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28 <br /> Slide#11 <br /> Orange County's Medicaid Expansion Team <br /> =A� <br /> 70 <br /> From left to right:Julie Cales.Kizzy Laws.AprilMartlndale.John Beasley,Louise Moize l <br /> Shaw <br /> ntia Dawson,Cathie Ortiz,Muriel Hickman-Dixon <br /> Not Pictured;Angie Dinerte uiiriai`MFivr or <br /> sucusuevlces <br /> Slide #12 <br /> Federal Changes and Possible Impacts <br /> • Work requirements <br /> • Estimated 47%of North Carolina Medicaid enrolleeswouId be impacted by work requirements* <br /> • Cessation of waivers <br /> • North Carolina currently has 7 waivers either approved or pending approval <br /> • I nclud es 191 5b wa ivers(I nnovati on)a nd 1115 waive rs that would provi de ongoi ng cove rage for <br /> children <br /> • Block grant/Funding reduction <br /> • Reduction of services <br /> • Reduction of coverage groups <br /> • Federal Medical Assistance Percentage changes <br /> 'Medicaid Work Reouirements Could Put 36 Million People at Risk of Losing Health Coveraee Center on Budget and Policy Priorities f <br /> DEPARTMENT OF <br /> 5()CI.LLSERNCGS <br /> Lindsey Shewmaker said that information is changing almost daily right now. She said that <br /> NC has legislation that automatically adopts any work requirements that are imposed at the <br /> federal level. She said that they do not know what those look like, but she said they tend to be <br /> burdensome for recipients and staff. She said that they usually do not lead to more recipients <br /> being employed because only 8% of them would be able or eligible for work. She said that it is <br /> estimated that caps would result in $30 billion dollar cut in federal funds to NC Medicaid over ten <br /> years. She said that any cut in federal funds will impact recipients including hospitals and <br /> pharmacies. <br /> Commissioner Fowler asked if Innovation waivers would go away. <br />