American Hospital Association December 1, 2023

North Carolina Dec. 1 expanded Medicaid to low-income adults under the Affordable Care Act and state legislation enacted in March. Under the legislation, North Carolina hospitals will pay for the state’s share of the cost through an estimated $550 million annual tax, which the state will reimburse through federal funds if the Centers for Medicare & Medicaid Services and Government Accountability Office continue to approve the payments each year.

“The hospitals are paying this new...

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