Tim Moore took office as a U.S. representative for North Carolina’s 14th Congressional District in January 2025. Before that, he represented District 111 (covering parts of Cleveland and Rutherford counties) in the North Carolina House of Representatives from 2003 to 2025, including a decade as speaker of the House. He also previously worked as an attorney.
Tim Moore took office as a U.S. representative for North Carolina’s 14th Congressional District in January 2025. Before that, he represented District 111 (covering parts of Cleveland and Rutherford counties) in the North Carolina House of Representatives from 2003 to 2025, including a decade as speaker of the House. He also previously worked as an attorney.
Candidate Q&A
NC Health News reached out multiple times by email, social media and to Moore’s congressional office and did not receive a response. To provide information to readers, we have included examples from Moore’s congressional voting record, along with statements he has made on his website and in news releases.
What do you see as the biggest financial and administrative challenge to implementing the work requirements for Medicaid that were included in the One Big Beautiful Bill?
In a July 2025 statement announcing his vote for the One Big Beautiful Bill Act, Moore said the legislation would “strengthen Medicaid” and described it as a way to cut waste.
In an interview with CNN in June 2025, Moore explained that he didn’t think any people who “truly need” Medicaid would lose coverage because of work requirements and how the administration executes the rollout.
In a September interview with PBS NC’s State Lines, when asked about the compliance cost of new work requirements, Moore said: “I was speaker when we adopted [Medicaid] expansion and one of the provisions that I demanded be a part of that was an automatic trigger that if the federal government ever cut the benefit, that the state would would follow suit with that, so that you would not have the state on the hook … And the way that we structured the implementation of the work requirements is in a way that that most people would acknowledge is fundamentally fair. In fact, when we undertook the state expansion, we wanted to put those same work requirements in place, but because of the federal law at that time, we were unable to do so.”
What would be your plan for ensuring the future security and strength of Social Security and Medicare?
Moore has emphasized fiscal restraint and careful review of spending when discussing government programs, such as Medicare and Social Security.
NC Health News previously asked Moore this question in 2024 during an impromptu press conference at the NC General Assembly and he said: “We have got to really study where we are as a nation and what we are spending. We are right now, spending into oblivion. How do we keep the promise to those that have been promised things at the same time making sure that we’re not expanding things unnecessarily?”
What would you support in Congress as a plan to help control health care and pharmaceutical costs?
In a September interview with PBS NC, Moore acknowledged that health care costs have gone up. In multiple interviews, he has highlighted a pharmacy benefit manager (PBM) reform bill he co-sponsored when it was introduced in 2025, which aims to reduce pharmaceutical costs.
“A lot of people don’t realize when you go to the pharmacy and when you buy your drugs, a lot of that cost that’s in there really are these for these middlemen called pharmacy benefit managers, where they mark up money and they provide absolutely no benefit, no service to it,” Moore told PBS NC. “We’ve got to deal with that. We’ve also got to make sure that when it comes to hospitals and their billing, that there’s transparency.”
During a U.S. House Judiciary Committee field hearing in Charlotte in September, Moore said he believes part of the reason health care “remains too expensive and too difficult to access” is that the country has “moved too far away from a health care system driven by competition and toward one shaped by government regulation and subsidies.” He also emphasized the need to examine waste, fraud and abuse that could be driving up costs.
What steps would you take to improve access to health care in rural areas? How do we make the Rural Health Transformation Program successful in North Carolina?
In January 2025 testimony to the U.S. House Ways and Means Committee, Moore said rural communities in his western North Carolina district need better access to providers and more affordable health care. He advocated for policies to incentivize providers to serve rural areas and reduce out-of-pocket costs.
In a September 2026 news release, Moore celebrated a $1.25 million investment in expanding behavioral health care access for students across North Carolina through the Rural Health Transformation Program. “This new federal funding will give five local organizations, including Blue Ridge Community Health Services, the resources necessary to expand school-based health centers and deliver vital care directly to children in rural areas,” he said.
The rollout of AI is moving fast, including in health care, and leaders in that space are calling for things to slow down. What federal moves should be taken to regulate it, if at all?
“AI is the modern day arms race right now, and we have to make sure that we stay ahead of China and countries that are our foes,” Moore said in a September NewsNation interview. “We have to do that, but it has to be done so responsibly … We need to make sure there are regulations in place that ensure that AI is controlled, that it’s done so safely.”
NC Health News did not find any information on Moore’s stance on AI in health care.
Where do you stand on federal vaccine policy? What should be done to prevent future disease outbreaks?
Moore’s past public statements emphasize individual choice in vaccination decisions.
We’ve had some high-profile food contamination outbreaks, yet the federal government is pulling back on regulation of food, air and water. What level of federal regulation do you support and why?
NC Health News’ review of the public record did not establish Moore’s broader position on federal regulation of food, air and water.
In September, Moore introduced the Let Americans Buy with Explicit Labeling Act (LABEL) Act to require that country of origin and production method labels for fish be clearly displayed on the front of consumer packages. “Every American deserves to know where their food comes from,” Moore said in a Sept. 25 press release about the bill. “The LABEL Act helps ensure consumers have clear information about where their seafood was caught or raised and how it was produced.”
PFAS contamination is a nationwide issue; how do you address it while balancing public safety and business interests?
The public record reviewed by NC Health News does not provide Moore’s position on PFAS contamination and regulation.
During Moore’s tenure as speaker of the North Carolina House, multiple bills concerning PFAS contamination failed to advance following the 2016 discovery of high levels of GenX in the Cape Fear River and in Wilmington’s drinking water.
The building and placement of data centers have become a big issue, particularly in many rural communities. What should be the federal government’s role, if any, in how these are developed?
In a Sept. 20, 2026 weekly update to constituents, Moore noted that he voted to support the bipartisan Ratepayer Protection Act, legislation seeking to protect residential electricity customers and small businesses from paying for the growing energy demands of data centers. “As America continues investing in the infrastructure needed to lead the world in artificial intelligence, the companies creating significant new demand on our electric grid should be responsible for the additional infrastructure costs required to serve them,” Moore wrote.
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