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NC House Budget Cuts HHS Positions and Adjusts Medicaid Funding

North Carolina House Approves Controversial Budget Plan Amidst Health and Child Care Cuts

By Grace Vitaglione

On May 22, the North Carolina House of Representatives advanced a budget proposal for the next two fiscal years that has sparked significant debate. The plan includes cuts to vacant positions in the health department and the elimination of Medicaid coverage for GLP-1 drugs like Ozempic, traditionally used for weight loss. These decisions come shortly after a similar proposal from the North Carolina Senate, with both chambers agreeing on increasing rates for child care subsidies aimed at aiding low-income families.

The House budget allocates approximately $32.6 billion for the upcoming fiscal year, closely mirroring the Senate’s spending plan. However, discrepancies arise in funding for a new children’s hospital, with the House proposing over $100 million less than the Senate’s commitment of $638 million. State Representative Donny Lambeth emphasized the need for a children’s hospital in North Carolina, underscoring the emotional and financial burden on families seeking care out of state.

The budget also addresses tax cuts; while both chambers propose lowering the income tax rate, they differ on thresholds for future cuts. Critics, including Rep. Marcia Morey, argue that the plan sacrifices essential services to achieve savings.

The funding for the Healthy Opportunities Program, which aids vulnerable populations in accessing essential services, faces cuts despite its positive impact on healthcare costs. Advocates assert that such reductions could lead to long-term healthcare challenges.

In child care, the House’s proposal utilizes federal funds to boost subsidy reimbursement rates and adjust cost-sharing for parents, aiming to relieve financial pressures on families. Advocacy groups, however, caution that tightening regulations could have negative implications for care quality.

The budget process remains ongoing, with lawmakers pushing for resolution before the June 30 deadline amid potential impacts on thousands of families statewide.

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