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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.
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:
Day: 6-2-0, Fireball: 6
Evening: 4-1-7, Fireball: 5
Check Pick 3 payouts and previous drawings here.
Day: 7-6-9-4, Fireball: 4
Evening: 8-1-5-6, Fireball: 6
Check Pick 4 payouts and previous drawings here.
02-21-32-35-37
Check Cash 5 payouts and previous drawings here.
18-26-27-31-42
32-42-52-53-55, Bonus: 05
Check Millionaire for Life payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
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:
Check previous winning numbers and payouts at https://nclottery.com/.
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.
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.
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.
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.
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.
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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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
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