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16 <br /> 1 Slide #8 <br /> FY 2026-27 Revenue Assumptions <br /> Impact of Federal Budget Reconciliation <br /> - Federal funding for Supplemental Nutrition Assistance Program(SNAP)will decrease from 50%to 25%of county <br /> administrative costs effective October 1,2026 <br /> Assuming no additional state support, county will lose$080,000 next fiscal year to support the same number of <br /> staff($900,000 annually) <br /> December 31, 2026-Medicaid work requirements and more frequent recertifcations <br /> May require additional staff <br /> • More changes in future years <br /> October 1.2027 SNAP benefit cost sharing with States <br /> - October 1,2028 Medicaid benefit cost sharing with States <br /> ORANGE COUNTY <br /> 8 N[)RI'l-t C.AR01ANA <br /> 2 <br /> 3 <br /> 4 Slide #9 <br /> State Impacts due to Medicaid Changes <br /> Impact of Federal Budget Reconciliation on State of North Carolina— Medicaid <br /> • North Carolina Medicaid estimates that additional administrative funding will be needed to implement <br /> and support work requirements and six-month redeterminations <br /> $6.5 million in one-time costs needed this fiscal year <br /> 57.8 million per quarter($31.2 million annually)to support county eligibility determination functions <br /> 53.3M per quarter($13.2M per year)for ongoing state administrative costs <br /> - State law fixes the amount of funding that can be used to fund Medicaid Expansion administration <br /> — Funding limits would need to be adjusted to account for increased costs of work requirements and more frequent redeterminations <br /> and preserve Medicaid expansion <br /> Source:NC Medicaid Presentation to the Joint Legislative Oversight Committee on Medicaid—January 13,2026 <br /> Nos:11webseryices.nole,o.00vNiewDocSiteFile110499[7 pP.,q,NGE COUNTY <br /> 9 NORTH CAROIANA <br /> 5 <br /> 6 <br /> 7 <br />