North Carolina
North Carolina ranks 33rd in new national scorecard on women’s health, reproductive care • NC Newsline
A new state-by-state scorecard of women’s health released this week by the Commonwealth Fund raises concerns over the care women receive and the ripple effects of the Supreme Court’s 2022 decision to overturn Roe v. Wade.
The “2024 State Scorecard on Women’s Health and Reproductive Care” is based on 32 measures of state health systems and examines how state policy actions are changing the way women can access and use health care.
“Based on the evidence and data, one thing is absolutely clear, women’s health is in a very fragile state,” said Dr. Joseph Betancourt, president of the Commonwealth Fund, during a briefing with reporters on Wednesday. “There are stark disparities in women’s access to quality health care among states across racial, ethnic, and socioeconomic lines. Those inequities are longstanding, no doubt, but recent policy choices and judicial decisions restricting access to reproductive care have and may continue to exacerbate them.”
Rates of maternal deaths were highest in the Mississippi Delta region, which includes Arkansas, Louisiana, Mississippi, and Tennessee. North Carolina’s rates for maternal deaths while pregnant and for infant mortality were both above the national average.
Eighteen percent of North Carolina women aged 18-64 reported being in fair or poor health based on the data from 2022.
More than 1 in 5 women in our state (21%) reported having 14 of more poor mental health days in the past month.
North Carolina performed best on women who were up to date on colon cancer screenings.
Such screenings are critically important as deaths from breast and cervical cancer are considered preventable and treatable for women who receive timely screening and follow-up health care.
Researchers found that Black women experienced higher breast cancer mortality than white women due to a variety of factors, including poorer quality of care after an abnormal test, or a diagnosis made at a more advanced stage.
The scorecard also found deaths among women of reproductive age are highest in southeastern states. Causes of death included pregnancy related complications and other preventable causes such as substance use, COVID-19, and treatable chronic conditions.

The uninsured rates among women in the U.S. ranged from 2.5% to over 20% with the highest uninsured rates in states that have not expanded their Medicaid programs.
North Carolina expanded its Medicaid coverage on December 1, 2023. Just last week the NC Department of Health and Human Services announced the enrollment of more than 500,000 North Carolinians in the seven months since the program was launched.
“Each of those 500,000 who now have the peace of mind to be able to face some of the greatest challenges that they ever thought they could face and know that they are not alone,” said North Carolina Department of Health and Human Services Secretary Kody Kinsley in marking the milestone.
But while North Carolina has made progress in expanding health care access, 10 states have yet to expand eligibility for Medicaid. That leaves nearly 800,000 women uninsured.
A maternity care desert made worse by Dobbs ruling
The Commonwealth Fund experts said access to care isn’t just about having coverage, it’s also about being able to get to a service provider when care is needed.
“It’s estimated that over five million women (nationwide) already live in a county that’s considered a maternity care desert, meaning there’s no hospital or birth center offering obstetric care and there are no obstetric providers,” explained David Radley, Ph.D., a senior scientist for the Commonwealth Fund.
Twenty percent of women in North Carolina age 18-44 said they did not have a person who was their personal or primary health care provider.
Abortion bans are also having an impact on the care that women receive, said Sara Collins, the Commonwealth Fund’s vice president for health care coverage and tracking health system performance.
“A clear pattern in the study is states that have had abortion restrictions prior to Dobbs rank lower and a lot of our measures, including having adequate numbers of maternal health care providers,” Collins shared. “We’re seeing post-Dobbs the effect that decision is having on states delivery systems. We’re seeing lower residency applications in states with abortion bans from new medical students.”
So, is there going to be a growing divide across the states between those that have left abortion legal and those that have enacted the tightest restrictions?
“I think that time will tell,” Collins said.
North Carolina’s legislature enacted a 12-week abortion ban in 2023 and could move toward a six-week ban in 2025.
What researchers do know now is that states in which a large share of residents are living in rural areas, there tend to be the fewest obstetric providers.
Fewer providers means that patients face barriers in receiving the full continuum of prenatal and postnatal care.
Elections will shape future health access
How women’s health fares in the future could very well depend on the outcome of the 2024 presidential election.
The Affordable Care Act (ACA) not only expanded Medicaid and provided subsidies the help lower-income families, but it also banned insurers in the individual market from charging young women higher premiums than young men. The ACA also required insurers to cover maternity care –something that was not guaranteed prior to the law.
After more than 60 failed Republican-led votes to repeal Obamacare, experts believe a scenario could emerge if the GOP takes control of Congress and the White House in 2025 that would involve passage of legislation requiring slimmed down plans and fewer guaranteed benefits. It remains unclear if insurers would be allowed to deny coverage to those with pre-existing conditions.
“While some states undoubtedly are championing women’s continued access to vital health and reproductive services, many others are failing to ensure that women can get and afford the health care they need. The failure is having a disproportionate impact on women of color and women with low incomes,” said Betancourt.
Click here to read the 2024 State Scorecard on Women’s Health and Reproductive Care for North Carolina.
North Carolina
Evaluating North Carolina’s 2026 Ceiling and Floor in ACC
With North Carolina’s activity in the transfer portal and recruiting pool coming to a close, although there are a couple of players to keep tabs on in the coming days, it is time to start evaluating how next season could look in Chapel Hill.
Big picture, 2026 is about head coach Michael Malone establishing a foundational culture for multiple years. Tar Heel fans are going to expect nothing less than a deep tournament run, but North Carolina needs to take the required baby steps. Coming off a second consecutive first-round exit, the Tar Heels need to at least win one game in the NCAA Tournament, but even then, their fans will not be satisfied if they fail to advance past the first weekend.
If North Carolina wants to be in the best position possible in the revamped 76-team field, winning as many games in conference play and orchestrating a formidable run in the ACC tournament will go a long way in setting itself up nicely for a potential run in March. With that being said, here are the Tar Heels’ ceiling and floor in the ACC next season.
Ceiling: Third Place
It is tough to imagine North Carolina cracking the top-two threshold in the conference, with Duke and Louisville as the clear top ACC teams. While the Blue Devils retained four key rotational players and compiled the No. 1 overall 2026 class, the Cardinals went all in on the transfer portal, signing Flory Bidunga, Jackson Sheldstad, Karter Knox, and Alvaro Folgueiras. Not to mention, Louisville landed five-star center Obinna Ekezie Jr., who reclassified from 2027 and will be part of the 2026 rotation.
Quite frankly, there is too much firepower on those two teams for North Carolina to keep pace with. That being said, Malone’s coaching should elevate the Tar Heels and at least surpass their fourth-place finish last season.
Floor: Fifth Place
This would be a major disappointment, and there would be salt in the wound when assessing that this would be a worse finish than last season. North Carolina has the coaching and talent to finish inside the top three, but a couple of under-the-radar teams could emerge as legitimate threats in the ACC.
Virginia and Miami each finished above the Tar Heels in 2025, and the Cavaliers are returning the majority of their roster. Meanwhile, Miami has signed a couple of underrated players from the transfer portal who should help offset losses across the roster. Nevertheless, North Carolina cannot afford to miss out on a double-bye in the conference tournament, which is awarded to the top four teams at the end of the regular season.
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North Carolina
NC bill seeks protections for immigrant students amid ICE fears
More than 20,000 students were absent from Charlotte-Mecklenburg Schools during immigration enforcement operations last fall, according to district reporting, a wave of fear that helped spark a new bill in the North Carolina General Assembly aimed at protecting immigrant students in public schools.
House Bill 1061, titled the “Plyler Educational Protections,” would reinforce students’ right to public education and establish clearer guidance for how schools respond to federal immigration enforcement requests.
Sammy Salkin, a senior policy strategist for the ACLU of North Carolina, said the legislation was created with one focus in mind.
“We want to make it clear that all children in North Carolina, regardless of immigration status, have a constitutional right to a free public school education,” Salkin said.
Salkin said the bill references Plyler v. Doe, the United States Supreme Court decision guaranteeing children access to public education no matter their citizenship status.
Salkin said North Carolina immigrant communities across the state have experienced increasing fear over the past year after “Operation Charlotte’s Web” in November 2025. This initiative was a Department of Homeland Security immigration enforcement operation in which many people were arrested across the Charlotte area and the surrounding regions of North Carolina.
“We have seen those attacks reproduced here by our state legislators in North Carolina,” Salkin said. “A lot of our work to try to protect our immigrant neighbors has been focused on trying to stop or mitigate harmful bills to the degree possible.”
Salkin said many students feared what would happen to their families while they were away at school.
“We’ve heard from young children that they’re afraid that they’re going to come home and their house will be empty because their parents will have been picked up by ICE or CBP,” Salkin said.
Bekah Brown, policy specialist for Education Justice Alliance, said her organization made a quick shift in its focus as immigration enforcement concerns escalated.
“It did feel for our organization kind of like it was just an overnight rapid response that had to occur,” Brown said.
Brown described some of the immediate actions organizers took to support families.
“Our organizers went into making safety plans with parents, making power of attorneys with parents,” Brown said. “We were walking kids to and from bus stops because they were scared to even walk their kids to the bus stops.”
But Brown also said that at that moment, she knew legislative action needed to be taken.
“It felt like there was a disconnect between what the school districts were saying and what was actually being implemented,” Brown said. “And so really, that was what we were trying to address: ‘how can public schools work best?’”
State Representative Julia Greenfield, one of the bill’s primary sponsors, said the legislation is intended to accomplish the goal of making schools safe environments for students.
“Every child should be able to walk into their school and into their classroom, and know that they are accepted, and that they are protected,” Greenfield said.
Greenfield said she became motivated to pursue immigration-related legislation after hearing alarming reports from her constituents.
“There are seven black Suburban’s outside of the church preschool, and ICE is there, and they are all dressed in tactical gear,” Greenfield said. “The kids are scared, we have got to do something.”
Despite support from advocacy groups and Democratic lawmakers, Greenfield said she does not expect the legislation to advance this session.
“I don’t believe that it will go anywhere here in the legislature because we are in the minority,” Greenfield said. “The Republican majority is not interested in legislation that would keep ICE and CBP out of our schools.”
Still, Salkin said the bill communicates broader values and priorities.
“It still is really important to be signaling to the North Carolina population where our values are and what we want to see as the future for our state,” Salkin said.
Greenfield said she hopes the legislation lays the groundwork for future efforts.
“We’re sharing with our constituents, with the people of North Carolina, with our immigrant communities: this is what we want to do,” Greenfield said. “And this is what we will do, if we can get in charge.”
North Carolina
NC Uber driver rejects more trips as gas tops $4 per gallon
Gas prices have surpassed the $4 mark across North Carolina due to
global oil supply disruptions tied to the war in Iran, and local
rideshare drivers struggling to make up for the increased costs are
changing how they operate.
Joel Bender, an Uber driver from
Buncombe County, said he has been turning down more trips than he
accepts to offset heightened fuel costs.
“Right now, I’m at a 10% acceptance rate, and I’m at about a 20% cancel rate,” Bender said.
AAA
reports prices across the state are averaging out around $4.17 for a
gallon of regular as of May 13, 2026. Meanwhile, the national average is
spilling above $4.50 — about $1.50 more since the war started.
>>Economist says higher gas prices likely to continue into summer travel despite U.S. oil production
Bender
said he is questioning whether or not he is getting back how much he
spends to pump gas into his tank. Bender, a nearly decade-long rideshare
driver, said he is not alone in this.
“There’s still some drivers who just say, ‘Listen, I’m going to make sure that I’m not screwed on this ride,’” Bender said.
Bender created a Facebook group with almost 700 members — a place where rideshare drivers can connect and support one another.
He
said drivers part of this group have opened up to him about how they
are dealing with these rising costs. Bender said the gas hike is
especially burdensome on people whose primary income comes from
rideshare driving.
“There are a number of drivers who do this to put food on the table and to make their monthly obligations,” Bender said.
He
said more drivers — even ones who’ve been driving for years — are
choosing to steer clear from the business altogether, no longer helping
some pay their bills.
AAA said gas prices are averaging out to be
the highest they have been since 2022 with other states, like
California, exceeding $6 for a gallon.
While Uber said it is
expanding its fuel discount program for drivers and couriers through May
26, Bender said this is still not enough to help him make up for
losses.
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