Window closing on Oct. 1 start for North Carolina Medicaid expansion

North Carolina’s budget negotiations could continue into September, which would delay the start date of the state’s Medicaid expansion, NBC affiliate WRAL reported Aug. 7. 

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North Carolina Gov. Roy Cooper’s administration set an Oct. 1 start date for the expansion, but the program’s funding is linked to the passage of the state’s 2023-2024 budget. The budget needs to be passed by Sept. 1 for the state to meet the October start date. If that deadline is not met, expansion would be delayed until Dec. 1. 

A spokesperson for North Carolina House Speaker Tim Moore said it appears budget negotiations could continue past Sept. 1, according to the report. 

The state’s Medicaid expansion is expected to provide coverage to more than 600,000 state residents, according to the governor’s office. 

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