Anonymous wrote:
Some Republicans in Congress have repeatedly claimed that no one will lose health insurance as a result of the “One Big Beautiful Bill Act.” But an analysis from the nonpartisan Congressional Budget Office found that 10.9 million Americans stand to lose coverage under the House-passed bill. That could include as many as 523,506 North Carolinians
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The House bill also impacts the tax credits from the Affordable Care Act that have made health insurance more affordable. More than 1 million North Carolinians buy private health insurance through healthcare.gov. Higher costs could lead some to drop their coverage.
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More than one million North Carolinians buy private insurance through the Affordable Care Act Marketplace, often referred to as Obamacare. They could see their premiums increase by hundreds, even thousands, of dollars each month if Congress fails to extend the expanded tax credits that currently subsidize those plans.
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When state lawmakers expanded Medicaid in 2023, they widened the income eligibility brackets. Previously, only adults ages 19 to 64 who earned up to the federal poverty level—or less than $27,750 a year for a family of four—were eligible, as well as children, pregnant women, or individuals with disabilities or certain health conditions.
After Medicaid expansion, eligibility increased to 138 percent of the federal poverty level, or $43,056 a year for a family of four.
Almost overnight, 664,000 more North Carolinians were eligible for health insurance.
However, that expansion came with a caveat: If the federal government lowered its matching rate (currently 90 percent, while states cover the remaining 10 percent), expansion would end. This makes North Carolina and eight other states “trigger law” states.
https://www.theassemblync.com/politics/legislation/nc-medicaid-one-big-beautiful-bill/
Wow!