State leaders are worried about how the new federal changes, including work eligibility, will affect North Carolinians.

State officials warn of staffing, funding and technology hurdles as counties brace for added burden of Medicaid eligibility checks.

The One Big Beautiful Bill Act (P.L.119-21) (the “OBBB”) passed by slim margins in the U.S. Senate (51-50) and U.S. House (218-214) and was signed into law by President Trump on July 4, 2025. While ...

Medicaid cuts are coming sooner than expected. The North Carolina Department of Health and Human Services will start trimming $319 million by the end of this month - including across-the-board ...

Federal law changes could cost NC up to $50B in Medicaid funds over 10 years. Work rules and cuts could end Medicaid expansion without swift state intervention. County agencies face tech and staffing ...

North Carolina is committed to implementing a controversial work requirement mandate for Medicaid expansion that could lead to a projected 255,000 enrollees, or nearly 38%, losing their coverage ...

Sen. Thom Tillis opposed the Senate bill, citing major Medicaid funding cuts. A tax change in the bill risks rollback of North Carolina's Medicaid expansion. New work and verification requirements may ...

North Carolina lawmakers return to Raleigh this week to continue hammering out the state budget, and one of the biggest questions hanging over them is the future of Medicaid expansion. Nearly 680,000 ...

Medicaid cuts are coming sooner than expected. The North Carolina Department of Health and Human Services will start trimming $319 million by the end of this month — including across-the-board ...

AI-generated summary reviewed by our newsroom. Read our AI Policy. Federal law changes could cost NC up to $50B in Medicaid funds over 10 years. Work rules and cuts could end Medicaid expansion ...