Health exchanges / Medicaid expansion
North Carolina will have to decide whether to run a health insurance exchange or expand Medicaid in response to the federal Affordable Care Act. STATUS: The Senate approved a bill prohibiting Medicaid expansion or state involvement in health exchanges on Tuesday, Feb. 5. The full House gave final approval to the measure on Feb. 14. Senate lawmakers rejected the House version of the bill. However, Sen. Tom Apodaca said that a conference committee has met and resolved the differences. That measure has been approved by the House and Senate and signed by the governor. It is now law.