11/15/2025
📣 Thank you to everyone who has reached out to legislators and the Governor regarding the Medicaid rate cuts that took effect on October 1, 2025. We continue to hear from both lawmakers and representatives from the Governor’s office that OT practitioners across North Carolina are making their voices heard.
📄 Legislative leadership has now released a statement in response to the Governor’s call for a special session next week. You can view their statement here:https://files.constantcontact.com/aefdce84701/f066bf1b-3de4-495d-ac32-416c09838445.pdf
✨ Professionalism in Our Advocacy
As we move forward, it’s essential that our communication remains professional, respectful, and clear. Our credibility as practitioners strengthens our message. A composed, factual, and solutions-focused tone helps policymakers see that we are advocating not just for ourselves, but for the safety, well-being, and equitable care of vulnerable North Carolinians.
💬 Tips for Communicating with Policymakers
• Be concise and clear: Identify who you are, who you serve, and why the issue matters.
• Stay respectful and non-partisan. Focus on the issue—not political personalities.
• Center client impact with brief stories on how rate reductions affect children, families, rural communities, and access to care.
• Use data intentionally, such as reimbursement declines, staffing challenges, and reduced access to essential services.
• Offer solutions, highlighting the importance of funding the Medicaid rebase to preserve access and sustain the therapy workforce.
• Follow up with a thank-you after meetings or calls to reinforce professionalism.
🔄 NCOTA will continue updating members as communication with legislators, the Governor’s office, and DHHS progresses. Our outreach has been ongoing since mid-August, and we will remain engaged until the Medicaid rate issue is resolved.
❤️ We are deeply grateful for your continued advocacy—for your professionalism and your commitment to the people of North Carolina. Together, we will keep elevating the voice of our profession and working toward meaningful, sustainable solutions that protect patient access and support the future of occupational therapy.