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Sign as a Business Leader

As a North Carolina business leader, I endorse the following statement:

We, as North Carolina business leaders, understand that a strong economy and a thriving workforce require healthy families. Right now, too many hard-working families are uninsured. In fact, about two-thirds of all uninsured adults in North Carolina work. They are construction workers, farmers, child care providers, and even veterans. We urge the North Carolina General Assembly to achieve a bi-partisan solution to close the health insurance coverage gap. Now is the time to act. There are proposals on the table that would require no investment of state tax dollars and closing the gap would create an estimated 37,000 jobs and billions in economic activity. Much of this economic activity would benefit our rural communities and other areas most in need of an economic boost. Closing the health insurance coverage gap is a good deal for the health of North Carolina families and for our economy. We urge you to work together and achieve a policy solution that closes the health insurance coverage gap.

Business Leaders for Closing the Coverage Gap

By signing this statement you are granting permission to Care4Carolina to publicize your endorsement. Your personal information will only be used for the purposes of this public endorsement statement and will not be shared with any other entity. Personal contact information will not be shared in endorsement statements listings or ads. Employer affiliation will be used for identification purposes only. For example: “Mr./Ms./Mrs. John Doe, CEO, ABC Corporation*; Anytown, NC”.

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Faith Leaders Addendum

As a North Carolina faith leader/ community of faith, I/we endorse the following statement:

We, as people of faith in North Carolina, believe that the Lord brings good news to the poor, binds up the broken-hearted, and comforts all those who mourn. We believe that when we work to ease the burdens of our neighbors who are struggling the most, we are caring for God. And, we believe we are called to follow our God by doing good, not only in the halls of our congregations, but by seeking justice in the wider world.

That means we cannot stand silent when presented with the opportunity to provide healthcare coverage for hundreds of thousands of our brothers and sisters. We understand that a community cannot flourish while its people lack access to affordable, quality healthcare. Healthy families are the bedrock of our communities of faith and of our local economies. Uninsured North Carolinians include members of our congregations, pastors, child care providers, farmers, construction workers, small business owners, neighbors, and friends. We urge the North Carolina General Assembly to work together across bi-partisan lines to close the health insurance coverage gap for all of these children of God.

Signing Disclosure

By signing this statement you are granting permission to Care4Carolina to publicize your endorsement. Your personal information will only be used for the purposes of this public endorsement statement and will not be shared with any other entity. Personal contact information will not be shared in endorsement statements, listings, or ads. Employer information will be used for identification purposes only. For example: “Rev. John Doe, Pastor, ABC Church, Anytown, NC.”

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Sign as a Grassroots Group

As legislation progresses to enact a North Carolina solution to close the health insurance coverage gap, it is critical that we have a grassroots team ready to mobilize. By signing up as a member of the Care4Carolina Grassroots Action Network, you agree to activate your group/organization when action is requested during the campaign. Action requests may include but are not limited to reaching out to legislators, sharing posts on social media, and relaying information to other contacts.

Your work as a grassroots group/organization is essential to our efforts, and Care4Carolina appreciates your support in ensuring that our mission is achieved. Together, we will find a North Carolina solution to close the health insurance coverage gap.

*By signing on as a member of the Care4Carolina Grassroots Action Network, your group/organization’s information will not be shared externally. The information collected through this form is for internal use only.

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The 90% Medicaid Match is Permanent

June 29, 2021 by Hailey Gutzmer Leave a Comment

By Peg O’Connell

Care4Carolina Executive Director Erica Palmer Smith was recently a guest on the radio talk show, Mountain Morningson WJUL 97.7 The Lake and was challenged by one of the hosts on the permanency of the 90% federal Medicaid match for states that close their health insurance coverage gap. The host would simply not accept the fact that this enhanced match is permanent.  So, in case there are any other Doubting Thomases out there, I thought now would be a good time to address this issue.

Section 1905 of the Social Security Act: https://www.ssa.gov/OP_Home/ssact/title19/1905.htm, is part of the Affordable Care Act that was passed in in 2010.  This is the provision that increased the federal match for states that expand their Medicaid programs to cover people up to 138% of the poverty level.  These are the folks that are currently in the coverage gap in North Carolina. In relevant part it says, “Federal medical assistance percentage for a State that is one of the 50 States or the District of Columbia, with respect to amounts expended by such State for medical assistance for newly eligible individuals described in subclause (VIII) of section 1902(a)(10)(A)(i), shall be equal to…(E) 90 percent for calendar quarters in 2020 and each year after.” If you don’t believe me, you can click on the link above and see the actually statute.

There is no expiration date on this 90% match, no reauthorization required, no hidden trap doors.  It would take an Act of Congress in order for the match to be enhanced or reduced. Now, I don’t mean to throw stones, but our federal policymakers have tried to monkey with the Affordable Care Act in the past and found themselves on the receiving end of a firestorm.  It is not likely they will try again soon. The ACA is the law of the land and will be for the foreseeable future.  It has withstood legislative challenges and constitutional challenges and is still going strong.   

The 90% match is here to stay and it is time to stop using it as an excuse for failing to find a North Carolina solution to close the coverage gap.   Six hundred thousand North Carolinians need out help. Let’s get this done for them.

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