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Related topics
 * Health
 * North Carolina
 * Government and politics
 * Health care reform
 * Phil Berger
 * Medicaid


NC MEDICAID EXPANSION STAKES RISE WITH SENATE LEADER SUPPORT



By GARY D. ROBERTSONMay 25, 2022


1 of 2
North Carolina Senate leader Phil Berger, R-Rockingham, speaks on Wednesday, May
25, 2022, at a Legislative Building news conference in Raleigh, N.C. Berger and
other Republican senators discussed new health care legislation that would
direct the state to accept Medicaid expansion coverage for hundreds of thousands
of low-income adults. Berger had been a longtime expansion opponent. (AP
Photo/Gary D. Robertson)


RALEIGH, N.C. (AP) — North Carolina government’s most powerful Republican
elected official threw his weight fully behind Medicaid expansion Wednesday,
raising the stakes for an issue lingering in state politics for a decade that
could result in hundreds of thousands of low-income adults getting insured.

Senate leader Phil Berger was a longtime opponent of accepting federal funds
through the 2010 Affordable Care Act to cover people that make too much money to
qualify for traditional Medicaid, but too little to qualify for subsidized
private plans. Opposition by Republicans has left North Carolina one of dozen
states that have not accepted the match.

Berger revealed last fall he was willing to consider expanding Medicaid as part
of budget negotiations. Earlier this week, Senate Republicans revealed they were
considering seriously a package of health care access and insurance changes
including expansion, which was disclosed Wednesday and heard in a Senate
committee. A committee vote was expected Thursday.

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“If there’s a person in the state of North Carolina that has spoken out against
Medicaid expansion more than I have, I’d like to meet that person,” Berger said
at a news conference, but now, ”I think (expansion) is the right thing for us to
do.”


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Even if the measure clears the Senate, odds for full passage appear long before
this year’s budget-adjustment session ends around July 1. House Speaker Tim
Moore said there is not the time to negotiate such heavy legislation before
then, and GOP colleagues in the chamber are not anxious to address it now. A
House-Senate study committee looking at expansion and health care access also
has not made recommendations.

Expansion has “been one of the most contentious issues for years,” Moore told
reporters later Wednesday. “I don’t see an appetite for it right now.”

Berger said the Senate bill contains several provisions the study committee
likely would have recommended anyway, and passing the measure will give the
House “something else to chew on.” It’s possible lawmakers could reconvene later
in the year.

Any final measure would go to Democratic Gov. Roy Cooper, an ardent expansion
supporter who is “encouraged to see progress on getting more people covered with
health care in North Carolina,” spokesperson Jordan Monaghan wrote in an email.

In his most public, comprehensive explanation to date, Berger described how he
changed his mind after attempts to enact market-based insurance and health care
reforms fell short.

“Why now? Why this?” Berger asked. “First, we need coverage in North Carolina
for the working poor. Second, there is no fiscal risk to the state budget moving
forward with this proposal.” And the Medicaid program has been overhauled in
recent years so that it can handle additional consumers without creating state
budget problems, he added.

The expansion proposal would likely cover 500,000 or 600,000 people. While about
2.7 million North Carolina residents are now enrolled in Medicaid, some current
consumers whom the state has been required to keep on the rolls during the
pandemic would ultimately be covered by expansion.

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Berger said he’s fairly convinced Congress won’t lower the federal government’s
90% share of expenses for expansion enrollees, and the bill cancels the program
if that were to happen. The state would pay its share through hospital
assessments and get an additional $1.5 billion over two years to treat
traditional Medicaid patients — an additional sweetener for North Carolina to
join.

“We are not likely to ever get a better deal than we are being offered now,”
said Sen. Joyce Krawiec, a Forsyth County Republican, also a former expansion
opponent who is helping shepherd the measure.

The bill directs that a work requirement for expansion recipients be developed
and presented to federal Medicaid regulators for approval, but its rejection
would not cancel expansion. Such mandates in other states have been struck down
by courts or blocked by President Joe Biden’s administration.

Long-term prospects for final passage of the Senate package may have more to do
with its non-expansion items. They include significant easements to the state’s
certificate of need laws, which regulate the expansion of health care facilities
and equipment purchases, and the authorization of advanced-level nurses to work
independently from physicians.

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The nursing licensure changes have been sought by the profession’s lobbying
association. Some senators and the North Carolina Medical Society raised
concerns about those provisions in Wednesday’s committee meeting, citing patient
safety.

Rep. Donny Lambeth, a Forsyth County Republican who with Krawiec leads the study
committee and supports expansion, said in a text message Wednesday that it’s
important that “we pass a clean expansion bill — not one that combines a number
of other controversial health policy issues.”

But supporters of the Senate bill said the measure must be comprehensive to
ensure enough health care professionals and facilities are available to serve
Medicaid patients.

Still, longtime advocates for expansion were ecstatic about the prospects their
ultimate goal could soon be achieved.

”I will say that I am very optimistic,” said Erica Palmer Smith, executive
director of Care4Carolina, after the news conference.

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the NCAA Tournament without a single No.AP News


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Renamed Horseshoe to host Poker World Series on Vegas StripLAS VEGAS (AP) — A
name paired with poker and Las Vegas lore now has a place on the neon-lit Strip
following the rebranding of an iconic hotel with a memorable history at a
crossroads shared with some of the most recognizable casinos in the world.AP
News


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Jokic scores 31, Nuggets pull away from Wizards 118-104WASHINGTON (AP) — Nikola
Jokic had 31 points and 12 rebounds as the Denver Nuggets shook off a slow start
and beat the short-handed Washington Wizards 118-104 on Wednesday night. Michael
Porter Jr.AP News


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Pentagon: Budget readies US for possible China confrontationWASHINGTON (AP) —
The U.S. military must be ready for possible confrontation with China , the
Pentagon's leaders said Thursday, pushing Congress to approve the Defense
Department's proposed $842 billion budget, which would modernize the force in
Asia and around the world.AP News


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Solar America

Top Solar Providers Near YouSolar America|
SponsoredSponsored


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investing.com

Yellowstone Discontinued - Effective Immediatelyinvesting.com|
SponsoredSponsored


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Scandal-plagued Japan tech giant Toshiba gets tender offerAP News


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US denies Chinese claim it drove away American destroyerAP News


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Online Shopping Tools

Amazon Hates When You Do This, But They Can’t Stop YouOnline Shopping Tools|
SponsoredSponsored


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Forbes

The great exodus. Residents are now moving.Forbes|
SponsoredSponsored


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Bank failures and rescue test Yellen’s decades of experienceWASHINGTON (AP) —
Working against the clock to stop a developing banking crisis , Treasury
Secretary Janet Yellen had until sunset on Sunday, March 12, to come up with a
plan to calm the U.S.AP News


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Jimmy Butler scores 35, Heat hold off Knicks 127-120MIAMI (AP) — Jimmy Butler
stepped back onto the court in his usual time slot, midway through the fourth
quarter, with the Miami Heat clinging to a one-point lead. Not even three
minutes later, the lead was 12 — and the Heat were on their way to a needed
win.AP News


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