02/27/2026
After transforming and expanding the program, NC Medicaid director steps down
Jay Ludlam is stepping down as director of NC’s Medicaid program after overseeing the state’s long-awaited expansion, which has added coverage for more than 710,000 residents since December 2023.
He leaves as the state faces new federal work requirements and billions in potential funding losses that could threaten recent gains, particularly in rural communities.
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