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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 /> o 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 ENS 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 /> "I 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 I wanted to participate in the Employment and <br /> Training (Now More than a Job NC) program. I 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 />