The Kate B. Reynolds Charitable Trust released three fact sheets about how recent federal budget cuts will impact health care access, food assistance, and the health of immigrant families. The fact sheets detail what is being cut, when the cuts will take effect, and what to do next. The Kate B. Reynolds Charitable Trust is sharing this information about the 2025 bill and other federal cuts because near-term policy changes impacting access to care and food assistance require broad collaboration to face these challenges.
The first fact sheet, Federal Changes Threaten Health Care Access in North Carolina, discusses how, without state action, the burdensome work requirements for Medicaid members and freezes on provider taxes the state uses to fund Medicaid expansion outlined in H.R. 1 could trigger a North Carolina law ending Medicaid expansion, which would eliminate coverage for more than 680,000 people.
Click here to read the fact sheet
The second fact sheet, Federal Changes Threaten Food Assistance for North Carolina Families and Children, outlines how H.R. 1 shifts SNAP costs to the state, potentially forcing North Carolina to end the program. Additionally, the fact sheet describes how the budget expands work requirements for SNAP to parents and older adults and ends eligibility for many lawfully present immigrants and refugees, meaning that approximately 1.4 million seniors, children, and working residents could lose access to affordable food.
Click here to read the fact sheet
The final fact sheet, Federal Changes Threaten North Carolina Immigrants’ Health, describes how H.R. 1 includes an unprecedented allocation of funds for immigration detention and enforcement while stripping away access to basic needs programs, which, in combination with other federal actions, will harm the health and well-being of immigrants and their families in North Carolina by ending SNAP, Medicaid, Medicare and Marketplace subsidy eligibility for many lawfully present immigrants.