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Feds approve Cooper plan to relieve up to $4B in NC medical debt, as Harris weighs in

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Feds approve Cooper plan to relieve up to B 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.

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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.

Vice President Kamala Harris, joined by N.C. Gov. Roy Cooper, speaks while visiting Durham’s historic Black Wall Street district on Friday March 1, 2024.

Vice President Kamala Harris, joined by N.C. Gov. Roy Cooper, speaks while visiting Durham’s historic Black Wall Street district on Friday March 1, 2024.

Harris wrote that over $650 million in medical debt had been forgiven through the American Rescue Plan, which was passed under the Biden administration.

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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:

  • For those on Medicaid, relieve all unpaid medical debt dating back to Jan. 1, 2014.

  • 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.

  • Provide discounts on medical bills for people at or below 300% FPL.

  • Automatically enroll people into financial assistance, known as charity care.

  • Not sell medical debt of people making below 300% FPL to debt collectors.

  • 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.

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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.

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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.



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North Carolina’s Berger optimistic about budget, blames Democrats for primary loss

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North Carolina’s Berger optimistic about budget, blames Democrats for primary loss


A top North Carolina lawmaker who suffered a stunning upset in his primary election last month spoke publicly about the result Tuesday, blaming the loss on political opponents across the aisle. 

North Carolina Senate leader Phil Berger — who has led the chamber since 2011 — lost the Republican primary for his seat to Rockingham County Sheriff Sam Page by 23 votes, one of the closest elections in state history. Berger conceded defeat in a March 24 statement after a machine recount and partial hand recount yielded no change in Page’s lead. 

Berger discussed the experience with reporters Tuesday after lawmakers convened for a short legislative session in Raleigh. Asked what message voters sent him in the primary, Berger said: “Democrats like to vote in some Republican primaries. That’s the message.”

Berger didn’t elaborate on his explanation. Registered Democrats are only allowed to take Democratic ballots in primary elections. But unaffiliated voters are allowed to participate in a party primary of their choice. Berger didn’t suggest changes to that law, but he mentioned possible examination of other election laws. 

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He said lawmakers should reconsider the number of days North Carolina allows for early voting in primaries. In-person early voting started on Feb. 12 and ended Feb. 28.

“Seventeen days of early voting just seemed pretty excessive and it really stresses the local boards of elections,” Berger said. Some county election boards struggle to find daily staffing for all of their voting sites in the early voting period, he said. 

Minority Leader Sydney Batch, D-Wake, called Berger’s comments “an insult to his district and an affront to our democracy.”

“The voters sent him a clear message,” Batch said. “It’s time he accept it and get back to work to finish the job he still has, while he still has it. Pass a budget.”

State lawmakers haven’t adopted a comprehensive state budget since 2023. They were expected to do so last year, but Berger and Republican House Speaker Destin Hall have been at odds over a range of issues,  including tax policy, Medicaid funding, and other line items affecting billions of dollars in state funding.

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Berger said Tuesday that he and Hall were on the verge of a spending agreement for Medicaid, the government-funded health insurer for people who are young, impoverished or disabled. Republican legislators plan to approve Democratic Gov. Josh Stein’s $319 Medicaid request, while adding guardrails and oversight measures to prevent fraud and waste. 

To strike the deal, Berger said Tuesday that he had agreed to postpone discussions about funding for a massive new children’s hospital. The 2023 budget authorized about $320 million over three fiscal years for North Carolina Children’s Health — a partnership between UNC Health and Duke Health — to open in Apex in 2032. About $216 million has already been spent. Hall has said his caucus wants to reconsider the final installment of funds, about $103 million, while Berger has called on House leaders to release the money. 

“We’ve agreed to move the discussion of whether or not the House is going to honor the agreement they made in 2023 to the full budget discussion,” Berger said Tuesday.

Earlier Tuesday, Hall told reporters that progress had been made on negotiating children’s hospital funding. 

“It’s not resolved yet,” Hall said. “I think there’s some questions about how much more money it’s going to need exactly in order to be a viable project. And so, you know, those discussions continue.”

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Those budget negotiations are ongoing, but Berger said recent conversations have given him reason to be optimistic. “We’re having conversations,” he said. “They are substantive. They haven’t gotten us to an agreement yet, but we are continuing to talk, continuing to exchange ideas,” Berger said.

Hall described budget talks similarly: “The trajectory is good [enough] to where we’re very likely to get a budget done, hopefully sooner rather than later.”

Berger said that, in the final months of his term, he wants to focus on policies that make North Carolina a top destination for businesses. 

“I’d like to continue the progress that we’ve made over the years in making North Carolina number one state for business and making North Carolina a competitive state in terms of our tax climate and our regulatory climate,” Berger said, adding that he wants to boost education funding as well. 

Addressing property taxes

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House and Senate Republicans are also offering separate proposals for limiting property taxes in North Carolina. 

House Republicans are pursuing a constitutional amendment that would give the state more control over how much cities and counties can raise property taxes. On Tuesday, Berger said he doesn’t think there’s a consensus on the proposed amendment and noted that it would take several months to enact into law. Voters must approve constitutional amendments at the polls in order for them to become law. 

“It’s a start that we can look at,” Berger said of the proposed constitutional amendment.  “But that, by itself, would not actually go into effect until after the voters approve it, if they approve it, and then the legislature actually passes some sort of legislation.”

Berger said he plans to introduce a bill that freezes municipal property tax revaluations for 12 months while legislators study the issue further. 

“We’ve got to do something,” Berger said. “I just don’t know that there’s consensus as to what that something is. 

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“The best thing that we can do at this point is just call a timeout and give the legislature an opportunity to try to review whatever proposals might be out there.”



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North Carolina High School Football Program Promotes From Within

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North Carolina High School Football Program Promotes From Within


Less than two weeks after losing its head coach to Duke University, a North Carolina high school football program has been promoted from within.

Kevin Reddick will become the new head coach at Rolesville High School, replacing Ranier Rackley, who became the Director of Player Development at Duke University.

News of the decision was first reported by High School OT.

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Reddick was the defensive coordinator for the Rams for the past three seasons, helping the team win 25 games during that run. Last year, Rolesville allowed just under 15 points per game with Reddick in charge of the defense.

North Carolina High School Promotes Defensive Coordinator To Head Coach

Rolesville finished 9-4 last season under Rackley and Reddick.

Reddick is a graduate of New Bern High School, helping the Bears capture the 2007 Class 4AA North Carolina High School Athletic Association State Football championship. He was tabbed the most valuable player of that title game as a sophomore fullback after scoring two touchdowns in a 28-17 victory over Independence.

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At New Bern, Reddick earned conference defensive player of the year honors and was all-state at lineback as a senior after recording 189 tackles, eight quarterback sacks, six forced fumbles and four blocked punts. He also ran for over 160 yards and scored six touchdowns.

Kevin Reddick Was College Standout, Had NFL Career Before Becoming Coach

Following his high school career, Reddick signed with North Carolina as a four-star prospect, earning first team all-ACC honors as a senior. He also had offers from North Carolina State, Virginia and Clemson.

With the Tar Heels, Reddick played in 50 games, recording 275 tackles, including 36 for loss, with 8.5 quarterback sacks, two interceptions and two forced fumbles.

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Reddick signed with the New Orleans Saints as an undrafted rookie free agent, and also had stints with the San Diego Chargers, Carolina Panthers and Buffalo Bills.

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Rolesville reached the North Carolina High School Athletic Association State Football championship game with Reddick on the coaching staff and the third round this past season.

Rolesville Returns Top Rusher, Several Other Key Players

The Rams will be replacing starting quarterback Kaleb Williams, who had almost 2,500 yards passing and 22 touchdowns, as freshman Chase Williams was 8-for-8 for 98 yards with a touchdown in three games.

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They will have top running back Amir Brown back, as he ran for 1,374 yards with 22 touchdowns and six games of 100 yards rushing as a junior. He also had 13 receptions for 106 yards and another TD.

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Anthony Roberts is another key player back, as he caught 35 passes for 656 yards and nine TDs. Top tacklers Jayden Broadie, Javon Campbell, Genesis Allen and Keonte Sutton are all set to return, as well.

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Shooting in park near North Carolina school leaves two dead and several hurt

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Shooting in park near North Carolina school leaves two dead and several hurt


At least two people are dead and “several” others are injured after a “planned fight” at a North Carolina park escalated into a mass shooting, authorities said.

Police have identified several victims and suspects after Monday’s shooting at Leinbach Park near Jefferson Middle School, according to the Winston-Salem Police Department.

Authorities confirmed there were multiple victims in the shooting, but did not provide an exact number. The suspects were still at large over two hours later.

Officers were called to the park just before 10 a.m. after reports of a fight, which then escalated into multiple people shooting each other.

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Area schools are not in lockdown, and classes are operating as normal, police said.

“Due to the number of people involved, efforts are ongoing to account for everyone. At this time, some of those involved in the incident are juveniles,” police said.

According to local news station WFMY, at least three people were taken to the hospital. Officials have not shared their conditions.

Police said the shooting was an isolated incident and remains under investigation.

This is a developing story

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