North Carolina approves Medicaid expansion, reversing its long opposition

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North Carolina approves Medicaid expansion, reversing its long opposition
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A Medicaid expansion deal in North Carolina has received final legislative approval, ending a decade of debate over whether the state should accept the federal government's coverage for hundreds of thousands of low-income adults.

A Medicaid expansion deal in North Carolina received final legislative approval on Thursday, ending a decade of debate over whether the closely politically divided state should accept the federal government's coverage for hundreds of thousands of low-income adults.

When North Carolina's Democratic governor, Roy Cooper, a longtime expansion advocate, signs the bill, it will leave 10 states in the U.S. that haven't adopted expansion. North Carolina has 2.9 million enrollees in traditional Medicaid coverage. Advocates have estimated that expansion could help 600,000 adults.

The state House voted 87-24 in favor of the deal, after little debate. Some members clapped after it passed, which is usually not permitted under chamber rules. The North Carolina state Senate approved the legislation last week. Republicans in charge of the General Assembly for years had been skeptical about expansion, which originated from the. But they have come around to the idea over the past year, deciding that Congress was neither likely to repeal the law nor raise the low 10% state match that coverage requires.

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