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Stein Calls Special Session for Nov. 17 to Address North Carolina Medicaid Funding Gap

He lacks authority to force a vote despite fiscal analysts estimating a $319 million rebase need.

Overview

  • The governor summoned lawmakers back to Raleigh to seek funding that would reverse Medicaid reimbursement cuts that began Oct. 1.
  • Republican leaders, who control the agenda, say Medicaid is funded into 2026 and criticized the move as political after adjourning without plans to vote this year.
  • The General Assembly’s Fiscal Research Division pegs the rebase shortfall near $319 million, higher than the roughly $190 million outlined in separate House and Senate bills.
  • A judge recently ordered a temporary halt to some cuts in a lawsuit brought by families of children with autism, adding legal uncertainty.
  • Health officials warn continued reductions risk provider closures, with some multi-location practices indicating they will shut down.