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 tax because it is the right thing to do,” said NCHA President and CEO Steve Lawler. “Our state’s hospitals and the remarkable people who work there have always been about doing the right thing for the people and communities they serve. We are so thankful that the General Assembly, Governor Cooper and our health system and hospitals members created a pathway to make access to high-quality health care available to so many more people.”

Headline
The Department of Health and Human Services Office for Civil Rights released new guidance on statutory and regulatory requirements under 42 CFR Part 2, which…
Headline
The Centers for Medicare & Medicaid Services Sept. 25 announced the launch of a new initiative measuring quality in Medicaid and the Children’s Health…
Headline
The AHA commented Sept. 21 on the Centers for Medicare & Medicaid Services’ proposed rule to implement the changes to Medicaid provider tax policies that…
Headline
The AHA July 31 provided comments to the Centers for Medicare & Medicaid Services on its interim final rule on Medicaid community engagement requirements.…
Headline
The Centers for Medicare & Medicaid Services today released a proposed rule that would update Medicaid provider tax policies included in the July 2025…
Headline
The AHA provided comments July 21 to the Centers for Medicare & Medicaid Services on its proposed rule to modify policies governing Medicaid…