Medicaid expansion
Medicaid expansion
State government has scores of vitally important roles to play in modern North Carolina. The list of agencies and missions is a long one. At a basic level, however, government’s most important task is – or at least ought to be – protecting the lives and health of the state’s residents. And so, while state lawmakers obviously have numerous priorities to weigh and debates to have during the 2023 legislative session that convenes tomorrow, one extremely efficient path for prioritizing their work, fulfilling their most basic duty, and making the state a measurably better place would be this: ending easily preventable deaths.
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This year in North Carolina was notable for something that didn’t happen – Medicaid expansion. Republican legislative leaders had largely dismissed the idea of expanding Medicaid until this year. Then Senate Leader Phil Berger, once a staunch and vocal opponent, said he’d changed his mind. After that blockbuster announcement, a Medicaid expansion bill passed the Senate, but soon thereafter, momentum slowed and the measure stalled.
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State legislators will soon get another look at a plan aimed at improving maternal health in North Carolina, with a request to provide better pay to health care workers who provide maternity services to people enrolled in Medicaid, reimburse for doula services, and increase payments to providers of group prenatal care. The United States has the worst maternal death rate among industrialized nations, and Black women are three times more likely to die from pregnancy-related causes than white women.
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For nearly a decade, North Carolina has forgone billions of federal dollars, prevented the creation of thousands of good jobs, caused multiple rural hospitals to close, and most disturbingly, condemned thousands of uninsured people to an early death by refusing to follow the lead of 38 other states in expanding Medicaid. As scores of experts, advocates, public officials and average North Carolinians have repeatedly attested and evidenced...
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North Carolina has a new budget for the state fiscal year that began July 1. At the very end of the 10-day period allotted to him by the state constitution, Gov. Roy Cooper affixed his signature to a 193-page bill drafted mostly behind closed doors by Republican legislative leaders that amends the two-year budget enacted last year. Cooper’s decision to sign the measure was, one supposes, an act he viewed as an exercise in political pragmatism.
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Thousands of people currently cycling in and out of jails and prisons are among the roughly 600,000 who would get health coverage under Medicaid expansion, potentially transforming North Carolina’s justice system. Dorel Clayton became unmoored after his mother died of ovarian cancer, in 2001.
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The North Carolina General Assembly brought its 2022 “short session” to a close last week. Well, at least, it kinda’ sorta’ did. Unlike in decades gone by in which the legislature generally adjourned in early summer, not to return until the following year, the current leadership on Jones Street prefers to keep the state’s supposedly part-time lawmakers yoyoing back and forth to the state capital. And so it is that the adjournment resolution approved by both houses last week...
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A lot of things have been happening in the world of policy and politics of late that, not all that long ago, seemed fairly unimaginable. In Washington over the weekend, a group of 10 Republican U.S. senators, including North Carolina’s Richard Burr and Thom Tillis, came together with a group of Democrats to announce an important agreement on gun safety legislation. Though extremely modest in scope...
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