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
NC offshore wind project canceled as $1B deal shifts investment to fossil fuels
A planned offshore wind project off North Carolina’s coast that could have powered roughly 300,000 homes has been scrapped after the federal government agreed to spend nearly $1 billion to halt its development, a decision that is drawing sharp reactions and raising questions about future energy costs in the state.
Under the agreement, the French energy company TotalEnergies will be reimbursed for leases it purchased in federal waters near Bald Head Island. In exchange, the company will redirect that investment into oil and natural gas projects, including liquefied natural gas (LNG) production.
The move comes as electricity demand in North Carolina and across the Southeast is rising, driven by population growth and the rapid expansion of energy-intensive data centers.
Energy analysts say removing a major potential source of power from the pipeline could have lasting implications.
“I think folks are trying to figure out how to reconcile this with the fact that we do need more electrons on the grid,” said Katharine Kollins, president of the Southeastern Wind Coalition. “Every state right now is looking at how we can develop more energy, not how we should be taking options off the table.”
The canceled project, known as Carolina Long Bay, was one of two offshore wind developments TotalEnergies had planned along the East Coast. The North Carolina portion alone would have generated about 1,300 megawatts of electricity and brought significant economic development to the region.
State leaders were quick to criticize the decision. In a post on X, Gov. Josh Stein said the Trump administration is “spending nearly $1 billion in taxpayer money to pay off a company to stop investments in the clean energy we need,” calling it “a terrible deal for the people of North Carolina and our country.”
The Interior Department, which negotiated the agreement, defended the move, saying offshore wind projects are too costly and unreliable to meet the nation’s energy needs. In a statement, officials said redirecting investment toward natural gas would provide “affordable, reliable and secure energy” while strengthening grid stability.
The debate reflects a broader divide over how to meet growing electricity demand while keeping costs down.
Offshore wind projects typically require high upfront investment but have no fuel costs once operational. Fossil fuel plants rely on fuel that can fluctuate in price.
“Using a billion dollars of taxpayer money to remove an option for North Carolina and then require that company to invest in LNG just doesn’t feel right,” Kollins said.
She and other advocates argue that offshore wind could help stabilize energy prices over time by diversifying the state’s power mix, particularly during periods of high demand or fuel volatility.
The federal government and industry leaders backing the deal say natural gas offers a more dependable source of power, especially as the grid faces increasing strain.
Part of that shift now points to LNG, which is traded on a global market. That means prices can rise or fall based on international demand, geopolitical tensions and export levels — dynamics that do not affect wind energy.
The cancellation also highlights uncertainty around offshore wind development in North Carolina. Duke Energy, the state’s largest utility, holds a neighboring lease in the same area but paused development last year as it reevaluated costs and policy conditions.
As state regulators and utilities map out how to meet future demand, the loss of Carolina Long Bay narrows the range of options.
For residents, the stakes may ultimately show up in monthly bills.
“When we limit our choices,” Kollins said, “we limit our ability to control costs.”
North Carolina
What North Carolina Wants to See Happen in the Sweet 16
The North Carolina Tar Heels were a first-round exit in this year’s NCAA Tournament, but that does not mean that what transpires the rest of the way does not matter for the program.
It has been less than a week since the Tar Heels blew a 19-point lead in the second half against the VCU Rams, en route to an 82-78 loss in overtime. The result has raised doubts about Hubert Davis’ future as North Carolina’s head coach.
With all of that being said, here are a couple of things the Tar Heels should be wishing to happen later this week in the Sweet 16.
Duke Falls Short
The North Carolina-Duke rivalry is arguably the best one in all of sports. It was a tantalizing matchup the first time these two squared off this year, with Caleb Wilson and Cameron Boozer going head-to-head, as both players are expected to be selected in the top five of the 2026 NBA Draft.
However, the discrepancy between the two teams was apparent, even though the Tar Heels split the season series. The Blue Devils entered the NCAA Tournameent as the No. 1-overall seed in the entire field, while the Tar Heels limped into the field as a six-seed.
While North Carolina would obviously prefer playing in the upcoming round, which starts on Thursday night, nothing would make Tar Heels fans happier than to see Duke fall to St. John’s in the Sweet 16.
The Blue Devils have been playing with fire in the first two rounds, at various points, but they ultimately advanced to the second weekend of the tournament. St. John’s is a formidable opponent that could legitimately take down Duke.
One of the Teams With a Legitimate Head Coaching Option To Lose
It has been well-documented that North Carolina is likely to be in the coaching market, as Davis appears to be on his way out in Chapel Hill. If this occurs, the Tar Heels need to make a substantial hire that will elevate the program back to competing for national championships.
There will be a slew of options for North Carolina to consider, but two names to keep an eye on are Iowa State’s T.J. Otzelberger and Alabama’s Nate Oats. You may be asking yourself, ‘Why should North Carolina be rooting for potential head coach candidates to lose?’
Here’s why: the transfer portal opens on April 7, and ideally, North Carolina would want its presumed new head coach in place well before then. Those coaches will not be the only two to watch for, but they are arguably the most ideal.
North Carolina
AG Jeff Jackson wants the president to negotiate change from Chinese apps that fund fentanyl
North Carolina’s top prosecutor is asking the president for
help in the fight against fentanyl. Attorney General Jeff Jackson says
criminals are using Chinese apps to launder millions of dollars which fund
the fentanyl epidemic in the US. He thinks the president can negotiate a
change.
The effort hits home for the Nash family. This past weekend
marked four years since Jeff Nash lost his daughter, Amanda.
“It was a tough weekend. It was. I don’t think it gets
any easier,” Nash told WRAL.
Nash is one of thousands of fathers who knows what it feels
like to lose a child to fentanyl. And he knows what people will say…
“His daughter should have known not to do it. No one
forced her to do it. She was a grown woman. She was an adult who made her choices
and this was the natural consequence of her choice. And to say that would be
right. I understand that. However, two things can be right. It also is right for
our federal, state and local governments to do everything they can to keep this
poison away from our people,” Nash said.
Fentanyl is the primary driver of the opioid crisis in North
Carolina, contributing to over 75% of fatal drug overdoses in recent years. But
a small change gives cause for hope. 2025 and early 2026 data from the state office
of the medical examiner indicate a potential decline in fentanyl-positive
deaths for the first time in years.
North Carolina Attorney General Jeff Jackson said there is
still work to do.
“We’re losing six people a day. I’ve spoken to a lot of families
who have lost people. I told them I’ll do whatever I can and one thing I can do
is go after the money. If you go after the profitability of a crime, you’ll
reduce the prevalence of that crime,” Jackson said.
More than $100 million a week flow through Chinese owned
apps to support the sales of fentanyl in the US, Jackson said.
Over the last year, his office got one app called WeChat
to agree to be more responsive with investigators and make encrypted spaces on
the app more hostile to fentanyl money laundering. But its sister app, Weixin is
not subject to US laws and wants the White House to take action.
In a letter to the president, Jackson and five other
attorneys general from Colorado, New Hampshire, New Jersey, Kentucky and South
Carolina urged the president to take action. It states that despite the agreement
with WeChat to work with investigators, neither it nor Weixin agree to share
data from the ap.
“In practice, this means that law enforcement can only see
one side of illegal transactions, shielding Chinese-based users from justice,”
the letter said.
Nash wondered why only six attorneys general would support
the effort. Jackson said the focus was to get a request to the president that
was not political, bipartisan and clear.
He believes President Trump has the ability to negotiate with the
Chinese to effect change when it comes to money changing hands through its
apps.
“I think we recognize that the Chinese government is
different than the American government and if the leader of China decided to
make a change, that change would be made,” Jackson said.
Nash was reluctant to revisit his pain discussing his
daughter’s death, but said it’s worth it if this letter gets people talking or
gets any government movement to reduce the flow of fentanyl into the US.
Nash was one of the subjects in the WRAL documentary, ‘Crisis
Next Door – The Fentanyl epidemic.’
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