Politics & Government

Big day at the NC legislature: Medicaid, a land dispute and a Senate exit

N.C. Sen. Ralph Hise, right, talks with N.C. Sen. Warren Daniel before session in the N.C. Senate chamber in the Legislative Building in Raleigh, Tuesday, April 21, 2026.
N.C. Sen. Ralph Hise, right, talks with N.C. Sen. Warren Daniel before session in the N.C. Senate chamber in the Legislative Building in Raleigh, Tuesday, April 21, 2026. ehyman@newsobserver.com

Lawmakers on Jones Street pushed through a long-stalled Medicaid deal, killed a contested land acquisition provision and saw a battleground Wake County Democrat resign his seat — all on a single Tuesday. Here’s what political watchers need to know.

Here are key takeaways:

• Both chambers approved a $319 million Medicaid funding bill to keep the program running through June, sending it to Gov. Josh Stein. The 33-page package goes well beyond the funding gap, aligning state law with federal Medicaid work requirements (effective Jan. 1, 2027), shifting eligibility reviews from quarterly to monthly and imposing a three-month work-history requirement.

• The bill’s immigration provisions drew the sharpest pushback, stripping state-funded coverage for roughly 27,000 lawfully residing immigrant children and pregnant individuals, according to the state health department. Sen. Natalie Murdock, a Durham Democrat, called it “cruelty”; Sen. Benton Sawrey, a Clayton Republican, framed it as technical alignment in order to not go beyond what’s required by federal law.

• A provision letting Franklin County unilaterally acquire property in Halifax, Vance and Warren counties was stripped from Senate Bill 214 after pushback from local commissioners, tribal leaders and a mayor. Speaker Destin Hall warned lawmakers may revisit it if locals don’t negotiate.

• With Friday’s N.C. Association of Educators march looming, Hall redirected pressure to Senate Republicans over stalled teacher raises, which they are still negotiating. Senate leader Phil Berger said he also wants teacher raises, but at the same time was dismissive of the march, saying “overall, my concern is for the parents who have to make special arrangements for their children because the teachers refuse to work on a day that they’re supposed to work.”

• Sen. Terence Everitt, a Democrat who represents Wake and Granville counties and who won by under one percentage point in 2024, resigned to lead the N.C. Voter Protection Alliance full-time — the second Senate Democratic resignation since the March primary.

The summary above, based on reporting by Luciana Perez Uribe Guinassi, Kyle Ingram and Dawn Baumgartner Vaughan, was compiled with the help of AI tools and edited by journalists. The source reporting referenced above was written and edited entirely by journalists.

Jordan Schrader
The News & Observer
Jordan Schrader has covered state governments for 19 years, including as politics editor for The News & Observer since 2016. Contact him at jschrader@newsobserver.com.
Get unlimited digital access
#ReadLocal

Try 1 month for $1

CLAIM OFFER