Kate B. Reynolds Charitable Trust Primary Menu EQUITABLE ACCESS TO CARE Closing the Health Care Coverage Gap We're supporting systems-based solutions and empowering communities to close the health care coverage gap. Why access to care? Equitable access to care leads to healthier communities. Seventy years ago, Mrs. Reynolds charged the Trust to ensure that North Carolinians with low incomes have access to health care. Affordable access to health insurance is a vital piece of this work. To improve health outcomes and narrow disparities, we support solutions for improved health insurance coverage, such as Medicaid expansion, Affordable Care Act enrollment, affordable access to medication, and affordable, convenient access to primary care, mental health care, substance use treatment, and oral care. Our Goals Maintain or increase enrollment of low-income individuals in the Affordable Care Act and Medicaid. What we know: Nearly one million North Carolinians between the ages of 19 and 64 are uninsured, making it hard for them to get the care they need to stay healthy. Uninsured adults and children obtain fewer preventive services, have more avoidable hospitalizations, have worse health outcomes and, in some cases, are more likely to die from serious acute conditions than their insured peers. What we do: We support Affordable Care Act enrollment assistance efforts, especially for underserved North Carolinians who frequently lack access and support. We do this by building nonprofit capacity, investing in data collection and dissemination to better understand Affordable Care Act enrollment, and fostering innovative enrollment initiatives. Protect and expand Medicaid eligibility. What we know: Increased access to quality health care and economic opportunities helps communities thrive, and research shows that expanding Medicaid delivers both. Unfortunately, North Carolina chose not to expand Medicaid, which means many parents living below the poverty line and childless adults do not qualify for Medicaid. They also are not eligible for subsidized insurance plans. What we do: We cultivate system change by supporting efforts to inform key stakeholders of the importance of closing the Medicaid coverage gap. We support studies that examine the potential impact of Medicaid expansion on the state, as well as communications campaigns that broadly share information about the implications of accepting or declining expansion. Updates and Reports Expanding Medicaid in North Carolina Expanding Medicaid would create more than 37,000 new jobs and insure approximately 365,000 more people, according to a new non-partisan analysis. The report was prepared by researchers at The George Washington University with funding from Cone Health Foundation and the Kate B. Reynolds Charitable Trust. Read the Report Our Grantmaking Strategies We leverage a variety of strategies to advance our goals, across all programs, initiatives, and bodies of work. View Our Grantmaking Strategies Activating Change With Our Values We start by listening. Believe in communities. Engage unlikely partners. Employ a place-based approach. Believe equity is essential to everything we do. Focus on outcomes. Support scale and sustainability. Learn more about our values Funding Opportunities Find out what we’re funding now. View All Funding Opportunities Recent Grants Rural Economic Development Center, Inc. Programmatic funds to provide public education on the importance of expanding Medicaid coverage. June 2021 Equitable Access to Care $290,384 NC FIELD, Inc. Programmatic funds for Affordable Care Act outreach and enrollment services to farmworkers in Eastern North Carolina. April 2021 Equitable Access to Care $154,000 Mountain Projects, Inc. Programmatic funds to provide Affordable Care Act insurance outreach and enrollment services in the seven westernmost counties of North Carolina. April 2021 Equitable Access to Care $331,180 View More Grants Related News Invest in Rural North Carolina to Ensure a Thriving State, Pandemic or Not By the numbers, where I grew up—rural Robeson County—is one of the most impoverished areas of our state, but I… Share this: Click to share on Facebook (Opens in new window) Click to share on Twitter (Opens in new window) Click to share on LinkedIn (Opens in new window) Featured Published on January 6, 2021 Focus on Philanthropy: Investing in the Affordable Care Act and Expanding Medicaid are Critical to Statewide Health Dr. Don Berwick, a former administrator of the Centers for Medicare and Medicaid Services, often calls the 2010 Patient Protection… Share this: Click to share on Facebook (Opens in new window) Click to share on Twitter (Opens in new window) Click to share on LinkedIn (Opens in new window) Published on November 2, 2020 New Survey Finds 1 in 5 Potential Marketplace and Medicaid Enrollees Used Consumer Assistance, But Many Others Report Trying and Failing to Obtain Help A new KFF survey finds that nearly one in five potential marketplace and Medicaid enrollees – an estimated 7 million… Share this: Click to share on Facebook (Opens in new window) Click to share on Twitter (Opens in new window) Click to share on LinkedIn (Opens in new window) Published on August 28, 2020 View More Stories Our Team Program Officer Jason Baisden Program Officer Adam Linker Program Coordinator Alison Duncan Subscribe to our mailing list to receive occasional news and updates from the Trust. 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