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30 <br /> 1 Slide #14 <br /> Federal - • • - <br /> • When Medicaid Expansion legislation(NC Session Law 2023-7)was written in North <br /> Carolina,it included specific provisions related to the federal medical assistance <br /> percentage(FMAP).If this rate falls below 90%,Medicaid coverage for the expanded <br /> population in North Carolina"shall be discontinued as expeditiously as possible" <br /> • This would cause the loss of benefits for most of the 4,600 Orange County residents <br /> enrolled in expanded Medicaid <br /> • Itwould also increase uncompensated care for providers,including UNC Health, <br /> Orange County Health Department,Orange County Emergency Services,pharmacies <br /> and other medical providers <br /> J� <br /> 2 <br /> 3 Commissioner Greene asked for clarification on FMAP. <br /> 4 Lindsey Shewmaker said that the federal medical assistance percentage (FMAP)and that <br /> 5 is the rate that the federal government matches for the states that expanded Medicaid. She said <br /> 6 that North Carolina is responsible for 10%. She said this is an area where the federal government <br /> 7 cuts would make an impact and they are concerned. She said that cuts to agriculture will most <br /> 8 likely hurt SNAP benefits. She said the materials are not happy reading, but it is important to <br /> 9 follow. She said that staff in Raleigh think that the most likely impacts would be to the work <br /> 10 requirements and the required matching percentages. <br /> 11 <br /> 12 Slide #15 <br /> Q • <br /> Lindsey Shewmaker,Director <br /> lshewmaker(Porangecountyn o/ <br /> Louise Moize,Human Services Supervisor <br /> lmoize@orangecountync.gou •• <br /> AW <br /> 13 <br /> 14 <br /> 15 <br />