Gov. McCrory: NC not ready to expand Medicaid, manage state-run health exchange

Governor Pat McCrory said Tuesday that a state run health exchange, and Medicaid expansion “are not in the best interest of North Carolina.”

Faced with a Friday deadline to announce the state’s intentions, the governor released the following statement:

“Throughout our first few weeks in office, we have done a thorough review of the advantages and disadvantages of expanding Medicaid in North Carolina and determining the right exchange option for our state. Headed up by our Secretary of the Department of Health and Human Services, this review included discussions with other governors, the White House, health care providers and N.C. legislative leaders.mccrory-121c

“This assessment included our existing systems, operations, potential new administrative costs and barriers, and the amount of control and flexibility North Carolina will have to reform the system. The results of our findings make it abundantly clear that North Carolina is not ready to expand the Medicaid system and that we should utilize a federal exchange. Our findings include:

1) In light of recent Medicaid audits, the current system in North Carolina is broken and not ready to expand without great risk to the taxpayers and to the delivery of existing services to those in need. We must first fix and reform the current system.

2) The potential long-term cost to the North Carolina taxpayer and needed flexibility for reform cannot be determined based upon the information and details provided to us by the federal government.

3) There has been a lack of preparation within state government during the past year to build necessary and reliable systems to implement a state exchange.

4) Due to the ongoing political uncertainty of the federal budget deficit, there is long-term concern regarding the federal government’s continuing of its obligation for matching funds under the terms of the Medicaid expansion.

“We are currently working with the General Assembly on technical language revisions to Senate Bill 4 to ensure full and timely funding for NC FAST. This information technology system must be implemented for existing Medicaid services. In addition, this technology also will help reduce fraud and waste.

“If it becomes clear that the current course of action is not in the best interest of North Carolina, our health care system and our citizens, we will work with the General Assembly to pursue other options in the future.”

5 Comments

  1. Brandon G

    February 12, 2013 at 9:08 am

    I say, “BS!!!!”

  2. JeffS

    February 12, 2013 at 10:10 am

    What a poor liar McCrory continues to be.
    That GOP leadership puts no effort in disguising their dishonesty anymore is a clear indication of the respect they have for the people they are supposed to be serving.

    I say supposed… but I understand that political contributors are the only ones being served anymore.

  3. Doug Gibson

    February 13, 2013 at 12:58 pm

    What’s interesting is that McCrory pulled a similar stunt to Rick Scott – he had an audit done of the state Medicaid program, and I’m sure he knew going in pretty much what he would find. And even if he hadn’t found what he was looking for, he would have used that audit as the basis to refuse the expansion. My guess is that this was a done deal from the beginning, but that McCrory didn’t want to admit it until this week.

  4. [...] McCrory issued a statement Tuesday saying Medicaid expansion was not in North Carolina’s best [...]

  5. George Doctoroe

    February 17, 2013 at 1:59 pm

    What is happening in NC is remarkably similar to what is happening in other states where Koch backed Tea Party Republicans have taken over.
    ALEC legislation plans? What’s happening in Wisconsin appears very similar to the -GOP Medicaid plan for NC
    http://www.jsonline.com/news/statepolitics/taxpayers-pay-more-under-walker-medicaid-plan-1r8q2c2-191558361.html