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After 7 years, Medicaid expansion in sight for North Carolina

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After 7 years, Medicaid expansion in sight for North Carolina


North Carolina would possibly see its personal enlargement of Medicaid as former Republican opponents point out newfound assist for the proposal.

After being solely considered one of 12 states within the U.S. to not increase Medicaid because the Reasonably priced Care Act Medicaid enlargement in 2014, the North Carolina Healthcare Affiliation has made a proposal that will lastly get the ball rolling within the state.

On Sept. 16, the NCHA despatched an in depth proposition to Gov. Roy Cooper, Senate President Professional Tempore Phil Berger and Home Speaker Tim Moore, which addressed earlier limitations that had impeded N.C. representatives from getting on board with Medicaid expansions.

Berger and Cooper had beforehand insisted that Medicaid expansions be coupled with certificates of want reforms. Certificates of want are authorized paperwork required for healthcare facility expansions. 

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If applied, the certificates of want reforms might consequence within the lack of $700 million in income for outpatient surgical facilities. The elevated bills “can be dangerous to hospitals and erode the state’s security web” as hospitals already function on skinny margins, NCHA spokesperson Cynthia Charles wrote in an electronic mail to US Information.

However after months of deliberation and requires reform by representatives and residents, the NCHA acknowledged that it could again authorized adjustments concerning ambulatory surgical procedure facilities and the repeal of certificates of want necessities for brand spanking new inpatient beds meant for sufferers with psychiatric and chemical dependency points. The proposal additionally acknowledged that the hospitals would fund roughly $550 million value of bills for Medicaid enlargement in North Carolina.

Though Republican representatives have been a supply of pushback towards North Carolina well being coverage reform, many have now joined in on the combat for Medicaid enlargement.

Berger, who in 2017 with Moore filed a federal lawsuit towards Cooper for trying to increase Medicaid with out legislative approval, has indicated that he helps the enlargement due to his sympathies for the poor working mother and father in North Carolina who don’t qualify for Medicaid. 

Moore spoke to the matter as nicely, commenting that he believes expanded Medicaid to be good state fiscal coverage that may convey N.C. taxpayer a refund to the state.

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“As an alternative of the feds or anybody else simply creating one thing and sending it right here, that is one thing we’ve got the chance, from begin to end, to ensure it is smart for North Carolinians,” Moore instructed The Information & Observer.

38 out of fifty states have expanded Medicaid eligibility for these with incomes as much as 133% of the poverty degree, ever because the Reasonably priced Care Act Medicaid enlargement came about Jan. 1, 2014. Nevertheless, as a consequence of a 2012 Supreme Courtroom ruling, states couldn’t be penalized for not increasing Medicaid. A whole lot of hundreds of North Carolina residents fall in a grey space the place many can’t pay for personal insurance coverage however are usually not eligible for the state’s unexpanded Medicaid plan.

In consequence, when Governor Roy Cooper took workplace in 2017, considered one of his first initiatives was to increase Medicaid. His first try got here within the state finances proposal for State Fiscal Years 2020-2021, however as a result of the North Carolina legislature was Republican-controlled, his ambitions have been voted down.

The political local weather started to vary final summer time when Republicans within the N.C. Senate handed a invoice on June 2 that will increase Medicaid protection to over 600,000 low-income N.C. residents. This invoice would have led to expanded protection applied earlier than July 1, 2023. One other invoice of an identical nature was handed by the Home on June 28 that will create a committee dedicated to Medicaid enlargement associated choices to happen in December. Neither of those payments superior any additional.

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Debate continues between Berger and his allies, who need the Senate model of the invoice to be applied, and Moore and different Home Republican leaders, who’re looking for to revise the invoice to exclude the well being care coverage reforms.

In a letter to Republican leaders of the Normal Meeting and hospital executives, Kody Kinsley, secretary of the N.C. Division of Well being and Human Companies, urged extra quick-paced actions as even with a December choice, adjustments couldn’t be applied till April 2023. In accordance with Cooper, there’s additionally a chance that the state might lose entry to the 12 months’s enlargement cash if choices are usually not sped up.

“Passing laws in September is probably going our final probability to go reside this calendar 12 months,” Kinsley wrote.





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North Carolina

Kamala Harris sparks excitement for Asian Americans in North Carolina • NC Newsline

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Kamala Harris sparks excitement for Asian Americans in North Carolina • NC Newsline


Enthusiasm is growing among Asian Americans in North Carolina.

With Kamala Harris stepping into the race and the potential for the country’s first president of Asian American heritage, it’s ignited excitement in the community.

Sen. Jay J. Chaudhuri (Photo: ncleg.gov)

“I’ve already participated in a half dozen Zoom calls about ways members of the Asian American community can help and turn out the vote,” said Sen. Jay Chaudhuri, a Democrat representing portions of Wake County.

Harris marked many “firsts” when she became vice president after the 2020 election: she was the first woman, first Black person, and first Asian American in that position. Her father is Jamaican and her mother is Indian.

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Now she has the opportunity to become the first Asian American presidential candidate if she secures the Democratic Party’s nomination.

Jimmy Patel-Nguyen
Jimmy Patel-Nguyen (Photo: NC Asian Americans Together)

“What people are excited about is recognizing the historical significance of it, that her lived experiences as an Asian American and Black woman really bring a different, inclusive level of representation to the highest level of government,” North Carolina Asian Americans Together communications director Jimmy Patel-Nguyen said.

The organization is focused on channeling that energy into voter outreach efforts, as well as raising awareness and education about key down ballot races.

The Asian American and Pacific Islander population in North Carolina has steadily increased in recent years.

It’s grown 63.3 percent since 2012 for a population size of about 456,655 in 2024, according to AAPIVote — a nonpartisan group dedicated to strengthening civic engagement for Asian American and Pacific Islander communities.

There are roughly 235,900 eligible Asian American and Pacific Islander voters in North Carolina, marking a 55.4 percent growth in voter eligibility from 2012 to 2022.

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Asian Americans and Pacific Islanders make up 2.97 percent of the electorate in the swing state. In 2020, then-President Donald Trump narrowly won North Carolina by less than 75,000 votes.

“It’s really important for us to acknowledge that major campaigns cannot ignore us anymore,” Patel-Nguyen said. “We are too consequential to elections — every election, local, state, and federal, where we’re changing the political landscape in North Carolina.”

The population is concentrated around urban areas. Wake, Mecklenburg, Guilford, Durham, and Orange counties have the highest proportions of Asian Americans and Pacific Islanders.

Nearly 60 percent of Asian American adults in North Carolina speak a language other than English at home, according to AAPIVote.

Rep. Maria Cervania
State Rep. Maria Cervania )Photo: ncleg.gov)

Along with low voter contact, language barriers have accounted for low voter turnout for Asian Americans.

“We do see the gaps when it comes to language access and communication,” Rep. Maria Cervania, a Democrat representing portions of Wake County, said. “We know that we need to continue that and more so now.”

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That’s why groups like NCAAT work to make voting as accessible as possible. In the past, NCAAT has translated mailers into different languages and made an effort to reach out to voters in their native tongue.

Another issue is avoiding treating the Asian American community as a monolith. With so many different backgrounds and cultures, there’s a wide variety of views across the political spectrum.

“A majority of AAPI voters in North Carolina are registered unaffiliated,” Patel-Nguyen said. “We’re really independent thinkers who are voting on issues and not all party lines.”

Top issues vary for individual voters, but there are general themes.

Younger voters prioritize lowering the cost of living, protecting abortion access and reproductive rights, and making healthcare more affordable, according to a poll by NCAAT. Older voters are more concerned about crime and public safety, as well as the economy and job creation.

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The Harris campaign has invested more money into more media than ever in order to reach Asian American voters, according to the campaign.

“In just the first week since Vice President Harris became the presumptive nominee of our party, we’ve seen a groundswell of support from AANHPI voters across North Carolina who are fired up to elect Kamala Harris as the first Asian American president in U.S. history,” according to Natalie Murdock, the campaign’s North Carolina political and coalitions director.



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North Carolina Gov. Roy Cooper Drops Out of Harris’ Veepstakes

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North Carolina Gov. Roy Cooper Drops Out of Harris’ Veepstakes


North Carolina Gov. Roy Cooper on Monday withdrew his name from contention to serve as Vice President Kamala Harris’ running mate. In a social media statement, Cooper thanked Harris for her campaign’s consideration and reaffirmed his confidence in her victory. “This just wasn’t the right time for North Carolina and for me to potentially be on a national ticket,” he said. “She has an outstanding list of people from which to choose, and we’ll all work to make sure she wins.” A source told The New York Times, which reported Cooper’s veepstakes exit before his announcement, that his team had reached out to Harris’ campaign a week ago to say he did not want to be considered. Sources told Politico and NBC News that Cooper had dropped out for a few reasons, including a possible U.S. Senate run in 2026 and fears that North Carolina’s conservative lieutenant governor, Mark Robinson, might try to seize power if he left the state to campaign. Harris is aiming to announce her pick for No. 2 by Aug. 7, when the Democratic Party kicks off its virtual nomination process. The party convention is slated to begin Aug. 19 in Chicago.

Read it at The New York Times



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North Carolina Gov. Roy Cooper backs out of consideration to be Harris’ running mate

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North Carolina Gov. Roy Cooper backs out of consideration to be Harris’ running mate


North Carolina Gov. Roy Cooper has informed Kamala Harris’ presidential campaign that he does not want to be under consideration in her search for a vice presidential candidate, the governor said Monday night.

Cooper said in a statement explaining his decision that although he was taking himself out of consideration for the role, he’s still backing Harris’ candidacy.

“I strongly support Vice President Harris’ campaign for President,” Cooper said. “I know she’s going to win and I was honored to be considered for this role. This just wasn’t the right time for North Carolina and for me to potentially be on a national ticket.”

“As I’ve said from the beginning, she has an outstanding list of people from which to choose, and we’ll all work to make sure she wins,” he added.

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The New York Times first reported that Cooper was withdrawing his name from consideration.

One source directly involved in Harris’ search for a running mate said Cooper took himself out of the mix because he wants to run for the U.S. Senate in 2026. The source said Cooper never indicated to the campaign that he wanted to be vice president and told Harris aides that he did not want to be considered.

NBC News previously reported that interviews with some Democratic insiders pointed to Cooper, along with Sen. Mark Kelly of Arizona and Gov. Josh Shapiro of Pennsylvania, as top contenders to join Harris on the Democratic ticket.

Other governors, including Kentucky’s Andy Beshear and Minnesota’s Tim Walz, and Transportation Secretary Pete Buttigieg are among those who have also been floated as potential running mates.

The Harris campaign previously said she plans to select a running mate by Aug. 7.

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