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When Governor McCrory and the NC General Assembly rejected federal money under the Affordable Care Act to expand Medicaid to 500,000 lower-income North Carolinians, they also sent back a $74 million grant NC had already received to help advertise and enroll more moderate-income people in the new NC Health Exchange.  This is where people buying insurance on their own who don’t qualify for Medicaid will get tax credits to buy affordable health plans.  In states like Oregon where they accepted federal money to expand Medicaid and get the word out about affordable coverage advertising is already starting:

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One final thought:  States like Oregon are thanking states like NC profusely.  NC citizens are now sending their federal tax dollars that used to be marked for making insurance affordable in NC to Oregon and other states now moving forward with the Affordable Care Act.