North Carolina
Feds approve Cooper plan to relieve up to $4B in NC medical debt, as Harris weighs in
A plan unveiled at the beginning of this month by Democratic Gov. Roy Cooper to leverage Medicaid funds to help North Carolinians struggling with medical debt has been approved by the federal government.
On Friday, the U.S. Centers for Medicare and Medicaid Services (CMS) approved a plan that has the potential to relieve $4 billion in existing hospital medical debt for people in the state, according to a news release. In order for the plan to take effect, hospitals would need to sign on.
“Unlike most other debts, medical debt is not intentional because people don’t choose to get seriously ill or have an accident,” Cooper said, according to the news release.
“Medical debts are often beyond people’s ability to pay, ruining their credit, keeping them from getting credit cards, loans and jobs and sometimes driving them into bankruptcy. That’s why we’re working with hospitals and federal partners to help relieve the burden of medical debt for North Carolina families,” he said.
Vice President Kamala Harris — who appears set to become the Democratic presidential nominee for the November election, and has been considering Cooper as a possible running mate — has been “coordinating” with state officials on the medical debt plan, The Washington Post reported.
“No one should be denied access to economic opportunity simply because they experienced a medical emergency,” Harris said in a statement sent as part of a news release Monday.
“Yet today, more than 100 million Americans struggle with medical debt — making it more difficult for them to be approved for a car loan, a home loan, or a small-business loan, which makes it more difficult for them to just get by, much less get ahead.”
“I applaud North Carolina for setting an example that other states can follow by advancing a plan that has the potential to relieve $4 billion in medical debt for two million individuals and families. This critical step also strengthens financial assistance for emergency medical procedures moving forward,” Harris said.
Harris wrote that over $650 million in medical debt had been forgiven through the American Rescue Plan, which was passed under the Biden administration.
The News & Observer has contacted several hospitals and the North Carolina Healthcare Association, which represents hospitals, regarding their stances on the plan.
UNC Health “continues to have discussions with state and federal officials,” UNC Health spokesperson Alan Wolf said in an email.
“We support efforts to reduce medical debt and we expect to receive more details on the approved plan soon,” he said.
Medical debt relief provided
According to Cooper’s news release, hospitals that opt in to the plan must implement the following to be eligible for enhanced payments offered under the plan:
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For those on Medicaid, relieve all unpaid medical debt dating back to Jan. 1, 2014.
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Relieve all unpaid medical debt that has become virtually impossible to collect dating back to Jan. 1, 2014, for people not enrolled in Medicaid whose income is at or below at least 350% of the federal poverty level (FPL) or whose total debt exceeds 5% of their annual income. A family of two at 350% of the FPL makes about $71,000 a year.
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Provide discounts on medical bills for people at or below 300% FPL.
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Automatically enroll people into financial assistance, known as charity care.
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Not sell medical debt of people making below 300% FPL to debt collectors.
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Not report debt covered by policies laid out in the plan to a credit reporting agency.
Patients of participating hospitals will not need to take any actions to benefit from medical debt relief, according to the news release.
Plan to leverage Medicaid funds
When the state expanded Medicaid in December, it implemented a mechanism that allowed hospitals to receive higher federal reimbursements in return for paying the state’s share of costs under the expansion bill.
The federal government covers 90% of Medicaid coverage costs for the expansion population, while the state covers 10%. This funding mechanism was called the Healthcare Access and Stabilization Program.
The medical debt relief plan further leverages federal funds by providing higher HASP payments to hospitals that choose to implement the plan.
Hospitals often only collect a small fraction of the medical debt they are owed, Cooper said during a press conference announcing the plan on July 1.
However, large debts that remain on the books can prevent people from buying a home or getting a credit card and sometimes can lead people into homelessness and bankruptcy, he said.
North Carolina has one of the highest percentages — 13.4% — of adults with medical debt, according to KFF, a health policy organization. About 20 million people — or nearly 1 in 12 adults — owe a combined total of at least $220 billion in medical debt in the United States, KFF says.
North Carolina
Eastern North Carolina law enforcement agencies warn residents about growing scam threats
EASTERN NORTH CAROLINA — Law enforcement agencies across eastern North Carolina are warning residents to stay alert as several scams continue targeting seniors, bank customers, and other vulnerable individuals.
The Halifax County Sheriff’s Office recently issued a warning after a suspicious check was mailed to a person living with dementia. Deputies say scammers often target older adults by sending fraudulent checks in hopes the recipient will deposit the money and become entangled in a financial scam.
Officials are urging families to regularly check on elderly relatives and remind them never to cash or deposit unexpected checks. Residents are encouraged to contact their bank or law enforcement before taking any action if they receive suspicious financial documents.
Meanwhile, the Onslow County Sheriff’s Office says a jury duty scam is resurfacing throughout the county. In these cases, scammers pose as law enforcement officers or court officials and claim a person missed jury duty or failed to appear in court. Victims are told a warrant has been issued for their arrest and are pressured to send money to avoid being taken into custody.
Deputies warn that scammers often use official-looking documents, government seals, and even the names of real law enforcement officers to make the scheme appear legitimate. The sheriff’s office stresses that deputies will never call, email, or text someone demanding payment.
The Pitt County Sheriff’s Office is also warning residents about a call forwarding scam designed to steal banking verification calls and security codes. Investigators say scammers contact victims claiming there is suspicious activity on their bank account and instruct them to dial special star codes followed by a phone number.
By doing so, victims unknowingly activate call forwarding, allowing bank security calls and verification codes to be redirected to the scammer’s phone.
Authorities recommend never dialing star codes at the request of a stranger, never sharing passwords or security codes, and always contacting banks directly using trusted phone numbers.
Law enforcement agencies say a common theme in many scams is creating a sense of urgency and fear. Officials encourage residents to slow down, verify information independently, and report suspicious activity before sending money or sharing personal information.
North Carolina
Audit finds more than $47M in fraudulent unemployment payments in NC over 5-year period
RALEIGH, N.C. (WNCN) — More than $47 million in fraudulent unemployment payments went out the door in North Carolina over a five-year period, according to a new state audit that also flagged delays in getting benefits to claimants.
The State Auditor’s Office found the North Carolina Division of Employment Security distributed $47.2 million in fraudulent unemployment payments between 2021 and 2025.
“North Carolina had an abysmal rate of recovery and issuing payments that were not appropriate,” State Auditor Dave Boliek said. “Many of them were outright fraudulent.”
According to Boliek, NCDES has recovered about $12.2 million of those funds, but the rest is likely gone forever.
“Once you have a fraudulent transaction and [those funds] are out the door, timing is important to recovering those funds,” he said. “You need to get on it quick in order to get that money back. Otherwise, tracking those dollars down is virtually impossible at this point.”
NCDES Assistant Secretary Marc-Antoine Keith pushed back, saying they are working to recover the money, no matter how long it takes.
“We’re going to be recovering it this year, next year, five years from now,” he said. “We don’t have a timeline. This is not something that we just write off and say, ‘You’re good.’ We’re in the heart of it right now.”
NCDES officials also noted the fraud identified in the audit amounts to less than 1% of the more than $5 billion in unemployment benefits paid during the same period.
According to NCDES, roughly $40 million of the fraudulent payments happened during the COVID-19 pandemic when unemployment claims surged and the state was tasked with administering enhanced federal benefits of $600 per week.
Keith said the department received 1 million claims in just 10 weeks. By comparison, NCDES typically handles about 3,000 to 3,500 claims a week.
“The $600 put North Carolina at a higher profile for bad actors coming into the system,” he said. “We also were under tremendous pressure to get money out the door. Pay, pay, pay, pay, pay. That was the message from the federal government.”
Boliek questioned why it took the agency years to fully implement a federally funded fraud detection system. He said NCDES received a federal grant to strengthen fraud prevention efforts but did not fully deploy the system for three years.
“The pandemic is not an excuse for government’s failure to monitor the expenditure of taxpayer dollars,” he said.
Keith disputed that characterization, pointing to staffing shortages, competing priorities, and Hurricane Helene as reasons for the delay.
“The reality is that we only have so many hands,” he said. “As we got going with this process, then the hurricane came in.”
According to Keith, the fraud detection system was rolled out in phases between April and December 2024 rather than all at once.
The audit also identified problems with delayed payments. According to the report, 28% of initial unemployment payments went out after the federal 14-day benchmark.
“That’s just not acceptable,” Boliek said. “We’ve got to do better than that.
According to Boliek, delays can have serious consequences for families relying on unemployment benefits after losing a job.
“When you’re unemployed or you get laid off, that’s when your family is in a traumatic situation,” he said. “You need to be able to rely on the state to answer the call there and get your benefits to you.”
Keith acknowledged there is still room for improvement but said DES has made progress since the period covered by the audit.
“We’re not where we want to be, but we’re a heck of a lot closer than where we were,” Keith said.
North Carolina
More than 100 vendors celebrate Father’s Day at Highland Brewing
ASHEVILLE, N.C. (WLOS) — Many Father’s Day events were held across western North Carolina, celebrating fathers, including at Highland Brewing, where a market was held.
Over 100 vendors applied to set up for the event on the longest day of the year.
ASHEVILLE GETS A BUZZ ON AT HIGHLAND BREWING AS HONEYFEST CELEBRATES POLLINATORS
Event coordinator Monica Maybille says it’s important to treat fathers to a little gift.
“It’s your dad. You gotta get stuff for your dad. They do a lot for you, so you got to treat them to a little treat sometimes,” Maybille said.
HIGHLAND BREWING HOSTS TRIBUTE PARTY HONORING LATE FOUNDER OSCAR WONG’S COMMUNITY IMPACT
The event included some dad-themed gifts, including grilling supplies and funny T-shirts.
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The next market at Highland Brewing is planned for August and will focus on back-to-school.
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