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2 <br /> North Carolina has forgone $10.2 billion in federal funds based on the North Carolina General <br /> Assembly's decision to decline Medicaid expansion. It has been projected that those funds <br /> could have provided health care to as many as a half million needy North Carolinians. The state <br /> could potentially miss out on another $13 billion in federal funds over the next decade. <br /> FINANCIAL IMPACT: There is no financial impact associated with consideration of the <br /> resolution. <br /> SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goal is applicable to <br /> this item: <br /> • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY <br /> The creation and preservation of infrastructure, policies, programs and funding necessary <br /> for residents to provide shelter, food, clothing and medical care for themselves and their <br /> dependents. <br /> RECOMMENDATION(S): The Manager recommends that the Board consider approving the <br /> attached Resolution of Support for a Referendum on the Expansion of Medicaid in North <br /> Carolina. <br />