North Carolina is the only state in which counties pay a fixed percentage of Medicaid costs. Counties have no control over how they spend up to 15 percent of their general fund budget and 39 percent of their property tax revenues. Six counties spend more on Medicaid than on education. Program expansions and higher medical costs have pushed Medicaid’s share of county budgets up an average of 18 percent in five years. The General Assembly should act on the recommendation of its own Blue Ribbon Commission on Medicaid Reform to cap and reduce what counties must contribute to Medicaid.
-
Budget, Taxation, and the Economy
-
Education
- Apprenticeships
- Charter Schools
- Child Care
- Childhood Health and Nutrition
- Class Size
- Common Core State Standards
- Education and the Workforce
- Education Facilities
- Federal Education Policy
- Higher Education Funding
- North Carolina Education Lottery
- Prekindergarten Education
- Public School Finance
- School Choice
- Standards and Curricula
- Teaching Profession
- Testing and Accountability
- Virtual Schools
-
Government Regulation
- Alcohol Policy
- Asset Forfeiture
- Connectivity and Broadband
- Convention and Event Centers
- Criminal Law Reform
- Electricity and Energy
- Emerging Ideas and the Sharing Economy
- Eminent Domain
- Government Accountability
- Occupational Licensing
- Public Transit
- Publicly Funded Stadiums
- Red Tape and Regulatory Reform
- Transportation Planning
-
Health Care
-
North Carolina Info