Woman's arm with medical equiptment

Why access to care?

Equitable access to care leads to healthier communities.

Seventy years ago, Mrs. Reynolds charged the Trust to ensure that North Carolinians with low incomes have access to health care. Affordable access to health insurance is a vital piece of this work.

To improve health outcomes and narrow disparities, we support solutions for improved health insurance coverage, such as Medicaid expansion, Affordable Care Act enrollment, affordable access to medication, and affordable, convenient access to primary care, mental health care, substance use treatment, and oral care.

Our Goals

Women getting medication from a pharmacy

Maintain or increase enrollment of low-income individuals in the Affordable Care Act and Medicaid.

What we know: Nearly one million North Carolinians between the ages of 19 and 64 are uninsured, making it hard for them to get the care they need to stay healthy. Uninsured adults and children obtain fewer preventive services, have more avoidable hospitalizations, have worse health outcomes and, in some cases, are more likely to die from serious acute conditions than their insured peers. 

What we do: We support Affordable Care Act enrollment assistance efforts, especially for underserved North Carolinians who frequently lack access and support. We do this by building nonprofit capacity, investing in data collection and dissemination to better understand Affordable Care Act enrollment, and fostering innovative enrollment initiatives.

Dentist in scrubs

Protect and expand Medicaid eligibility.

What we know: Increased access to quality health care and economic opportunities helps communities thrive, and research shows that expanding Medicaid delivers both. Unfortunately, North Carolina chose not to expand Medicaid, which means many parents living below the poverty line and childless adults do not qualify for Medicaid. They also are not eligible for subsidized insurance plans.

What we do: We cultivate system change by supporting efforts to inform key stakeholders of the importance of closing the Medicaid coverage gap. We support studies that examine the potential impact of Medicaid expansion on the state, as well as communications campaigns that broadly share information about the implications of accepting or declining expansion.

Updates and Reports

Expanding Medicaid in North Carolina

Expanding Medicaid would create more than 37,000 new jobs and insure approximately 365,000 more people, according to a new non-partisan analysis. The report was prepared by researchers at The George Washington University with funding from Cone Health Foundation and the Kate B. Reynolds Charitable Trust.

Our Grantmaking Strategies

We leverage a variety of strategies to advance our goals, across all programs, initiatives, and bodies of work.

Activating Change With Our Values

We start by listening. Believe in communities. Engage unlikely partners. Employ a place-based approach. Believe equity is essential to everything we do. Focus on outcomes. Support scale and sustainability.

Funding Opportunities

Find out what we’re funding now.

Our Team

Program Officer

Program Officer

Program Coordinator