North Carolina’s Medicaid system is grappling with funding shortfalls, both from the state budget and from the Congressional megabill. The state Department of Health and Human Services says it will reduce provider reimbursement rates and cut coverage for popular weight-loss drugs if state lawmakers don’t approve additional funding. And beyond that issue, more funding will be needed in the future to handle new Medicaid work requirements that were part of President Donald Trump’s tax and spending bill. That bill also includes potential cuts to the program known as food stamps. WUNC's Colin Campbell sorts through the details with N.C. Department of Health and Human Services Secretary Dev Sangvai. Sangvai also provided an update on the availability of COVID-19 vaccines this fall.