N.C. governor sets Medicaid expansion date, pressuring Republicans to act

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N.C. governor sets Medicaid expansion date, pressuring Republicans to act
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Medicaid expansion is set to begin October 1 if Republican lawmakers fund it.

The unusual move puts additional pressure on the state’s Republican-controlled legislature to either pass a budget or fund Medicaid expansion separately — something Democratic Gov. Roy Cooper has been calling for since earlier this month. | Sean Rayford/Getty ImagesNorth Carolina Gov. Roy Cooper’s administration on Wednesday announced the state will expand Medicaid on Oct. 1 — even though lawmakers have yet to approve the funding to do so.

If, however, lawmakers miss the September deadline, Medicaid expansion would be delayed until Dec. 1, health officials said. Republican lawmakers overcame years of opposition to approve the proposal but declined to fund it separately, wanting some leverage over Cooper as they hashed out the budget. In August, Cooper railed against lawmakers for tying expansion to the budget.

Rep. Donny Lambeth, a Republican and senior chair of the House Appropriations Committee, said Cooper knew that tying Medicaid expansion to the budget was part of the deal.

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