Protecting Caregivers: Advocates Call for Essential Safeguards Amid New Medicaid Work Requirements

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Protecting Caregivers: Advocates Call for Essential Safeguards Amid New Medicaid Work Requirements

The number of family caregivers in North Carolina is growing quickly. A recent report from the National Alliance for Caregiving and AARP shows that 63 million people in the U.S. provide care to family or friends. That’s one in four adults. This number has surged by 45% since 2015.

Much of this strain falls on family caregivers in North Carolina. Around 27% of adults take on caregiving roles, and many are feeling the pressure. Financially, over half (54%) of caregivers say they’ve faced negative impacts like increased debt or unpaid bills.

Kim Cantor, CEO of the National Alliance for Caregiving, pointed out that many caregivers report high levels of stress and emotional challenges. More than 40% are providing high-intensity care, often involving complex medical tasks. Care in these situations is usually for individuals facing multiple health conditions.

The situation is not just about personal challenges; it also reflects on state health policies. Recent Medicaid changes could add more stress. The One Big Beautiful Bill Act introduces work requirements for Medicaid beneficiaries aged 19 to 64. While family caregivers are exempt from this requirement, the responsibility falls on the state to ensure they don’t lose coverage.

Many caregivers rely heavily on Medicaid for their health needs. In fact, about 7.3 million caregivers aged 18 to 64 do so. Their health affects not only their caregiving capabilities but also the overall long-term care system in North Carolina. If caregivers lose coverage, it could force more older adults into nursing homes, pushing up costs for programs like Medicare and Medicaid.

A 2024 survey by Genworth shows that nursing home care in North Carolina can cost an eye-watering $8,821 a month.

Advocates are urging the state to simplify the verification process for caregivers and reach out proactively with the information they need. Keeping lines of communication open between state agencies and caregivers is crucial.

The rising number of family caregivers highlights a growing challenge. As the demand increases, so must the support structures around them. Making resources easily accessible is key to ensuring caregivers can maintain their health while providing care.

For more insights on caregiving support, visit AARP and look into the full report on caregiving trends here.



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AARP,AARP North Carolina,caregivers,Family Caregiver Alliance,Medicaid,National Alliance for Caregiving