Uncommon Knowledge
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North Carolina Medicaid recipients will now have access to over-the-counter (OTC) birth control pills at no cost, starting on Thursday.
In an effort to expand healthcare accessibility in the state, the oral contraceptive Opill will be available starting Thursday in over 300 local and retail pharmacies across the state without a prescription, at no cost for state Medicaid recipients, Democratic Governor Roy Cooper of North Carolina announced on Wednesday in conjunction with the North Carolina Department of Health and Human Services.
“North Carolina is working to expand access to healthcare and that includes the freedom to make decisions about family planning,” Cooper said in a press release. “Making birth control easier to get is an important goal and I’m glad that NC Medicaid can take this step.”
The coverage initiative stems from a 2021 law allowing pharmacists to prescribe various contraceptives in accordance with state medical regulations.
According to the Associated Press, North Carolina Medicaid began enlisting pharmacists as providers in early 2024, with the state officially unveiling the Medicaid benefit two weeks ago.
Opill, the first OTC oral contraceptive approved by federal drug regulators, is expected to alleviate cost and access barriers through this initiative, particularly in rural areas where there are fewer healthcare providers, according to state Health and Human Services.
“This new coverage by NC Medicaid demonstrates our commitment to continue to remove barriers to contraception and ensure North Carolinians have access to the services they need to make the best decisions about their health and life,” State Health Director and Chief Medical Officer Dr. Elizabeth Cuervo Tilson said.
Newsweek has reached out to Cooper’s office and the North Carolina Department of Health and Human Services via email for comment.
In addition, under this initiative, Medicaid-enrolled pharmacies will be able to submit reimbursement claims for birth control pills.
This comes as the state’s Medicaid program serves nearly 3 million residents, with women comprising 56 percent of the enrollees, the AP reported.
“Our goal is to ensure everyone has access to the right contraception and reproductive services at the right time in their community,” NC Health and Human Services Secretary Kody H. Kinsley said in a press release. “This new coverage is part of our ongoing work to invest in child and family well-being by increasing access to health care and ultimately improving maternal and infant outcomes.”
In addition, earlier this month over 500,000 North Carolinians enrolled in the state’s Medicaid expansion program since the program began seven months ago, according to Copper’s office.
According to Cooper’s office, since December 1, 2023, new Medicaid enrollees have filled more than 1.9 million new prescriptions for conditions like heart health, diabetes, seizures and other illnesses.
Meanwhile, the state’s OTC birth control initiative comes after the Supreme Court’s decision to overturn Roe v. Wade in 2022 escalated concerns over the security of other reproductive rights, including access to contraception.
Last month, the Right to Contraception Act, introduced in 2022 and aimed to enshrine into federal law the right to obtain and use contraceptives, was blocked by Senate Republicans in a 51-39 vote, arguing it was unnecessary and overly broad.
The bill needed 60 votes to defeat a filibuster and move forward in the chambers.
If later approved, the Right to Contraception Act would ensure individuals could access various forms of birth control, such as pills, patches, impacts, condoms, IUDs and sterilization procedures.
Senate Majority Leader Chuck Schumer of New York warned last month of Republican efforts in some states to block access to contraception, saying it was “all the more reason to move to protect contraception at the federal level.”
“To those who think that federal action protecting access to birth control is unnecessary, just look at what’s happening in states like Virginia and Nevada and Arizona, where Republicans are openly blocking these very protections. I would hope that protecting access to birth control would be the definition of an easy, uncontroversial decision here in the Senate. But the vote will tell all,” Schumer said.
Meanwhile, on the Senate floor last month, Republican Senator Katie Britt of Alabama condemned the Democrats’ legislation efforts as a “summer of scare tactics.”
“This is continuing the campaign of fear-mongering we’ve already seen. Contraception is available in every state across the nation. The goal of my Democratic colleagues right now is to scare the American people, to scare women across our great nation. It’s not that they believe that there’s a problem they’re truly trying to solve. They’re prioritizing their own short-term partisan political interest,” Britt said.
Justin Sullivan/Getty Images
Newsweek is committed to challenging conventional wisdom and finding connections in the search for common ground.
Newsweek is committed to challenging conventional wisdom and finding connections in the search for common ground.
RALEIGH — NC State replaced Kevin Keatts with Will Wade in March 2025, introducing him 368 days ago in front of the Wolfpack community at Reynolds Coliseum. A little over a year later, Wade decided to leave his new program to return to LSU, the school that fired him for cause in 2022, beginning a long journey back to Power Four basketball.
Now, athletic director Boo Corrigan and the rest of the NC State administration must find a new leader for the men’s basketball program. To make matters more complicated, they won’t have a lot of time to do so, as the new head coach needs to be in place firmly before April 7, the day the transfer portal opens. However, early noise indicates the group in charge has eyes on two candidates.
According to multiple reports, Corrigan and other power brokers at NC State zeroed in on Saint Louis head coach Josh Schertz and Tennessee associate head coach Justin Gainey as the primary two candidates for the opening. Both names were expected to be in the mix as soon as the Wade exit became more and more likely, although Corrigan shared no specific names during his Thursday press conference.
The NC State University Board of Trustees hosted an emergency meeting on Friday, with the primary subject being Wade’s buyout negotiation. Of course, speculation began quickly that there were discussions about the next coach of the Wolfpack, but that’s been confirmed not to be the case in the behind-closed-doors meeting for the board.
NC State Board of Trustees emergency meeting related to change in term of Will Wade’s buyout (from $5M to $4M, as AD Boo Corrigan said yesterday) not a new coach hire. Quickly went into closed session. No public business.
— Brian Murphy (@murphsturph) March 27, 2026
Even so, it seems as though NC State plans on making a strong push for Schertz first, despite his status as head coach at Saint Louis still and his recent agreement to a contract extension. That certainly makes things more complicated, but hiring Schertz would allow NC State to maintain any sort of positive momentum established by Wade and his regime in Raleigh. Still, Corrigan isn’t totally committed to a sitting head coach.
“I don’t think it has to be a sitting head coach at this point,” Corrigan said. “I think we want to find someone that knows how to coach and is a great coach, and has the ability to connect with people, both internal and external, with the players, be able to recruit. You have to be a good recruiter in this day and age.”
NC State will move as quickly as it possibly can, with Gainey and Schertz atop the list. That doesn’t rule out other options entirely, but all signs point to one of them being the most likely to be the next coach of the Wolfpack, ending the Will Wade era as quickly as it started.
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.”
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.
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.
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.
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