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Public Policy Update - December 18, 2025

December 18, 2025

Read a summary of recent public policy updates that may be of interest to North Carolinians with intellectual and other developmental disabilities (I/DD). These updates are current as of December 18, 2025.

State Update

The second week of December, Governor Stein announced that the Medicaid cuts to providers that were put in place October 1 are ending. Providers get full payment for past and future services at pre-cut levels. The cuts were in response to the General Assembly allocating dollars that will fund Medicaid only through April 2026. The cuts are being reversed following successful legal challenges and no additional action from the legislature. The underlying $319 million funding gap isn't fixed, with NCDHHS warning the program could run out of money in early 2026. The responsibility now falls back to the General Assembly to provide a long-term financial solution for Medicaid.

Thanks to all who have educated and advocated during this time of uncertainty and fear about the potential cuts.