North Carolina

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

Published

2 years ago

July 29, 2024

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.

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.

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:

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.

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.

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North Carolina

Duarte girl kidnapped in 2020 at 5 years old found safe in North Carolina

Published

12 hours ago

March 11, 2026

Press Room

Duarte girl kidnapped in 2020 at 5 years old found safe in North Carolina

A girl who was kidnapped from Duarte in 2020 when she was just 5 years old has been found safe in North Carolina.

The Washington County Sheriff’s Office said it found Karen Rojas, who is now 11, on Tuesday. She was enrolled in school under an alias, according to investigators.

Authorities said she was kidnapped on June 2, 2020.

The Los Angeles County Sheriff’s Department and the Los Angeles Department of Children and Family Services notified Washington County law enforcement that she may be in the state.

They coordinated with several agencies, located the girl and took her into protective custody.

“These are very rare occurrences to have such a positive outcome on such an old case as this, but it reminds us that through hard work, and dedication, and cooperation, stories with positive outcomes like these can happen,” the Washington County Sheriff’s Office said in a social media post.

Due to the age of the child, further information was not immediately available.

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North Carolina

These 4 Western NC towns are among WorldAtlas favorites for 2026

Published

1 day ago

March 10, 2026

Press Room

These 4 Western NC towns are among WorldAtlas favorites for 2026

A new list from WorldAtlas named the publication’s top 10 favorite North Carolina towns of 2026, including several locations located in Western North Carolina.

Founded in 1994 by cartographer John Moen and his wife, Chris Woolwine-Moen, WorldAtlas publishes educational materials and articles on geography, sociology, demography, environment, economics, politics, and travel.

Previous Citizen Times articles have covered numerous mentions of Western North Carolina from WorldAtlas, including “idyllic” and “unpretentious” towns, scenic drives, a favorite downtown area, and more. In the new list, published March 9, WorldAtlas writers chose their all-time favorite North Carolina towns ― almost half of which were located in the western region of the state.

Here’s what WorldAtlas had to say about mountain North Carolina towns, plus the full list and more.

What to do in Banner Elk, N.C.

WorldAtlas noted the range of activities offered in Banner Elk throughout the year. The town sits in the Blue Ridge Mountains between the Sugar Mountain and Beech Mountain ski resorts. Writers highlighted the following locations and activities in Banner Elk:

Wildcat Lake, which has a lifeguarded white-sand beach and is used for swimming, non-motorized boating and fishing for largemouth bass, trout, and bluegill
Grandfather Mountain Nature Museum, a museum located at Grandfather Mountain
The Mile High Swinging Bridge, the highest suspension footbridge in the United States, which visitors can cross on foot

What to do in Blowing Rock, N.C.

Also included on the WorldAtlas list, Blowing Rock takes its name from a rock formation where the wind appears to blow upward. The list highlighted the following locations and activities in Blowing Rock:

The town’s namesake, “Blowing Rock,” is a rock formation known for views of Johns River Gorge and the surrounding forest
Fishing, spelunking and rock climbing opportunities in the area
Moses H. Cone Memorial Park, also known locally as “Cone Park,” which has hiking trails and is located on the Blue Ridge Parkway
Memorial Park on Main Street, where town events and concerts often take place

What to do in Brevard, N.C.

Brevard, also known as the “Land of Waterfalls,” is home to more than 200 waterfalls located across Transylvania County. WorldAtlas highlighted the following locations and activities in Brevard:

Museums, trails, rock climbing and the surrounding area’s many waterfalls
Guided Jeep and hiking tours to view waterfalls throughout Transylvania County
Veterans History Museum of the Carolinas, a museum displaying artifacts from U.S. military conflicts
Transylvania Heritage Museum, a museum focused on local history and genealogy

What to do in Hot Springs, N.C.

Hot Springs’ name comes from the natural springs that attract visitors from across the state and region. The springs are commonly visited by hikers seeking relief after traveling along the Appalachian Trail, which runs through the town. WorldAtlas highlighted the following activities and events:

Kayaking on the French Broad River
Trailfest, a celebration of hiking typically held in April
French Broad River Festival, a celebration of the French Broad River held each year on the first weekend of May
White-water rafting and ziplining opportunities in the area
Fishing, skiing, sport shooting, golf, disc golf, biking and horseback riding opportunities throughout the area
A range of accommodations including campgrounds, privately owned cabins, apartments, suites and cottages, with options from basic to luxury experiences

WorldAtlas’s best towns in North Carolina

The full list of WorldAtlas’s favorite North Carolina towns of 2026 included:

Banner Elk
Beaufort
Blowing Rock
Brevard
Davidson
Edenton
Hot Springs
Seagrove
Manteo
Wrightsville Beach

Iris Seaton is the trending news reporter for the Asheville Citizen Times, part of the USA TODAY Network. Reach her at iseaton@citizentimes.com.

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North Carolina

‘It was dire’: NC State professor returns from Qatar after being trapped during Iran war

Published

2 days ago

March 10, 2026

Press Room

‘It was dire’: NC State professor returns from Qatar after being trapped during Iran war

An North Carolina State University professor is back home Monday night after he was trapped in the Middle East as war with Iran broke out.

Rich Spontak was stuck in Qatar while traveling from Bangkok to Spain and was forced to stay in the country for about a week. Several travelers were trapped for days in the Middle East after Iran’s
Supreme Leader Ayatollah Ali Khamenei and several defense leaders were
killed in joint strikes by the United States and Israel.

Spontak, like many travelers, found himself stranded in the Middle East after the initial attacks, which quickly entangled more surrounding countries, including Kuwait and Saudi Arabia, where seven U.S. service members were killed in retaliatory attacks from Iran.

Spontak said there were times he thought he wouldn’t make it out.

“I would just keep looking out and looking for the missiles,” Spontak said. “Some people that I met along the way were hit by shrapnel from the missles. It was dire.”

Airspace over Iran, Iraq, Bahrain, Kuwait and Syria remained closed, according to flight-tracking service Flightradar24. Azerbaijan also shut the southern sector of its airspace on Thursday after accusing Iran of a drone attack that injured four civilians and damaged an airport building.

Lilia Austin, a Chapel Hill woman who was part of a group of 100 women who went to Israel for a trip the day before Khamenei was killed, also returned home on Sunday after she left Israel through Egypt.

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