There is little dispute that Medicaid expansion stands to benefit more than 400,000 uninsured North Carolinians who currently fall in the coverage gap. What is more often disputed is the potential cost to the state. Under the established matching plan that would take effect from 2020 onward, federal funding would pay 90% of the cost of those enrolled under expanded Medicaid eligibility, while the state pays no more than 10% (compared to the 66% to 34% federal to state matching that covers those currently enrolled). While the expansion ratio is certainly more favorable for state spending, concerns have persisted over the additional state cost. But the numbers are in.
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