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North Carolina hospitals just helped kill a major expansion of the state’s Medicaid program.

Both Democrats and Republicans in the state legislature had been working toward expanding the program to another 600,000 low-income people, but the deal fell apart this month.


The North Carolina Healthcare Association was a “driving force” behind killing the deal, Axios Raleigh reported. That’s because lawmakers paired Medicaid expansion with a scale-back of the state’s certificate-of-need law. Those laws restrict what kinds of health care facilities and services can be built or added, and often favor incumbent hospitals and providers that control large chunks of a market.

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