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Checked against the record · North Carolina 11th District 2026

How did Jennifer Balkcom vote on Medicaid expansion in North Carolina?

Matches stated direction. She voted no on all four House votes on the 2023 Medicaid expansion law, but voted for the 2023 budget that expansion depended on.

Jennifer Capps Balkcom

Medicaid expansion: her 2022 answer and her votes

Matches stated direction

What they say

At a Chamber of Commerce forum in her 2022 Republican primary for the state House, she said she did not favor expanding Medicaid and that her concern was where the budget would find the money.

“As far as expansion goes, I'm not in favor of that. I think the concern is where are we going to find it in the budget.”

What the record shows · Mar 27, 2023

She voted no on all four House roll calls on House Bill 76, which expanded Medicaid and changed some certificate-of-need rules: 96 to 23 and 92 to 22 in February 2023, then 95 to 21 and 87 to 24 on agreeing to the Senate's version in March. It passed, and the governor signed it on March 27, 2023 (Session Law 2023-7).

Limit: Her words are from 2022, before she took office; her 2026 campaign says only that she will fight for better health care. Expansion could start only after a 2023 budget became law, and she voted for that budget.

Keep reading

More from this race

  • Jennifer Capps Balkcom: every check on the record
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  • Has Jennifer Balkcom fought for Hurricane Helene recovery money in Raleigh?
  • What has Jennifer Balkcom done on community safety in the NC House?
  • Has Jennifer Balkcom voted for business-friendly tax cuts in North Carolina?
  • What has Jennifer Balkcom done to make life more affordable for working families?
  • Did Jamie Ager raise $1.36 million in the second quarter of 2026?

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Sources8 source records

How we use sources

  1. House 117 candidates talk Ecusta Trail, taxes, Medicaid expansionhttps://www.hendersonvillelightning.com/four-seasons-politics/11539-house-117-candidates-talk-ecusta-trail-taxes-medicaid-expansion.html

    Hendersonville Lightning · Published May 1, 2022 · Reviewed Oct 1, 2026

    Reports a Chamber of Commerce forum in the 2022 Republican primary for state House District 117 and prints each candidate's answers. Used only for Balkcom's own answers on Medicaid expansion and business taxes.

    original reporting

    For: How did Jennifer Balkcom vote on Medicaid expansion in North Carolina?

  2. House Bill 76 (2023): Access to Healthcare Optionshttps://www.ncleg.gov/BillLookUp/2023/H76

    North Carolina General Assembly · Reviewed Oct 1, 2026

    Medicaid expansion and certificate-of-need changes. Signed March 27, 2023; Session Law 2023-7.

    official legislative record

    For: How did Jennifer Balkcom vote on Medicaid expansion in North Carolina?

  3. House Roll Call #16, HB 76, second readinghttps://www.ncleg.gov/Legislation/Votes/RollCallVoteTranscript/2023/H/16

    North Carolina General Assembly · Reviewed Oct 1, 2026

    Recorded vote of February 15, 2023 on House Bill 76, second reading, passed 96 to 23. The transcript lists Balkcom among the Republican noes.

    official legislative record

    For: How did Jennifer Balkcom vote on Medicaid expansion in North Carolina?

  4. House Roll Call #25, HB 76, third readinghttps://www.ncleg.gov/Legislation/Votes/RollCallVoteTranscript/2023/H/25

    North Carolina General Assembly · Reviewed Oct 1, 2026

    Recorded vote of February 16, 2023 on House Bill 76, third reading, passed 92 to 22. The transcript lists Balkcom among the Republican noes.

    official legislative record

    For: How did Jennifer Balkcom vote on Medicaid expansion in North Carolina?

  5. House Roll Call #93, HB 76, concurring in the Senate version (second reading)https://www.ncleg.gov/Legislation/Votes/RollCallVoteTranscript/2023/H/93

    North Carolina General Assembly · Reviewed Oct 1, 2026

    Recorded vote of March 22, 2023 on agreeing to the Senate's version of House Bill 76, passed 95 to 21. The transcript lists Balkcom among the Republican noes.

    official legislative record

    For: How did Jennifer Balkcom vote on Medicaid expansion in North Carolina?

  6. House Roll Call #113, HB 76, concurring in the Senate version (third reading)https://www.ncleg.gov/Legislation/Votes/RollCallVoteTranscript/2023/H/113

    North Carolina General Assembly · Reviewed Oct 1, 2026

    Recorded vote of March 23, 2023 on agreeing to the Senate's version of House Bill 76, passed 87 to 24. The transcript lists Balkcom among the Republican noes.

    official legislative record

    For: How did Jennifer Balkcom vote on Medicaid expansion in North Carolina?

  7. Session Law 2023-7https://www.ncleg.gov/EnactedLegislation/SessionLaws/HTML/2023-2024/SL2023-7.html

    North Carolina General Assembly · Reviewed Oct 1, 2026

    The enacted text. Part I adds the federal Medicaid expansion group; Part IA says it ends unless a 2023-24 budget becomes law by June 30, 2024; Part III changes certificate-of-need rules.

    official legislative record

    For: How did Jennifer Balkcom vote on Medicaid expansion in North Carolina?

  8. Governor Cooper Signs Medicaid Expansion into Lawhttps://governor.nc.gov/news/press-releases/2023/03/27/governor-cooper-signs-medicaid-expansion-law

    Office of the Governor of North Carolina · Published Mar 27, 2023 · Reviewed Oct 1, 2026

    Says House Bill 76 was signed on March 27, 2023 and will expand Medicaid.

    official office record

    For: How did Jennifer Balkcom vote on Medicaid expansion in North Carolina?

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