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PLUS: State Health Plan details; New county SNAP costs; Maternity desert relief; Paying down neighbors' medical debt.
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North Carolina Health News

Headlines Newsletter

July 13, 2026

State budget advances plan to reopen Martin County hospital

By Jaymie Baxley 


Listed among the recent state budget's thousands of line items is a $25 million allocation to restore emergency department services in Martin County.


The funding represents a major victory in the county’s three-year struggle to reopen Martin General Hospital. 


Decades of mounting financial losses led to the 42-bed facility’s closure in 2023, leaving residents without local access to life-saving care.


Since then, residents have had to travel to other counties for emergency treatment, prompting concerns about longer ambulance trips, delayed care during medical emergencies and the broader economic toll of losing one of the area’s largest employers.


Last year, Greenville-based ECU Health approached the county with a potential solution: The state-affiliated hospital system proposed a plan to convert the shuttered campus into a Rural Emergency Hospital — a federal designation created by Congress to help preserve access to care in communities that can no longer support a traditional hospital.




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What’s coming for state employees’ insurance in the coming year? Here are the details.

By Rose Hoban 


At a meeting on Friday (July 10) of the State Health Plan Board of Trustees, a 10-member board with the fiduciary responsibility of setting premium rates, determining the plan’s deductibles and co-pay requirements and considering vendor contracts.


After extensive discussion, the board voted to:

  • Increase premiums by around 5 percent for most members in 2027
  • Move to a tiered provider network system that uses lower premium, co-pays and other carrots to entice participants to so-called “preferred providers” while increasing costs for those who stick with “non-preferred” providers.
  • Go with UNC Health and Novant Health as the plan’s preferred providers, as well as Iredell Health for people in and around Iredell County.
  • Designate Atrium Health and Duke Lifepoint as “non-preferred providers.
  • Return to having Blue Cross Blue Shield of North Carolina as being the administrator for the State Health Plan, beginning in January 2028.

Since 2025, when North Carolina Republican treasurer Brad Briner took office,




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‘We have to juggle other things’: NC counties will have to absorb new SNAP costs without state funding

By Ashley Fredde


Scotland County Manager April Snead spent this year's budget season outlining the kinds of tradeoffs that local governments face every spring: which capital projects can move forward, which can wait and how to stretch taxpayer dollars. 


This year, another unexpected expense landed on the ledger.


Beginning Oct. 1, North Carolina counties will start to shoulder millions of dollars in additional administrative costs to operate the Supplemental Nutrition Assistance Program, or SNAP. Congress shifted more responsibility for administering the program to states through the One Big Beautiful Bill Act (H.R. 1) passed in 2025.


In North Carolina — one of 10 states where counties administer SNAP — that shift from paying 50 percent of the costs to paying 75 percent will fall to local governments.


County leaders started searching the proverbial couch cushions for extra dollars, hoping the General Assembly would absorb an estimated $52 million in new administrative costs for at least the first year. That funding, however, did not appear in the final state budget that was signed into law by Gov. Josh Stein on July 7.




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Bringing relief to NC maternity deserts

By Lucas Tomae, Carolina Public Press


A former state health director, a family physician and a coalition of healthcare organizations are working to bring perinatal care closer to home for expectant and new mothers across the state. With $2.8 million from the Charlotte-based Leon Levine Foundation, the group seeks to bring prenatal and postpartum care to at least 10 rural counties that are located in maternity deserts. These areas lack or have limited access to obstetric services at hospitals or private practices.


Perinatal data from the nonprofit March of Dimes shows that 38 counties in North Carolina are considered maternity deserts or have low access to maternity care. More than half of those counties don’t have a hospital with a labor and delivery unit, a birthing center or obstetric providers at all.


The problem of maternity deserts has become worse as more hospitals, particularly those in rural areas, eliminate labor and delivery services to save money. Carolina Public Press reported on the issue and potential solutions in its 2025 investigative series, Deserting Women.


Physician Shannon Dowler, who is leading the effort to expand access to perinatal care, told CPP that the program aims to set up a shared maternity care model. This is an arrangement where pregnant women receive prenatal services from a local provider but deliver their baby and receive immediate postpartum care at a hospital.




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These church members disagree on politics. Together they're wiping out medical debt.

By Noam N. Levey, KFF Health News


Some issues, like immigration or student loans, are too divisive to unite Trinity Moravian Church.


“We’ve got quite a spread of political beliefs,” said the Rev. John Jackman, who leads this 114-year-old red-brick church near Winston-Salem’s old textile mills. Conservative Republicans sit with liberal Democrats. Supporters of President Donald Trump mix with his fierce critics. “It’s definitely a purple congregation,” Jackman said.


But four years ago, when Jackman suggested a new church mission to alleviate medical debt for residents of the wider Winston-Salem area, there was no dissent. “This is the easiest money I’ve ever raised,” he said. “All I do is tell people what we’re doing, and they write me a check.”


Few issues have been more politically explosive in recent years than healthcare, pitting Democrats and Republicans in bitter debates over the Affordable Care Act, Medicaid, and other flash points.




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Other Voices by editor Rose Hoban

Last week, Gov. Josh Stein signed the state budget, sent to him from the General Assembly, into law. 


In a statement released when he signed the document, he praised the legislature for fully funding Medicaid for the coming year, giving raises to teachers and significant pay hikes to public safety officers. 


He also said that the bill has flaws. “The legislature slashed more than 1,000 state government positions, making it harder for us to keep people safe and healthy. 


“It also includes a number of unconstitutional and wrong-headed provisions like those shifting power from the executive branch or those that are hostile to local governments, especially Charlotte.” 


Something he didn’t mention is the more than 900 earmarks totalling close to $1.6 billion. In case you didn’t know it, earmarks are a nicer way to say “pork,” those parts of the budget requested by lawmakers eager to “bring home the bacon.” 


These expenditures are aside from the other spending items listed in the budget plan, which weighed in at about 1,350 pages total, and the purpose behind many of them lack detail or rationale. 


Reporters had about 36 hours to try to find things in that budget to write our stories about before votes during the week of July 4th. Suffice it to say, there’s plenty we missed and you’ll be seeing budget stories coming from us and others for weeks, maybe months, as the implications of all this spending become clear. 


Like this one, that was flagged to us by several readers: Item 505, a half million dollar grant to the Charlotte Healthcare Coalition, Inc. The notation says that it’s a “directed grant,” nothing more. 


The first stop is to do a search for the Charlotte Healthcare Coalition, Inc. 


Searching the NC Secretary of State’s website for business registration tells us that the entity was incorporated in October, 2023. The IRS website tells us that it received federal non-profit status in January, 2024 (I searched for the IRS Form 1023, the application document, but it was not available on the IRS website.)


No website. No financial data available. No Form 990 viewable on the federal Internal Revenue Service website, although if the organization has total revenue of less than $50,000, it’s only required to file the postcard Form 990-N (NC Health News did that our first year). It appears that in 2024, the first full year the organization was designated, they did just that (you can check for yourself, go to the link above and enter in the Employer ID Number: 93-4902706). Whereas most 990s are public documents, 990-Ns are not listed on the IRS website. 


The physical address? It appears to be a UPS Store in East Charlotte with a “suite” number that’s likely a box. This kind of thing often happens with so-called “dark money” groups that want to preserve anonymity. When filing corporation papers, entities are required to have a physical address, in part because if someone files a lawsuit, there needs to be a place where a process server can deliver papers. 


There’s no charitable Solicitation License listed on the state Secretary of State’s website either, it’s a process that allows a public charity to legally raise money.


I looked at the home address (which I won’t reprint here) of the purported chief officer of the organization, who is listed on the corporation papers as President and Chief Strategic Officer. (There are no other officers or board members listed.) Checking the tax records at the address listed shows there’s an 80-year-old living at that address who goes by that name. 


Turns out there’s another state entity, CAI Public Strategies, LLC listed at the same “suite” (actually a mailbox) at the UPS Store in Charlotte. That entity is a for-profit entity, again, with the same person as the only officer, the CEO. 


There’s a LinkedIn profile for a person by that name who looks much younger than 80 years old. There’s little other information on the profile, other than the fact that he lists himself as a “Client Advisor Institutional Consultant,” a job title that could be a coincidence with the name of the LLC listed above, or he could be completely unrelated to either the Charlotte Healthcare Coalition or CAI Public Strategies.


In the past, earmarks listed which lawmaker had requested the appropriation, now, earmarks are anonymous, so there’s no way to know what lawmaker requested this expenditure. There are 908 such earmarks, and there’s a good chance that this grant is completely on the up and up.


But with scant transparency at the legislature, it’s impossible to know what this not insignificant expenditure of taxpayer dollars is going towards.












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