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Care4Carolina

Expanding access. Enhancing prosperity.

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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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Sign as an Individual

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Sign as an Organization

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Sign as a Civic Leader

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Sign as a Faith Community

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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Health Status and Access to Care for the North Carolina Medicaid Gap Population

September 2019 · Resource Type: ReportTopic: Heart Disease, Infants and Children, Medicaid Expansion

Download this Resource

Medicaid is a joint federal and state program that currently provides insurance coverage to approximately 67 million Americans [1]. Since the establishment of Medicaid in 1965, the federal government has defined minimum eligibility criteria. For most of Medicaid’s history, these criteria have included income and asset requirements, as well as categorical eligibility, which is defined as membership in medically vulnerable groups such as pregnant women, children, and people with disabilities [2]. Nondisabled adults aged below 65 who were not pregnant or did not have dependent children were traditionally not eligible for Medicaid, unless the state had received a waiver to expand coverage [3].

A key feature of the 2010 Affordable Care Act (ACA) was expansion of Medicaid eligibility to most persons under 138% of the federal poverty guidelines (FPG), regardless of categorical eligibility. The ACA also created insurance exchanges where individuals between 100% and 400% of the FPG could purchase private health insurance at subsidized rates [4]. Together, these provisions were intended to ensure low-income individuals without access to affordable employer-based health insurance could obtain coverage.

Though the ACA expansion of Medicaid eligibility was intended to be mandatory for all states, a 2012 Supreme Court ruling effectively made this provision optional, resulting in a “Medicaid gap” in states that chose not to expand[5]. In non-expansion states, individuals in the Medicaid gap have incomes below 100% of the FPG and are therefore not eligible for subsidized health coverage in ACA marketplaces. Additionally, they either do not fall into one of the traditional Medicaid eligibility categories or do not qualify because income requirements in some categories are set well below the FPG [6]. Nearly 80% of individuals who fall in the Medicaid gap are estimated to be childless adults, and 60% are estimated to work full- or part-time [5].

In North Carolina, Medicaid covers nearly 2 million North Carolinians, approximately 18% of the state’s population [6]. As of 2019, North Carolina remains among the 14 states that have not expanded Medicaid coverage [7]. With few exceptions, North Carolina Medicaid does not cover non-disabled, childless adults at any income level. For parents of dependent children to qualify for Medicaid in North Carolina, their income must be below 43% of the FPG [8]. This results in
an estimated 208,000 low-income adults in North Carolina without access to subsidized health insurance coverage [5].

Individuals in the Medicaid coverage gap have limited ability to obtain health insurance coverage, meaning they may face worse health care access and health outcomes. A better understanding of the relative health status and access to care for those in the Medicaid gap will help to shape policy solutions for addressing the health needs of this population.

Tag iconHeart Disease,  Infants and Children,  Medicaid Expansion

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