10/08/2025
🩺 Access to Health Care & Food Security Are Under Threat — Here’s What You Should Know
📄 A new fact sheet from Kate B. Reynolds Charitable Trust outlines alarming changes ahead for Medicaid, Medicare, health coverage, and SNAP benefits in North Carolina.
⚠️ Key risks
• The federal budget bill passed in July 2025 imposes stricter work requirements on many Medicaid and SNAP enrollees — even though most are already working, studying, or caring for loved ones.
• Provider taxes (which help fund Medicaid expansion) are frozen or slated for cuts, putting the state’s ability to support expanded coverage at risk.
• Without action, over 680,000 people in NC could lose their health coverage if Medicaid expansion is ended.
• Premium subsidies for nearly 1 million NC residents could double out-of-pocket costs by 2026.
• By 2027, new work requirements, more frequent eligibility checks, and cuts to provider payments may trigger deeper losses in coverage.
• SNAP is also at risk — with more frequent eligibility checks and new restrictions that could strip away vital food assistance from struggling families.
🌱 Why this matters
Health care and nutrition programs aren’t “extras” — they’re essential lifelines that keep families healthy, children learning, and local economies strong. Cutting them will harm our neighbors and threaten the stability of rural hospitals, schools, and food systems.
💡 What can we do now?
• Share real stories of people who could be impacted
• Advocate to state and federal leaders—encourage them to protect Medicaid, ACA subsidies, and SNAP
• Mobilize local organizations, community groups, and nonprofits to act together
