States are cutting Medicaid provider payments long before Trump cuts hit

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Now, broad cuts to North Carolina Medicaid will make finding and paying for care even more difficult. North Carolina and Idaho have already announced plans to cut Medicaid payments to health care providers, including hospitals, doctors, and caregivers. “It’s a difficult moment for North Carolina,” said Jay Ludlam, deputy secretary for North Carolina Medicaid. It forecasted 19% growth in Medicaid spending this year. In North Carolina, Fabrello has been unable to work outside of caring for her son.