North Carolina: medicaid expansion
Whether your state expanded Medicaid to low-income adults under the ACA, and when.
Single detailed source| Medicaid expanded? | Yes |
|---|---|
| Coverage began | Dec. 1, 2023 |
| Law ends expansion if federal funding drops? | Yes |
Expansion covers most adults with incomes up to 138% of the federal poverty level. Federal work requirements for expansion adults begin in January 2027. In non-expansion states, many low-income adults fall into a coverage gap.
General information only, not legal, insurance or financial advice. Not affiliated with any government agency. Exceptions can apply. Confirm with the state agency, the court or a licensed professional in North Carolina.
How North Carolina compares
41 of 51 states and DC share this answer (Yes): Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Utah, Vermont, Virginia, Washington, West Virginia.
- Yes (41)
- No (10)
Also for North Carolina: Medicaid long-term care in North Carolina · Small estate limits in North Carolina · Will and trust rules in North Carolina · Estate and inheritance tax in North Carolina · Common law marriage in North Carolina · Property tax rates in North Carolina · Inheritance tax in North Carolina · Social Security tax in North Carolina · All North Carolina rules on one page
How we checked this
Status comes from KFF's state tracker of Medicaid expansion decisions, as of November 2026. Last checked: November 12, 2026. Laws change; confirm with the state agency or a licensed professional before acting.
Cross-checked sources agree Checked on official source confirmed on a government, court or legislature site Single detailed source one detailed table built from statutes or official data Under review sources disagree; read the note and the law.