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Three Dumb Things that Happen if NC Rejects Obamacare’s Medicaid and Health Exchange

Bills filed in the NC Senate and House today (See SB4) declare that NC must reject federal grant money to set up a Obamacare health exchange and that NC should not expand Medicaid that is 100% paid for by the federal government over the next three years under Obamacare (and 93% thereafter).  There are plenty of consequences here for NC, but here are three main ones:

1.  NC will have to return most of the $74 million federal grant it just got to help set up the exchange.  The majority of this money is to be for modernizing the state computer systems under Medicaid.

2.  Only legal immigrants under 138% federal poverty level will be able to get help with health care costs while 500,000 of NC’s citizens under 138% federal poverty level will be barred from getting affordable health care under Medicaid.

3.  All the federal money that NC turns down by not modernizing its computers and expanding its Medicaid program is already appropriated under Obamacare.  Therefore NC’s money will go to states like Arizona and New York that are moving forward with the Medicaid expansion and exchanges – those states will just get more money (our money) to run better and more effective programs.

4 Comments


  1. […] What next?  A number of health advocacy organizations are speaking out against these two bills.  The North Carolina AIDS Action Network (NCAAN) has done an action alert. Health Advocate Adam Searing at the NC Justice Center has an on-point post, Three Dumb Things that Happen if NC Rejects Obamacare’s Medicaid and Health Exchange […]

  2. Doug

    February 1, 2013 at 4:06 pm

    1 If we need to build it then we should do it ourselves.
    2. This does not make sense. Are you implying we should cover illegal immigrants? I see no reason to cover someone who is here and needs to have the adjective “illegal” to describe thier status.
    3. This is the only salient point. We need to find other funds to pull back to NC, but the health care debacle money needs to be avoided like the plague. Taking the bribe on healthcare signs us up for future pain when the Feds decide the states should be mandated to take on new costs.

  3. […] this absurd decision that it’s impossible to list them all here. For a sampling check out this post and this […]

  4. […] servant  who actually knows what he is talking about has weighed in on the absurdity of the legislation advanced by Governor McCrory and conservative lawmakers to try to block the important reforms and expanded coverage made possible by the Affordable Care […]

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