RALEIGH, N.C. (AP) - North Carolina Medicaid patients face a threat of reduced access to services — before separate changes approved within President Donald Trump’s spending-reduction law are implemented — as an impasse over state Medicaid funding extends further.

Democratic Gov. Josh Stein, whose administration oversees Medicaid for 3.1 million people in the ninth-largest state, confirmed Thursday that starting next week the state program will lower reimbursement rates for doctors, hospitals and other medical providers.

Stein said it wasn’t too late for the Republican-controlled legislature to solve the problem, adding that the rate cuts can be reversed. If no solution can be found soon, many doctors may decide to leave the Medicaid program, leaving Medicaid enrollees in precarious po

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