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3 <br /> Page 2 of 4 <br /> o More than 4,600 residents have been enrolled in the expanded Medicaid <br /> program since 12/01/2023. (1) <br /> o Over 21,000 residents were enrolled in "Traditional" Medicaid coverage in 2024. <br /> (1) <br /> o Approximately 3,900 individuals currently receiving Medicaid (19%) are older <br /> adults or adults with disabilities. <br /> o For reference, statewide, almost 50% of total Medicaid expenditures are for <br /> services geared toward this population and include nursing facilities, personal <br /> care services, home health services, CAP/services for disabled adults, and <br /> hospice. (2) <br /> References: <br /> 1. NC DHHS Enrollment Dashboard <br /> 2. NC DHHS Annual Reports and Tables <br /> 2. Cuts to SNAP, TANF and Child Protective Services: <br /> SNAP <br /> 0 5.9% of our residents received benefits from 2017-2021 vs. 13.7% NC-wide <br /> (1) <br /> o Program served 10,016 people and 5,368 households in December 2024 (2) <br /> o Direct benefits to recipients just under$22M in 2024; with $2.2M Federal <br /> costs for program administration in 2024 (3) <br /> TANF <br /> o $1.OM in Federal dollars supports child welfare staff, employment services <br /> staff and employment programs <br /> Child Protective Services <br /> o Provided assessments for over 570 households for abuse or neglect, <br /> placement and support services to 80 children in DSS custody and protective <br /> services to more than 70 families receiving monthly in-home social work <br /> services (2024 budget data; $2.5M in Federal dollars for staff and program <br /> payments). <br /> References: <br /> 1. Orange County 2023 Community Health Assessment <br /> 2. NC DHHS FNS Caseload Statistics Reports <br /> 3. Orange County BOCC meeting 17-Jan 2025; Attachments p. 79 <br /> The stories of individuals illustrate how these supports enable breadwinners to continue <br /> working and reinforce stability for families in our community: <br /> `Y walked in the front door of[Orange County]Social Services... went through the <br /> application processes and within a couple of weeks I received a phone call from <br /> Employment Services asking if 1 wanted to participate in the Employment and <br /> Training (Now More than a Job NC) program. 1 was nervous but excited. 1 started <br /> taking classes offered to me by the program. The opportunity arose to work in a <br /> temporary position. I jumped at it!"— Former Client A.S. <br /> "Food Stamps[Food and Nutrition Services]were very beneficial and helped with us <br /> saving money and being able to put our money towards things we very much needed <br /> outside of food (housing, car, etc.)"— Client D.S. <br />