The Republican’s harmful megabill, signed into law this past summer, makes significant cuts to health care, nutrition assistance, and other programs that help families meet basic needs. The legislation includes some of the largest proposed cuts to Medicaid and the Supplemental Nutrition Assistance Program (SNAP) in history.
These changes would reshape health care and nutrition assistance across North Carolina. An estimated 450,000 residents could lose health coverage due to cuts and the expiration of enhanced ACA premium tax credits. Another 220,000 people are expected to lose Medicaid coverage. About 143,000 residents may lose all or part of their SNAP benefits. The bill would also shift costs to the state, with North Carolina potentially responsible for up to $438 million per year in new SNAP expenses tied to federal cost-sharing requirements.
For many North Carolina families, those numbers have a face. Alexis Stadler fought hard from the moment her daughter Kinsley was born sick to get her approved for a Medicaid waiver — a process she describes as life-changing, unlocking access to therapies, a wheelchair, and services that private insurance would never have covered. When Kinsley was diagnosed with brain cancer at just 3 years old, Medicaid made it possible for the family to manage much of her care at home, rather than in a hospital. Now, Alexis faces the prospect of losing the home and community-based services that have allowed Kinsley to be a kid — to go to school, make friends, and be part of her community. Without them, Alexis says she may have no choice but to leave her job entirely to become her daughter’s full-time nurse.
Put simply, the bill’s provisions would affect working families who rely on the ACA marketplace, Medicaid recipients who depend on stable coverage, and households that use SNAP benefits to meet basic needs.
The harmful megabill reduces health care and food assistance while providing tax breaks to higher-income households. Instead of cutting services to fund tax breaks for the wealthy, lawmakers should ensure the wealthy pay their fair share and invest in programs that help families afford essentials like food and health care. Additionally, the House Republicans bills propose further cuts, including reductions to housing assistance funding that could affect families’ ability to maintain stable housing.
We urge Members of Congress to protect the millions who rely on these essential services by extending enhanced premium tax credits to prevent over 20 million Americans with Affordable Care Act health plans from seeing their premium costs skyrocket and opposing funding bills that further cut basic needs programs.
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