watch, October 2015)

Medicaid reform timeline highlights need for expansion (Progressive Pulse, September 2015)

Lawmakers ignore their own expert in the crusade to privatize Medicaid (NC Policy Watch, September 2015)

North Carolina's uninsured rate falls, but gains are muted by failure to expand Medicaid (Progressive Pulse, September 2015)

New ads ask Gov. McCrory, "Where's the plan to expand coverage?" (Audio) (Progressive Pulse, September 2015)

Medicaid privatization on its way to North Carolina (NC Policy Watch, September 2015)

Medicaid expansion: The state-by-state picture (Progressive Pulse, August 2015)

Medicaid reform bill will not deliver on quality or predictability (Progressive Pulse, August 2015)

NC Senate's Medicaid "reform" plan is not the answer (NC Policy Watch, August 2015)

New NC Medicaid surplus more than enough to pay state costs of expansion through 2020 (Progressive Pulse, August 2015)

50 years young, Medicaid makes its mark on in North Carolina (with video) (Progressive Pulse, July 2015)

New report finds children and parents would benefit from closing NC's Medicaid coverage gap (NC Policy Watch, July 2015)

Medicaid reform: How the House and Senate compare (Progressive Pulse, July 2015)

The forgotten starting point for Medicaid "reform" (NC Policy Watch, July 2015)

No excuses left not to expand Medicaid (NC Policy Watch, July 2015)

Medicaid reform: Is a new day dawning? (Progressive Pulse, June 2015)

More local governments back Medicaid expansion (Progressive Pulse, May 2015)

How conservaitve states are expanding Medicaid (NC Policy Watch, April 2015)

Mental health parity and Medicaid expansion. Why not? (Progressive Pulse, April 2015)

Medicaid expansion will be on the front burner at Women's Advocacy Day (Progressive Pulse, April 2015)

Like saving money and protecting your health? Expand Medicaid (Progressive Pulse, April 2015)

States reap savings and increased revenues from Medicaid expansion (Progressive Pulse, April 2015)

Why McCrory must untangle the Medicaid impasse (NC Policy Watch, March 2015)

Rep. Stam admits he doesn't understand Medicaid expansion that he opposes (Progressive Pulse, February 2015)

Burying objections to Medicaid expansion under an "avalanche of facts" (Progressive Pulse, January 2015)

Work requirements a non-starter for Medicaid expansion (Progressive Pulse, January 2015)

McCrory's firm grasp of the obvious on Medicaid expansion (Progressive Pulse, January 2015)

More blog posts from 2013-2014

Gov. McCrory signs bill blocking Medicaid expansion in North Carolina

Letter to Gov. McCrory: "Implement the Medicaid Expansion for low-income individuals under the Affordable Care Act"



Providers fret, insurers hail NC move to Medicaid managed care (Modern Healthcare, October 2015)

NC losing by not expanding Medicaid (Wilkes Journal-Patriot, October 2015)

NC Senate's Medicaid 'reform' plan is not the answer (Jefferson Post, August 2015)

Bill makes Medicaid woes worse (The Robesonian, August 2015)

Senate Medicaid reform contains compromise, but insists on cabinet-level department (Winston-Salem Journal, August 2015)

Wos resignation could smooth way for Medicaid reform (Winston-Salem Journal, August 2015)

Local activists pressure McCrory to act on Medicaid expansion (WNCT, July 2015)

Media Advisory: Local groups target Governor with "Where's the Plan?" day of action (NC Justice Center, July 2015)

Advocates push on Medicaid issue (Greenville Daily Reflector, July 2015)

ACA Wins: Is Medicaid expansion next for North Carolina? (Public News Service, June 2015)

Statement from Adam Linker on the Supreme Court health care ruling (NC Justice Center, June 2015)

Supreme Court ruling brings Medicaid expansion for NC into focus (WRAL, June 2015)

Analysts: Ruling may prod legislators toward Medicaid overhaul (Winston-Salem Journal, June 2015)

Possible Medicaid expansion could cover over 500,000 people statewide (WCTI, March 2015)

McCrory still not sold on Medicaid expansion (Charlotte Business Journal, February 2015)

McCrory's moment to make Medicaid a touchstone of his administration (Raleigh News & Observer, February 2015)

Groups renew push to expand Medicaid in North Carolina (Charlotte Observer, February 2015)

Medicaid expansion not yet off the table in NC (Public News Service, January 2015)

Familiar issues returning: Medicaid, shortfall among topics expected again in legislative session (Wilkes Journal Patriot, January 2015)

Medicaid logjam, skeptics remain in NC (Raleiigh News & Observer, December 2014)

N.C. NAACP: Expand Medicaid (Greenville Daily Reflector, November 2014)

GOP victories blunt hopes of Medicaid expansion (Politico, November 2014)

Officials discuss Medicaid options (Winston-Salem Journal, October 2014)

The impacts of state Medicaid cuts for patients (WNCT, August 2014)

NC budget deal includes teacher raises but no Medicaid overhaul (Raleigh News & Observer, August 2014)

Many low-income NC workers are locked out of Medicaid (Charlotte Observer, July 2014)

Lack of firm Medicaid data has Senators irritated (Winston-Salem Journal, June 2014)

Medicaid advocates call for reform and expansion (Creative Loafing Charlotte, June 2014)

Triad residents put pressure on NC lawmakers for Medicaid expansion (WFDD, June 2014)

Doctors, McCrory against Senate Medicaid plan (Winston-Salem Journal, June 2014)

The economic case for Medicaid expansion (Huffington Post, May 2014)

Two to watch in health care: Medicaid, abortion (Indy Weekly, May 2014)

More media links from 2013


Health Access Coalition: Hey Gov. McCrory: NC Medicaid not broken, actually best in nation

WRAL: Medicaid expansion is 'win-win'



NCJC REPORT: Fair Pay for Quality Work

BTC BRIEF: The Medicaid Expansion - A Transformative and Fiscally Sustainable Policy for North Carolina

BTC BRIEF: Racial Health Disparities and the Medicaid Expansion

REMI: A Contrast - Modeling the Macroeconomic Impact of "Medicaid Expansion" in North Carolina



Infographic: How the Coverage Gap Affects NC Families

Medicaid Expansion in North Carolina (Power Point Presentation)

Infographic: Obamacare means over one million citizens in NC gain health coverage

Legal Services of Southern Piedmont: Medicaid Expansion in North Carolina

Legal Services of Southern Piedmont: Memo to the North Carolina Chamber of Commerce