New Medicaid expansion pitch surfaces in N. Carolina House
Associated PressRALEIGH, N.C. — North Carolina House Republicans pitched a plan Thursday that could authorize expanding Medicaid to hundreds of thousands of additional low-income adults, which their leader argued would bring more certainty to ensuring rural hospitals and substance abusers get help. Although many House Republicans don’t like the Senate bill because it also contains too many controversial topics unrelated to expansion, Moore said he hoped offering an alternative would keep talks going. “I don’t know if the other chamber will agree to it or not,” Moore told the House Health Committee, but “this is a way to move forward with a plan that I think will actually help at the end of the day without causing the state any financial hit, and at the end of the day help those who need help the most.” Expansion has been intertwined with ongoing but separate negotiations between the House and Senate over proposed adjustments to the second year of a two-year state budget approved last fall. Though Moore said it’s possible legislators still will reject the expansion plan, he called the proposal the best approach he’s seen to help them understand what expansion is expected to accomplish. They would include projections that the existing state Medicaid program would save money, proposals to increase preventive health care and medical services in rural areas, and spending $1 billion of the $1.5 billion to address the state’s “opioid, substance abuse and mental health crisis.” Berger is skeptical of the House proposal, pointing out that a legislative commission already studied expansion and other health care access issues earlier this year.
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