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Federal regulators approve North Carolina's Medicaid expansion

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State health officials say federal regulators have given their final approval for North Carolina to begin offering Medicaid to hundreds of thousands of low-income adults on Dec. 1.

State health officials say federal regulators have given their final approval for North Carolina to begin offering Medicaid to hundreds of thousands of low-income adults on Dec. 1.

The Centers for Medicare & Medicaid Services told the state in a letter that changes to North Carolina’s Medicaid program to provide expanded coverage through the 2010 Affordable Care Act had been approved.

An estimated 600,000 adults age 19-64 who earn too much for traditional Medicaid but too little for subsidized private insurance are expected to benefit in North Carolina.

The state Department of Health and Human Services said about half of that total should be enrolled immediately.

Annette is an award-winning journalist based in Eastern North Carolina. Her career includes professional stops across the Midwest, Pacific Northwest, and Southeast, recently culminating in a 2026 Region 8 Edward R. Murrow Award for Small Market Radio Best News Series for her work on the Camp Lejeune Justice Act Series. Guided by a passion for human-interest storytelling, she focuses on narratives that touch hearts and connect communities. A mother of four and grandmother of two, Annette enjoys reading and creating epic Halloween costumes in her spare time. If you have a story idea to share, please reach out by email to westona@cravencc.edu.