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28 <br /> 1 Slide #11 <br /> Orange County's Medicaid Expansion Team <br /> k <br /> I � <br /> 1 <br /> From left to right:lune Cafes.Kizzy Laws,April.Martindale.John Beasley,.Louise Moize <br /> Shawntia Dawson,Cathia Ortiz.Murlat Wickman-Dixon <br /> 2 Not Pictured:Angie Dinarte ueniyvr ut <br /> xx:t,u somas <br /> 3 <br /> 4 Slide #12 <br /> Federal Changes and Possible Impacts <br /> • Work requirements <br /> • Estimated 47%of North Carolina Medicaid enrollees would be impacted by work requirements" <br /> • Cessation of Waivers <br /> North Carolina currently has 7 waivers either approved or pending approval <br /> • Includes 1915b waivers(Innovation)and 1115 waivers that would provide ongoing coverage for <br /> children <br /> • 6lockgrant/Funding reduction <br /> • Reduction of services <br /> Reduction of coverage groups <br /> • FederaI MedicalAssistance Percentage changes <br /> `Med,cn,d WorK neaurements Could Put 36 Million Peoplc at Risk oO Losing Health Coverage Cameron Budget and Policy Priorities <br /> 5 <br /> 6 Lindsey Shewmaker said that information is changing almost daily right now. She said that <br /> 7 NC has legislation that automatically adopts any work requirements that are imposed at the <br /> 8 federal level. She said that they do not know what those look like, but she said they tend to be <br /> 9 burdensome for recipients and staff. She said that they usually do not lead to more recipients <br /> 10 being employed because only 8% of them would be able or eligible for work. She said that it is <br /> 11 estimated that caps would result in $30 billion dollar cut in federal funds to NC Medicaid over ten <br /> 12 years. She said that any cut in federal funds will impact recipients including hospitals and <br /> 13 pharmacies. <br /> 14 Commissioner Fowler asked if Innovation waivers would go away. <br />