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On March 27, 2023, North Carolina Governor Roy Cooper signed legislation to expand Medicaid. An estimated 600,000 residents are likely to be eligible, and the expansion is anticipated to improve access to mental health services in general, and through a proposed Improving Health Outcomes for People Everywhere (IHOPE) Fund.

The expansion will go into effect after the state’s fiscal year 2023-2025 appropriations act is approved in the summer. North Carolina's 2023-2024 budget, released on March 15, proposed using some of the nearly $1.8 billion Medicaid expansion signing bonus to create the IHOPE Fund. The . . .

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