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County sees Medicaid caseload stability after expansion; officials flag SNAP funding shift as risk

3541781 · May 27, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Orange County social services staff reported a steady overall caseload after Medicaid expansion, modest increases in some services and warned that recent federal proposals to shift SNAP costs to states could impose large new costs on North Carolina and counties.

County social services staff reviewed caseload and contract changes in the proposed FY2025–26 budget and warned that recent federal legislative proposals could materially affect county service costs.

Staff said Medicaid caseloads have stayed relatively steady since expansion. The presentation showed about 4,800 additional people receiving Medicaid because of expansion and a total caseload across programs averaging between roughly 20,000 and 21,000 individuals. Staff said the apparent…

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