The University of North Carolina Asheville hosted the fourth annual WNC Health Policy Initiative Legislative Summit on Friday, March 13, 2026. The theme of this year’s summit was “The Changing Landscape of Health in Western North Carolina,” and featured welcoming remarks from WNC HPI founding partners and NC Lt. Gov. Rachel Hunt, a keynote address from Laurie Stradley, CEO of Impact Health, and a policy maker panel comprised of state legislators and other state-level health leadership discussing the current health policy landscape, challenges, and opportunities facing the region and the state.

Thanks to predicted funding cuts in NC’s Medicaid rebase, NC DHHS implemented a series of sweeping cuts to adjust for the shortfall. Under the announced plan, nearly all Medicaid providers will face rate reductions of 3 percent to 8 percent, while some categories — including nursing homes, hospitals, psychiatric residential treatment facilities and certain ambulatory services — will see steeper cuts of up to 10 percent. 

The reductions will affect services across the board, from personal care and home health to outpatient therapy and hospital care.

Health policy doesn’t happen in a vacuum—it’s the product of political negotiation, lobbying, legislation and often a delicate balance of regional interests. On a recent episode of the WNC Health Policy Initiative Podcast, we had the opportunity to sit down with Jackson County’s own Dr. Chris Cooper, Robert Lee Madison Distinguished Professor and Director of the Haire Institute for Public Policy Western Carolina University at Western Carolina University, and author of Anatomy of a Purple State, to take a deeper look at the dynamics shaping health policy in North Carolina today. In this article, we explore the current background and landscape of health policy in North Carolina touched on by Dr. Cooper, as well as review some of the relevant legislation coming up on the NC General Assembly’s consideration in the coming months.

In this episode of the WNC Health Policy Initiative Podcast, we sit down with Dr. Chris Cooper, distinguished political scientist from Western Carolina University, to unpack the forces shaping health policy in North Carolina. From the role of lobbying and interest groups to the legislative process behind health-related bills currently on the table, Dr. Cooper offers a look into how policy is made, and offers insights into how you can effectively advocate for the issues that matter most.