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Affordable Care Act subsidies debate could impact North Carolina healthcare costs

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Affordable Care Act subsidies debate could impact North Carolina healthcare costs


CHARLOTTE, N.C. (WBTV) – The recent government shutdown highlighted a continuing battle over healthcare, specifically the extension of enhanced Affordable Care Act (ACA) subsidies.

The outcome of this debate in Washington could significantly impact how much North Carolinians pay for their health insurance.

For 67-year-old Gerry Fiesler and his 62-year-old wife, Kelly, healthcare is essential. Gerry Fiesler is on Medicare, but Kelly Fiesler, who has an autoimmune disease and Crohn’s disease, relies on the ACA Marketplace.

Thanks to expanded federal subsidies, they currently pay just $60 a month for Kelly Fiesler’s coverage. However, if these subsidies expire, their bill could jump to over $450 – a 750% increase.

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“It’s a good program. It really is. The insurance is good. It was affordable,” Kelly Fiesler said. “I think because of the income I reported was a little more they put us in a tier. I think the deductibles are higher a lot of changes. I haven’t even approved the plan yet for 100%.”

Facing rising costs for food, gas, and other necessities, the Fieseler’s have made the difficult decision to sell their retirement home of eight years.

“We have to do that, it’s the only way we may survive this. It’s about survival. I don’t know how long it’s going to last with us with the money and all. I may have to go back to work,” Gerry Fiesler said.

The number of North Carolinians insured through the ACA Marketplace has doubled since before the pandemic, from 500,000 to nearly 1 million, largely due to the affordability subsidies provided.

Nicholas Riggs, Director of the NC Navigator Consortium, warns of the consequences if subsidies are not extended.

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“Without the enhanced subsidies, people are seeing their premiums jump two to three times what they are right now,” Riggs said “And not only that, but for individuals who are above 400% of the federal poverty level, they will have to pay full price for marketplace plans if the enhanced subsidies aren’t extended.”

Who currently qualifies for enhanced subsidies?

  • Individuals making up to $62,000
  • Couples making up to $84,000
  • Families of four making up to $128,000

If subsidies expire, the previous rules will return, potentially eliminating eligibility for many middle-income households, including those who are too young for Medicare and do not qualify for Medicaid, yet cannot afford to go without medical care.

“The American dream is slowly getting out of reach for most people, I think,” Gerry Fieseler said.

Riggs advised against panic, stating that even if enhanced subsidies expire, other subsidies and marketplace plans will still be available.

“There are four different categories of plans. There’s bronze, which covers 60% of out-of-pocket costs, silver, which roughly covers 70% of out-of-pocket costs, gold, 80%, and platinum, 90%. So we always want to make sure that folks do know that there are health coverage options available in the marketplace, regardless of what’s going to happen with the subsidies,” Riggs said. “And it is much better to protect yourself against a health emergency and have coverage, even if it’s a bronze plan, than to go without coverage at all. So explore your options.”

The decision by Congress will determine whether hundreds of thousands in North Carolina maintain their health coverage. Navigators recommend checking options early and not panicking.

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NC Lottery Pick 3 Day, Pick 3 Evening results for April 19, 2026

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The NC Lottery offers several draw games for those aiming to win big.

Here’s a look at Sunday, April 19, 2026 results for each game:

Winning Pick 3 numbers from April 19 drawing

Day: 6-2-0, Fireball: 6

Evening: 4-1-7, Fireball: 5

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Check Pick 3 payouts and previous drawings here.

Winning Pick 4 numbers from April 19 drawing

Day: 7-6-9-4, Fireball: 4

Evening: 8-1-5-6, Fireball: 6

Check Pick 4 payouts and previous drawings here.

Winning Cash 5 numbers from April 19 drawing

02-21-32-35-37

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Check Cash 5 payouts and previous drawings here.

Winning Double Play numbers from April 19 drawing

18-26-27-31-42

Winning Millionaire for Life numbers from April 19 drawing

32-42-52-53-55, Bonus: 05

Check Millionaire for Life payouts and previous drawings here.

Feeling lucky? Explore the latest lottery news & results

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Are you a winner? Here’s how to claim your lottery prize

All North Carolina Lottery retailers will redeem prizes up to $599.

For prizes over $599, winners can submit winning tickets through the mail or in person at North Carolina Lottery Offices. By mail, send a prize claim form, your signed lottery ticket, copies of a government-issued photo ID and social security card to: North Carolina Education Lottery, P.O. Box 41606, Raleigh, NC 27629. Prize claims less than $600 do not require copies of photo ID or a social security card.

To submit in person, sign the back of your ticket, fill out a prize claim form and deliver the form, along with your signed lottery ticket and government-issued photo ID and social security card to any of these locations:

  • Asheville Regional Office & Claim Center: 16-G Regent Park Blvd., Asheville, NC 28806, 877-625-6886 press #1. Hours: 9 a.m. to 5 p.m. Monday through Friday. This office can cash prizes up to $99,999.
  • Greensboro Regional Office & Claim Center: 20A Oak Branch Drive, Greensboro, NC 27407, 877-625-6886 press #2. Hours: 9 a.m. to 5 p.m. Monday through Friday. This office can cash prizes up to $99,999.
  • Charlotte Regional Office & Claim Center: 5029-A West W. T. Harris Blvd., Charlotte, NC 28269-1861, 877-625-6886 press #3. Hours: 9 a.m. to 5 p.m. Monday through Friday. This office can cash prizes up to $99,999.
  • NC Lottery Headquarters: Raleigh Claim Center & Regional Office, 2728 Capital Blvd., Suite 144, Raleigh, NC 27604, 877-625-6886 press #4. Hours: 9 a.m. to 5 p.m. Monday through Friday. This office can cash prizes of any amount.
  • Greenville Regional Office & Claim Center: 2790 Dickinson Avenue, Suite A, Greenville, NC 27834, 877-625-6886 press #5. Hours: 9 a.m. to 5 p.m. Monday through Friday. This office can cash prizes up to $99,999.
  • Wilmington Regional Office & Claim Center: 123 North Cardinal Drive Extension, Suite 140, Wilmington, NC 28405, 877-625-6886 press #6. Hours: 9 a.m. to 5 p.m. Monday through Friday. This office can cash prizes up to $99,999.

Check previous winning numbers and payouts at https://nclottery.com/.

When are the North Carolina Lottery drawings held?

  • Powerball: 10:59 p.m. Monday, Wednesday, and Saturday.
  • Mega Millions: 11 p.m. Tuesday and Friday.
  • Lucky for Life: 10:38 p.m. daily.
  • Pick 3, 4: 3:00 p.m. and 11:22 p.m. daily.
  • Cash 5: 11:22 p.m. daily.
  • Millionaire for Life: 11:15 p.m. daily.

This results page was generated automatically using information from TinBu and a template written and reviewed by a Carolina Connect editor. You can send feedback using this form.



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Three Underrated UNC Football Seniors To Watch in 2026

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Three Underrated UNC Football Seniors To Watch in 2026


The North Carolina Tar Heels will be a young program across the board next season, with well over two dozen freshmen and numerous additions from the transfer portal this offseason. Expectations for the 2026 season are lowered dramatically after a disastrous first season for head coach Bill Belichick, though those expectations could help the Tar Heels fly under the radar.

As the Tar Heels approach the end of spring ball, it is time to look at the veterans of the team—the ones who have the experience to lead, especially on the defensive side of the ball. Let’s look at three underrated seniors for the 2026 football season.

Ade Willie, Cornerback

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Michigan State’s Ade Willie celebrates after breaking up a Youngstown State pass during the first quarter on Saturday, Sept. 13, 2025, at Spartan Stadium in East Lansing. | Nick King/Lansing State Journal / USA TODAY NETWORK via Imagn Images

Willie joins the Tar Heels program after four years with Michigan State, as the former 4-star player in the 2022 recruiting class gets an opportunity to not only provide depth to the secondary, but potentially start Week 0 against TCU.

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Willie played in over 30 games with the Spartans and brings experience in the secondary at cornerback and safety, along with quality length and closing speed to the football. For a defense that needs players to step up, the redshirt senior from IMG Academy will be asked to do so.

Isaiah Johnson, Defensive Lineman

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Oct 25, 2025; Chapel Hill, North Carolina, USA; North Carolina Tar Heels defensive lineman Isaiah Johnson (94) sacks Virginia Cavaliers quarterback Chandler Morris (4) in the second quarter at Kenan Stadium. Mandatory Credit: Bob Donnan-Imagn Images | Bob Donnan-Imagn Images

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The defensive line is beginning to look like one of the Tar Heels’ strengths for the 2026 season. Johnson, a former transfer from Arizona, enters his redshirt senior year looking to add another year of production after 40 tackles and two sacks this past season.

North Carolina has an impressive group of starters with Malkart Abou-Jaoude, Leroy Jackson, and incoming transfer Jaylen Harvey. Johnson adds value to the group as a run defender with the ability to penetrate the pocket. While not discussed as a key player, Johnson’s name will be used plenty during the regular season as a potential standout for the program’s defensive front.

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Coleman Bryson, Safety

Oct 25, 2025; Chapel Hill, North Carolina, USA; North Carolina Tar Heels defensive back Coleman Bryson (16) and linebacker Mikai Gbayor (4) react in the fourth quarter at Kenan Stadium. Mandatory Credit: Bob Donnan-Imagn Images | Bob Donnan-Imagn Images

Bryson was a reserve player for the Tar Heels’ secondary last season as a big nickel defender in the rotation. Heading into his redshirt senior year, the former Minnesota Gopher is looking to become a full-time starter in the secondary.

It wasn’t long ago when Bryson was making plays as the 2022 Pinstripe Bowl Defensive MVP. His special teams abilities were valuable for North Carolina last season, and he flashed at times in coverage against tight ends, including a pass breakup in the season-opener against TCU. The Waynesville, North Carolina, native could be a key defender on the back-seven in 2026.

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Memorial service held for former Miss North Carolina Carrie Everett

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Memorial service held for former Miss North Carolina Carrie Everett


Friends and family members gathered in Washington state on Saturday, remembering former Miss North Carolina Carrie Everett, who died on Easter Sunday. Another memorial service is planned in North Carolina next month.

Web Editor : Sydney Ross

Posted 2026-04-18T19:07:35-0400 – Updated 2026-04-18T19:07:35-0400



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