The federal budget bill, passed in July, is bad for North Carolina. It disrupts and limits access to health care, cuts spending for food assistance, and harms the health of immigrant families.
We invite you to read and share these fact sheets below.
You’ll find out what is being cut, when the cuts are happening, and what to do next, plus links to keep you updated. We are 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.
Federal Changes Threaten Health Care Access in North Carolina
The 2025 budget bill includes a combination of burdensome work requirements for Medicaid members (although the majority of members are working, going to school, or serving as caregivers) and freezes on provider taxes the state uses to fund Medicaid expansion. Without state action these changes could trigger an NC law ending Medicaid expansion, which would eliminate coverage for more than 680,000 people.
Federal Changes Threaten Food Assistance for North Carolina Families and Children
The 2025 budget bill shifts SNAP costs to the state, potentially forcing North Carolina to end the program. The bill expands work requirements for SNAP to parents and older adults, and ends eligibility for many lawfully present immigrants and refugees. Approximately 1.4 million seniors, children, and working residents could lose access to affordable food. Helping families with low incomes meet their basic needs isn’t a handout. It’s sound public health policy.
Federal Changes Threaten North Carolina Immigrants’ Health
The 2025 budget bill includes an unprecedented allocation of funds for immigration detention and enforcement while stripping away access to basic needs programs. The bill, along with a series of other federal actions, will harm the health and well-being of immigrants and their families in our state. It ends SNAP, Medicaid, Medicare and Marketplace subsidy eligibility for many lawfully present immigrants.