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For other readers out there, it's important to note that North Carolina has opted out of the Medicaid Expansion provision of ACA, not opted out of ACA all together. ACA is federal law and states cannot opt out. North Carolina has also chosen not to setup and run their own state exchange, thus the federal government is setting up the state exchange for NC.
The exchange to purchase insurance in NC is scheduled to be online in October. Thus, perhaps this is an option for you, at least to see how much it will cost since all plans must meet certain guidelines and all plans will be available to all buyers, regardless of medical history, i.e. they cannot deny your mother.