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Friday, October 16, 2026 · Updated 6:12 AM MT · 32 stories today
Fri, Oct 16 · 32 stories todayPRO
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State Policy · NCOctober 15, 2026

Tillis Cites Medicaid Cuts in Criticizing Trump-Backed Megabill

Speaking at a Cary energy conference, retiring U.S. Sen. Thom Tillis and Rep. Tim Moore said they expect North Carolina Republicans to lose ground in the November election, citing weak polling for the GOP and President Trump's low approval rating in the state. Tillis reiterated that he voted against last year's federal budget bill because of provisions that cut roughly $800 million in Medicaid funding from North Carolina, arguing the cuts would hurt constituents and damage Republicans' electoral chances. Tillis is not seeking reelection, and Republican Senate candidate Michael Whatley has trailed Democrat Roy Cooper throughout the race. Moore predicted Republicans would keep their state legislative majority despite possibly losing a few seats.

Why it mattersNorth Carolina Medicaid stakeholders should note that a sitting GOP senator publicly linked federal Medicaid funding cuts to his party's electoral risk, signaling continued political friction over the law's Medicaid provisions ahead of implementation.

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