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Congressional Issue Paper <br /> <br />North Carolina Association of County Commissioners <br />Mailing Address: P. O. Box 1488, Raleigh, NC 27602-1488 <br />Street Address: Albert Coates Local Government Center, 215 N. Dawson Street, Raleigh, NC 27603 <br />Telephone: 919-715-2893 · Fax: 919-733-1065 · Email: ncacc~ncacc.org <br />Home Page Address: http://www.ncacc.org <br /> <br />Action Needed: House to join with Senate to provide federal Medicaid relief for North <br />Carolina through economic stimulus negotiations <br /> <br />Proposed Federal Medicaid Relief to North Carolina~State and Counties <br /> <br />· Proposed federal legislation would lessen state and county increases in Medicaid spending for federal <br /> fiscal year 2002 by the components and amounts shown in the following table <br /> <br />· Senate stimulus package contains federal assistance with Medicaid funding; house stimulus does not <br /> <br />· House introduced HR 3414 last week to provide Medicaid relief for all states <br /> <br />· Senate and House stimulus packages do provide accelerated depreciation for business and industry-- <br /> if House version adopted, could reduce states' income tax revenues by an estimated $5 billion <br /> nationally over each of the next 3 years <br /> <br />· County costs for Medicaid program expenditures to exceed $380 million this year, up $65 million <br /> over last year; most counties reported property tax increases to cover Medicaid cost increases alone <br /> <br />· State projects $100 million deficit in state Medicaid appropriations for this year; state share exceeds <br /> $2 billion <br /> <br />· Statewide Medicaid expenditures already up 14% over last year with 9% increase in number of <br /> enrolled eligibiles; state believes economic recession accounts for most of enrollee increase <br /> <br /> Total Total <br /> Total Total <br /> NC NC <br />Component Senate Stimulus NC County HR 3414 NC County <br /> Impact Impact Impact Impact <br />FMAP (federal Maintains FMAP Maintains FMAP <br />medical assistance at FY2001 share at FY2001 share <br /> $65 mil $10mil $65 mil $10mil <br />percentage) hold For NC, 62.47% For NC, 62.47% <br />harmless v. 61.46% v. 61.46% <br />Additional FMAP Provides 1.5% $100 $15 mil Provides 2.5% $170 $25 mil <br />for all states points to states' mil points to states' mil <br /> 200I FMAP; NC 2001 FMAP; NC <br /> = 63.97% = 64.97% <br />Additional FMAP Provides 1.5% $100 $15 mil Provides 2.5% $170 $25 mil <br />for states showing points to states' mil points to states' mil <br />high unemployment; adj. 2001 FMAP; adj. 2001 FMAP; <br />NC would qualify NC = 65.47% NC = 67.47% <br />Total $265 $40 mil $405 $60 mil <br /> <br /> <br />