Mark Hall

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In 2014, former President Barack Obama’s health care law gave states the option to expand Medicaid. North Carolina was among 18 states who chose not to expand the program. At the time, many officials in those states expressed concern over how much expansion would cost.

Medicaid reform is at the forefront of the state's legislative agenda this session, but legislators are still debating how to design the reform. 

The Senate wants to privatize administration and let commercial insurance companies control the market while the House and Governor McCrory want state health care providers to be in charge. A new report from Wake Forest University argues for a hybrid strategy.