Heartland Institute Medicaid Report Card Ranks Kansas First
What happened
The Heartland Institute released a Medicaid report card on October 6, 2026, scoring states on 16 measures across four areas, including fiscal sustainability and program integrity. Kansas ranked first with 74 points, while North Carolina scored 28 of 100 points, placing it 48th of 50 states. The report noted that Medicaid covers about three million North Carolinians and takes up nearly one-fifth of the state-funded budget.
From carolinajournal.com
Why it matters
The report evaluates state performance in managing Medicaid programs, which covers a significant portion of the state-funded budget. The findings highlight issues such as the state's approach to expanding Medicaid under the Affordable Care Act, work requirements, and fraud convictions in states that ranked poorly.
From carolinajournal.com
Who's involved
- KansasState of the United States of America
- Rhode IslandState of the United States of America
- North CarolinaState of the United States of America
Who could feel it
Possible knock-on effectsThese are possibilities Brind reasoned out, not predictions, and not advice. Most are not stated in any report.
- general assemblySpeculative
The general assembly might face pressure to adjust laws and funding allocations based on the report's policy critiques.
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The entities involved
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Kansas
state of the United States of America
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Rhode Island
state of the United States of America
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North Carolina
state of the United States of America