Health Improvement Funding Opportunity

Closing the Medicaid Coverage Gap - Closed

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

Steps to Apply



Close the Medicaid coverage gap through education and by engaging community voices.


Support convenings, public education, or communication campaigns that broadly share information about the implications of accepting or declining Medicaid expansion in the state.

Timeframe for Applications

The Trust is not currently accepting applications for this funding opportunity.

Geographic Focus


Next Steps

If you think you are a fit, assess your eligibility below and then contact us to apply. Or, view all funding opportunities here.


Several studies by the National Institute of Medicine conclude that a lack of insurance is hazardous to individual and community health. The Patient Protection and Affordable Care Act, signed into law in 2010, has led to historic gains in health insurance coverage.

A robust enrollment effort in North Carolina helped reduce the uninsured rate from about 21 percent in 2010 to a little more than 10 percent in 2017. Still, there is more work to be done to expand access to health services for the nearly one million North Carolinians who remain uninsured.

The most important step for reducing the uninsured rate in North Carolina is expanding Medicaid eligibility. The Affordable Care Act incentivizes states to extend Medicaid coverage to low-income residents who do not qualify for traditional Medicaid or subsidies to purchase private health insurance. The federal government covers most of the costs for these new Medicaid enrollees.

Studies show that expanding Medicaid will create new private sector jobs, bolster rural hospitals, and increase access to health care for the financially disadvantaged.

Related Funding Opportunities

The Trust is also interested in increasing health insurance enrollment rates in underserved areas or among vulnerable populations to improve access and promote the sustainability of critical health services. View the current health insurance enrollment funding opportunity.

Eligibility Requirements

Before applying, consider the following questions and requirements:

  • Is your organization or work a good fit with the Trust?
  • Are you located or operating in North Carolina?
  • Does your work focus on improving quality of life and health for North Carolinians with low incomes?
  • Do you primarily support populations experiencing poverty?
    • These populations include: individuals living at or below 200 percent of the federal poverty level; the uninsured; and those eligible for Medicaid and/or the free/reduced school lunch program.
  • Are your clients (or focus population) residents of North Carolina? If yes, then you may fit our geographic criteria.

Organizations the Trust WILL fund:

  • Nonprofit 501(c)(3) organizations
  • Governmental entities

Organizations the Trust WILL NOT fund:

  • Individuals
  • Faith-based organizations without 501(c)(3)
  • Type III supporting organizations
  • Organizations providing pass-through funds to an ineligible organization

Back to all funding opportunities.