And it may be just that simple:
Cooper’s action seems certain to spur howls of protest from Republican lawmakers and conservative advocacy groups that have long derided Medicaid expansion and the Affordable Care Act (aka”Obamacare”) as “socialized medicine.” Four years ago, at the outset of the administration of Cooper’s predecessor, Pat McCrory, North Carolina legislators enacted a law that purports to prevent the Governor from acting unilaterally to expand Medicaid. Cooper, however, believes that he has authority to act in his role as the state official empowered to craft and negotiate the “Medicaid waiver” plan that North Carolina is currently negotiating with federal officials. It is known that McCrory engaged in conversations with the Obama administration on such a possible move.
Wow. If you had asked me about Medicaid expansion a couple days (or hours) ago, I would have said something along the lines of, "It won't happen until we take back the Legislature." Shows what I know. I am liking Roy Cooper more and more every day.