A picture of a stethoscope.
jasleen_kaur / Flickr/Creative Commons

A Medicaid oversight subcommittee has approved recommendations laying out goals for reform of the state's health insurance program for low-income residents. But support for the measure was not unanimous among Republicans. 

The recommendations approved Tuesday will now go before the full Health and Human Services oversight committee.

Two-pages of findings sketch out general goals for Medicaid reform in the state. Overall, it reiterates the feeling among some lawmakers- including Senator Ralph Hise- that the primary goal in reforming Medicaid should be to cut costs.

Pat McCrory
Dave DeWitt

Governor Pat McCrory has filed a suit against House Speaker Thom Tillis and Senate Leader Phil Berger, saying he's trying to stop them from usurping executive powers.

The lawsuit, filed in Wake County Superior Court, alleges violations of the separation of powers, executive power, and appointments provisions of the state Constitution, the Raleigh News & Observer reported. Former governors Jim Hunt, a Democrat, and Jim Martin, a Republican, joined McCrory in the filing.

Image of tools in doctor's office
Morgan via Flickr/Creative Commons

State health secretary Aldona Wos says North Carolina would likely need to change some of its Medicaid rules to expand the program under the Affordable Care Act. 

The health care law offered to pay for expanded Medicaid through 2016, but North Carolina was one of 24 states that rejected the expansion last year.  Gov. Pat McCrory said the state's Medicaid program was broken, and was not confident the federal government would cover the costs. 

But Wos says Medicaid is now more stable, and she plans to present the governor with options for expanding Medicaid. 

Aldona Vos, DHHS
North Carolina Department of Health and Human Services


North Carolina’s Medicaid program covers 1.7 million people at a cost of $14 billion per year.

The program for low-income and disabled residents has had a turbulent past. Last year, computer glitches created a long backlog of applications and payments for providers. And Medicaid has been a question mark in the budget, causing cost overruns for several years.

But health officials say the system is improving enough that the state could reconsider expanding Medicaid to half a million people who do not have health insurance.

DHHS Secretary Aldona Wos
Jessica Jones

North Carolina's Secretary of Health and Human Services spoke before a legislative committee Wednesday to explain organizational changes made in one of her divisions.

Secretary Aldona Wos explained the changes will help streamline the Division of Medical Assistance, which administers the state's Medicaid program. She also told legislators that a formerly enormous backlog in the IT system used to process Medicaid applications- called NC FAST- has been reduced by 81 percent. The Secretary says she expects the system to be caught up by the end of October.

Medicaid illustration: A Caduceus symbol and a dollar sign
Neff Conner / Flickr

North Carolina health officials say the state Medicaid program has a positive cash balance for the first time in years.

For years, the state health insurance for people who are poor or disabled has cost tax payers more than expected. We're talking hundreds of millions of dollars.

But that wasn't the case last year. Aldona Wos, the state secretary for Health and Human Services, says the Medicaid budget was in the black.

North Carolina will be missing out on $51 billion from Mediciad because they chose not to expand coverage.


Lawmakers in North Carolina decided to not to expand Medicaid under the Affordable Care Act. 

McCrory signs budget plan
Reema Khrais

Gov. Pat McCrory has signed into law the state’s $21.1 billion budget bill that was approved by the legislature last week.

The signing comes five weeks after the beginning of the fiscal year on July 1st, a deadline lawmakers did not meet because of stalled negotiations and debate largely over teacher pay and Medicaid funding. 

McCrory signed the 260-page budget deal on Thursday at the executive mansion, proudly noting that the spending plan includes raises for teachers and state employees, while not increasing taxes or making reductions in Medicaid eligibility.

Photo: The North Carolina seal in front of the state legislative building
Jorge Valencia

Gov. Pat McCrory has before him an annual spending plan for North Carolina, setting aside money to give public school teachers their first significant pay raise since 2008 - while cutting from public health, childhood development and other programs. McCrory has said he will sign the bill, and lawmakers said they have at least two other major pieces of legislation they will address this year. 

Gov. Pat McCrory

Governor Pat McCrory says he approves of the legislature's spending plan for state and will sign the bill.

The Senate already passed the $21 billion budget bill today and the House will likely approve it Saturday morning.

Governor Pat McCrory touted the budget proposal at a press conference on Friday.

“We've got a 2.2 percent increase in the general fund budget with no tax increase, with teacher pay raises, no elimination of teachers assistants and we've kept the integrity of our Medicaid, I'm proud of it,” he said.