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[MM Curator Summary]: In which the Good Guvnr needs to appear tough.
Medicaid expansion is set to begin October 1 if Republican lawmakers fund it.
The state’s plan gives lawmakers until Sept. 1 to fund the proposal. State health officials said that by starting their work now, they can reduce the lead time needed to implement the program from 90 or 120 days after the legislature gives its final approval to 30 days.
If, however, lawmakers miss the September deadline, Medicaid expansion would be delayed until Dec. 1, health officials said.
North Carolina became the 40th state to approve Medicaid expansion in March, with more than 600,000 people expected to be eligible for the program when it takes effect.
Implementing Medicaid expansion has been a top priority for the two-term governor, who will leave office in 2025.
Republican lawmakers overcame years of opposition to approve the proposal but declined to fund it separately, wanting some leverage over Cooper as they hashed out the budget. In August, Cooper railed against lawmakers for tying expansion to the budget.
“Making Medicaid Expansion contingent on passing the budget was and is unnecessary, and now the failure of Republican legislators to pass the budget is ripping health care away from thousands of real people and costing our state and our hospitals millions of dollars,” Cooper said in a statement.
Lawmakers have shown no signs of budging — even though negotiations between House and Senate Republicans are on other issues, such as tax cuts and pay raises for state employees.