Julie Horntvedt, Executive director, State Council on Developmental Disabilities, on behalf of N.D. Disabilities Advocacy Consortium Board of Directors, Bismarck

Cuts to Medicaid would have serious consequences for North Dakotans, threatening access to health care and services. This would place additional burdens on families, healthcare providers, and the economy. Currently in ND, the federal government pays 51% of the cost of traditional Medicaid and 90% of the cost of Medicaid Expansion. Therefore, changes in Medicaid could result in fewer services and fewer caregivers.

Medicaid is not just a safety net — it is a pillar of North Dakota’s healthcare system. Beyond providing direct health coverage, Medicaid plays a critical role in supporting hospitals, schools, workforce development, and the financial stability of families.

— 74% of seniors and adults with disabilities are eligible for Medicaid health coverage.

— Medicaid helps sustain North Dakota’s hospital systems and rural health clinics.

— Medicaid provides critical funding for health services in North Dakota schools, covering essential care such as speech.

We strongly urge Congress to reject any proposals that would weaken Medicaid and instead advocate for measures that strengthen this essential program. Cutting Medicaid would not only hurt North Dakota’s most vulnerable residents but would also destabilize our healthcare system and economy. Our goal through advocacy is to protect Medicaid and consider investing in the value of Medicaid by collaborating with providers to provide high quality care, focus on service delivery strategies that improve outcomes and prioritize reimbursement for higher value services.

The time is now to call and write our Congressional representatives. The Capitol switchboard line is (202) 224-3121. Ask for the ND representatives and let them know how Medicaid has helped you or your loved one.

Sincerely,

North Dakota