The so-called “One Big Beautiful Bill” that President Donald Trump signed into law on the Fourth of July will have devastating impacts on the health and food security of working people across North Carolina. The coming wave of drastic cuts to federal spending on essential social programs will ripple through every community.

According to the office of Gov. Josh Stein, an estimated 520,000 people stand to lose health insurance due to changes in Medicaid and the Affordable Care Act Marketplace. Without federal or state action, 670,000 people enrolled in Medicaid expansion will lose their coverage. These changes will also force rural hospitals and nursing homes to close down, which means even families with strong employer-sponsored insurance will have to travel further for care, pay more on m

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