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More Than a Decade After Passage of Federal Health Care Law, State Still Stands in the Way of North Carolinians’ Access to Affordable Health Coverage

March 23, 2022

RALEIGH, NC – March 23, 2022 – Today marks 12 years since the historic passage of the Affordable Care Act, and yet over 372,400 North Carolinians remain uninsured, denied coverage by state lawmakers who refuse to increase access to Medicaid. 

North Carolina is one of only 12 states that has not increased access to health insurance coverage through their Medicaid programs despite overwhelming evidence that doing so would improve health outcomes, reduce health disparities and benefit the state’s economy. This session, the legislature appointed a special, bipartisan committee to review access to care options for the state, bringing a renewed hope in the fight against cancer.  

“Where you live shouldn’t determine if you live – unfortunately, in North Carolina it does,” said Derwin Montgomery, ACS CAN North Carolina Government Relations Director. “Everyone deserves a fair and equitable chance to fight cancer, manage chronic illnesses and maintain their health. Medicaid makes that possible – but by denying Medicaid coverage to hundreds of thousands state residents, lawmakers are denying them this basic human right.” 

Recent research from the American Cancer Society has found in states that have expanded access to Medicaid coverage, early-stage diagnoses increased, particularly among rural and Black patients; Medicaid expansion was associated with a greater increase in one-year overall survival rates, especially in the poorest areas of states; and higher Medicaid income eligibility limits were associated with better long-term survival, consistent across a variety of cancers and for patients with both early and late-stage diagnosis. 

“Refusing to increase access to Medicaid coverage comes down to politics and it’s putting individual’s lives at stake,” added Montgomery. “The benefits of extending eligibility limits for low-income individuals through Medicaid are clear and it’s time lawmakers take this long-overdue step to close the coverage gap. No one should suffer a day without the health care coverage they need and deserve.” 

ACS CAN will continue working with state lawmakers to increase access to Medicaid until the job is done. This year alone, more than 65,320 North Carolinians will hear the words ‘you have cancer.’ Those who are uninsured can’t wait any longer for coverage. 

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