Press Release

Medicaid Expansion Would Create Yearly Funding Gap For North Carolina

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Expanding Medicaid in North Carolina is a misguided and costly plan for our state, and would not be free to state taxpayers, as Gov. Roy Cooper claims. New economic analysis released by the John Locke Foundation reveals that expansion would leave the state with a funding gap estimated between $119.3 million and $171.3 million in the first year alone.

The expansion funding gap would continue every year and could increase based on enrollment in the program and cost of the enrollees in the future. Multiple North Carolina expansion scenarios are detailed by JLF Health Care Policy Analyst Jordan Roberts in the report, Big Government, Big Price Tag: Medicaid Expansion = Funding Gap For State Government.

Medicaid is a federal/state program aimed at providing health insurance to the most vulnerable in America: low-income parents, the blind, the elderly, pregnant women, and the disabled, for example. The federal government pays 90 percent of costs. States pay 10 percent.

Nearly 2.4 millionpeople are currently enrolled in North Carolina’s program. Gov. Cooper and state Democrats have fiercely advocated for overloading Medicaid with 500,000 to 600,000 additional people. Nearly eight of 10 of the proposed expansion population are able-bodied, working-age adults with no children, according to the Kaiser Family Foundation.

Gov. Cooper claims that adding this massive new group would not require any state money and that the state’s portion of costs would be paid for via taxes on hospitals and providers.

“The governor’s statement is wrong,” said Roberts. “Our modeling is rigorous and uses varying enrollment numbers and expenditure data from respected sources. The most likely modeled scenarios result in the need for state appropriations. That means taxpayers.”

Beyond the fiscal implications for the state, Roberts worries about the fate of those currently enrolled. “If massive numbers of new people are added, it will be harder to access care. Many current Medicaid patients have multiple health issues; they’re our most vulnerable. The worst thing we could do is to push their needs aside.”

To interview Jordan Roberts, send an email to
[email protected]
 Or, call 704-661-4721.

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About John Locke Foundation

We are North Carolina’s Most Trusted and Influential Source of Common Sense. The John Locke Foundation was created in 1990 as an independent, nonprofit think tank that would work “for truth, for freedom, and for the future of North Carolina.” The Foundation is named for John Locke (1632-1704), an English philosopher whose writings inspired Thomas Jefferson and the other Founders.

The John Locke Foundation is a 501(c)(3) research institute and is funded solely from voluntary contributions from individuals, corporations, and charitable foundations.