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

Increase enrollment of low-income individuals in the Affordable Care Act and Medicaid.

What we know: Studies show that being uninsured harms both individual and community health. 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.

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

Close the Medicaid coverage gap through education and community engagement.

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 fall into the Medicaid coverage gap and cannot access affordable health insurance.

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.

Funding Opportunities

Find out what we’re funding now.

Past Funding Opportunities

The following funding opportunities are no longer accepting applications.

Increasing Insurance Enrollment

Since the launch of subsidized Affordable Care Act insurance policies in 2014, the federal government, foundations, private insurers, and other stakeholders have supported enrollment assisters to provide guidance to the most vulnerable consumers. The Trust is interested in efforts to analyze the value and effectiveness of in-person, nonprofit enrollment assistance in Affordable Care Act insurance plans.

Closing the Medicaid Coverage Gap

The Trust is interested in efforts to educate the public about the opportunity to close the Medicaid coverage gap. We will support communications campaigns to educate people who would benefit most from expansion, as well as key stakeholders such as providers, first responders, and local business leaders.

Increasing Health Insurance Enrollment

Our goal is to increase enrollment rates in underserved areas or among vulnerable populations to improve access and promote the sustainability of critical health services. The Trust will support outreach and enrollment efforts that target communities with large numbers of eligible but unenrolled residents or counties with low enrollment penetration rates.

Our Team

Program Officer

Program Officer

Program Coordinator