RALEIGH, N.C. (AP) -- Legislation to prevent North Carolina from accepting federal dollars to expand Medicaid and run an online marketplace for private health insurance policies could soon be ready for Gov. Pat McCrory's signature.
The House gave final approval Thursday to legislation that declines participation in portions of the federal Affordable Care Act by a largely party-line vote of 75-42. The chamber gave initial approval Wednesday. The measure now returns to the Senate, which approved a slightly different version last week.
McCrory and other Republicans argue the state Medicaid agency isn't prepared to cover an additional 500,000 people starting next year and that operating costs for the expansion aren't settled.
Democrats call the holdback a political move that denies care to the uninsured, even though it would cost the state nothing through 2016.