Health Care


Education and advocacy related to health care reform.


The Health Care LAT has a dual focus:

  • preserving the Affordable Care Act (ACA) nationwide
  • closing the health care coverage gap in NC

In 2018, access to affordable health care continues to be under threat nationwide. The US Congress debates whether to repeal and replace the ACA and the President’s Administration have implemented strategies to sabotage the ACA and the ACA Marketplace.  View this short summary to learn more.

Passed in 2010, the ACA reformed many important aspects of the private health insurance market- most notably protecting patients with pre-existing conditions.  In addition, it provided a marketplace for Americans without employer-provided insurance to secure affordable coverage and for subsidies that reduced premium and copay costs.  These subsidies are based on a sliding income scale starting at 100% of the Federal Poverty Level (FPL*).  And finally, the ACA extended Medicaid coverage to those earning less than 138% of the FPL and provided for federal funding to be given to the states in order to pay the costs of this expanded Medicaid population.

However, in 2012 the Supreme Court ruled that states could not be mandated to expand their Medicaid programs.  As a result, a health care coverage gap was created in states like NC that chose not to expand Medicaid.  Why is it called a gap?  Because in NC a non-elderly adult with children has to make less than 44% FPL to qualify for Medicaid but would have to make more than 100% FPL to qualify for subsidized ACA insurance.  Therefore, these 300,000-500,000 North Carolinians still lack access to affordable health care.  Most are the working poor.  Their employers don’t offer benefits. They are self-employed or they work several part-time jobs and don’t qualify for benefits at any of their jobs.

The Health Care League Action Team strive to make affordable health care coverage available to all North Carolinians.  We support legislation that can receive bipartisan approval of both chambers of the NC General Assembly and the Governor.

* Federal Poverty Level according to In 2017, 100% FPL for an individual was $12,060 and for a family of four was $24,600.  44% FPL for a family of four was $10,824.


We strive to make affordable health care coverage available to all North Carolinians by

  • preserving the ACA (and its Marketplace) and by
  • closing the health insurance gap in NC.
View this short presentation to learn more.

We believe that expanding health care coverage is also imperative to solving the opioid crisis.

View this printable opioid trifold to learn more.

We invite you to TAKE ACTION WITH US!


Health Care NC – Advocating for Health Coverage Legislation in NC

Understanding the Opioid Epidemic and Impacts in North Carolina

2018 Health Care League Action Team Plan

Overview of the Healthcare Industry: Challenges and Opportunities

Learn what we need to do to fix the ACA.

Better Understanding Medicaid’s Role in Health Care

Health Care Updates and Advocacy Plans

Understanding AHCA vs. ACA