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30 <br /> Slide #14 <br /> Federal - • - Changes• 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 expeditiouslyas possible" <br /> • This would cause the loss of benefits for most of the 4,600 Orange County residents <br /> enrolled in expanded Medicaid <br /> • It would 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 /> •• <br /> I� <br /> 50C-'MENI'OF <br /> SOGUL5EPVICES <br /> Commissioner Greene asked for clarification on FMAP. <br /> Lindsey Shewmaker said that the federal medical assistance percentage (FMAP) and that <br /> is the rate that the federal government matches for the states that expanded Medicaid. She said <br /> that North Carolina is responsible for 10%. She said this is an area where the federal government <br /> cuts would make an impact and they are concerned. She said that cuts to agriculture will most <br /> likely hurt SNAP benefits. She said the materials are not happy reading, but it is important to <br /> follow. She said that staff in Raleigh think that the most likely impacts would be to the work <br /> requirements and the required matching percentages. <br /> Slide #15 <br /> Lindsey Shewmaker,Director <br /> lshewmaker(o)orangecountync.gov <br /> Louise Maize,Human Services Supervisor <br /> lmoize( orangecountync.g_ov •• <br /> SW:ULSERVI61 <br />