NC Senate GOP Rejects Affordable Care Act


News and Observer:

Despite last-minute objections from Gov. Pat McCrory, the Republican-led state Senate pushed through legislation Monday evening that will prevent nearly 650,000 residents from getting health insurance and block the state from establishing a health care exchange.

The GOP supermajority used the 31-17 vote to send a message to the federal government that it wants no part of the health care law signed by President Barack Obama, even as other states led by Republicans are accepting the money.
Medicaid currently covers only low-income women, disabled and elderly adults and children. But under the Affordable Care Act, the program would expand to cover anyone making 138 percent of the federal poverty level or less. The federal government would pay 100 percent of the cost for the first three years and 90 percent thereafter.

The expansion would cover 648,000 uninsured residents, with at least 500,000 expected to enroll, the state estimates.

Senate Republicans called the money “a bait-and-switch” and the rising costs of Medicaid “a cancer” that eats the state budget.


  1. Jim Jenkins says:

    If you think that the rising costs of Medicaid is a cancer that eats the state budget, you should try actual cancer and see what it does to your family budget.

  2. Mim Toffitt says:

    Damned meddling Federal Government. How dare they think they can help the people of our state? States’ rights, mofo. That’s French, I think, as in “Oui, Oui, Mofo.”

    We don’t need no stinking Communist health care.

    We can treat our own citizens the way we want, and if that includes keeping the sick and poor sick and poor, that’s our business. It’s about who makes the decisions and who is in charge.

    Some of you may die for lack of care, but that’s a risk we at the State Legislature are prepared to accept to demonstrate our sovereignty.

  3. Tom Sullivan says:

    How right you are, Mim. Said so myself awhile back:

    … much of the high-caliber rhetoric from the far right flank is simply about establishing dominance. Alpha dog displays in Congress and on the talking heads shows are about dominating the political battle space. The goal is sometimes just to snarl fiercely enough to make opponents roll over on their backs and pee in the air.

  4. Doug Gibson says:

    Jim has it exactly right.

    And here’s my question: if we can call Medicaid a “cancer,” can we call an actual tumor “a tax cut for Thom Tillis’s lawyer cronies”?

    And I see from the N&O article that Tom Apodaca was a lead sponsor on this bill. Wonderful.

  5. Tom Sullivan says:

    C’mon, at least Apodaca hasn’t stacked the NC Supreme Court … yet.

    Another provision would have added two justices to the North Carolina Supreme Court, appointed by McCrory, which would essentially allow the governor to stack the court without an election. That provision was dropped from the bill in committee after it reportedly failed to gain support in the House GOP caucus meeting Monday.

    Sen. Tom Apodaca, chairman of the Senate Rules Committee, promised the concept would be revisited later this session.

  6. RHS says:

    “Another provision would have added two justices to the North Carolina Supreme Court, appointed by McCrory, which would essentially allow the governor to stack the court without an election.”

    And I thought Republicans opposed increasing the size of government. Silly me.

  7. Gordon Smith says:

    Nathan Ramsey (R-115) tweeted this morning: “NC shouldn’t b so quick to reject Medicaid expansion, despite all the many challenges w expansion, complicated issue!”

    There’s hope the House may have the cooler heads on this. Thanks, Rep. Ramsey, for taking a thoughtful approach.

  8. Tom Sullivan says:

    Thanks, Nathan. How’s that little dog? .