Rural Disinvestment and the Fragility of North Carolina’s Expansion: Responding to the One Big Beautiful Bill Act

The federal House Resolution 1 (HR1), also known as the "One Big Beautiful Bill Act," introduces new Medicaid work requirements, financing restrictions, and limits on future SNAP benefit growth. These provisions could weaken the foundations of North Carolina's Medicaid expansion and reduce the federal dollars that sustain rural hospitals, food access, and local economies.

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Publication Details

Journal
North Carolina Medical Journal
Published
2025-12-23
DOI
https://doi.org/10.18043/001c.154044
Primary Topic
Economic, Social, and Health Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Rural Disinvestment and the Fragility of North Carolina’s Expansion: Responding to the One Big Beautiful Bill Act

KB Johnson, David R. Tillman
North Carolina Medical Journal
Economic, Social, and Health Studies
article

Rural Disinvestment and the Fragility of North Carolina’s Expansion: Responding to the One Big Beautiful Bill Act

KB Johnson, David R. Tillman
article en

Abstract

The federal House Resolution 1 (HR1), also known as the "One Big Beautiful Bill Act," introduces new Medicaid work requirements, financing restrictions, and limits on future SNAP benefit growth. These provisions could weaken the foundations of North Carolina's Medicaid expansion and reduce the federal dollars that sustain rural hospitals, food access, and local economies.

North Carolina Medical JournalVol. 86(4)
University of North Carolina at Chapel Hill (US), Campbell University (US)
Zero hunger
Openalex Percentile: Top 22%
Economic, Social, and Health Studies
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