© 2025 WFAE

Mailing Address:
WFAE 90.7
P.O. Box 896890
Charlotte, NC 28289-6890
Tax ID: 56-1803808
90.7 Charlotte 93.7 Southern Pines 90.3 Hickory 106.1 Laurinburg
Play Live Radio
Next Up:
0:00
0:00
0:00 0:00
Available On Air Stations

With federal cuts looming, NC House plots roadmap for possible Medicaid reductions

State Rep. Donny Lambeth (R-Forsyth) says there's a good chance Congress will put in a Medicaid work requirement that could impact the North Carolina plan.
Paul Garber
/
WFDD
State Rep. Donny Lambeth (R-Forsyth) says there's a good chance Congress will put in a Medicaid work requirement that could impact the North Carolina plan.

It could be months before we know how Medicaid could be affected as Congress attempts to trim $2 trillion from federal government spending. State lawmakers have started planning for a possible decrease in funds.

Republicans in the North Carolina House of Representatives, including Donny Lambeth of Forsyth County and Larry Potts of Davidson County, have filed a bill to set up a committee exploring what the state will do if funds are reduced.

Lambeth says House Bill 113 is a way to plan ahead.

“The fundamental question to me is, 'What would the state of North Carolina do if Medicaid funds are cut at the federal level with the idea that they would shift the obligation down to the states?'" he says. "And I felt like rather than waiting, we really need to be proactive and know what to do.”

Lambeth says among the things that could change are optional services that Medicaid allows and North Carolina offers, such as dental work.

The federal government pays 90 percent of expansion-eligible Medicaid expenses and providers pay 10 percent.

Lambeth says the state’s expansion will be phased out if those federal funds drop below 90 percent unless providers are willing to make up the difference.

More than 620,000 North Carolinians are enrolled through the Medicaid expansion that launched in December 2023.