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North Carolina

Policy Count:

Last Updated: Jun 12, 2026

North Carolina Reproductive Health Policies:

EO 8

Executive order

Abortion

Contraception

Data privacy

Shield laws

Summary:

This executive order is a shield law that directs cabinet agencies to safeguard medical privacy, ensures women receive accurate information about their pregnancies, and protects doctors providing lawful reproductive health care.

Statutes:

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Enacted:

January 16, 2025

Effective:

January 16, 2025

Opill to be Covered Without a Prescription

Bulletin

Contraception

Medicaid Family Planning Expansion

No cost-sharing

OTC coverage

Summary:

This bulletin affirms that NC Medicaid beneficiaries may obtain the over the counter (OTC) oral contraceptive Opill without a prescription and at no cost.

Statutes:

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Enacted:

July 17, 2024

Effective:

August 1, 2024

HB 259

Enacted bill

Contraception

Medicaid ACA Expansion

Summary:

This appropriations bill and subsequent state regulations expand Medicaid eligibility to adults aged 19-64 who have incomes up to 138% FPL, which has the effect of increasing access to contraception along with broader health care services.

Statutes:

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Enacted:

October 3, 2023

Effective:

December 1, 2023

HB 76

Enacted bill

Contraception

Medicaid ACA Expansion

Summary:

This bill stipulates that if the federal medical assistance percentage for Medicaid coverage provided to the category of individuals described in G.S. 108A‑54.3A(a)(24) falls below ninety percent (90%), then Medicaid coverage for this category of individuals shall be discontinued as expeditiously as possible but no earlier than the date the lower federal medical assistance percentage takes effect.

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Enacted:

March 27, 2023

Effective:

December 1, 2023

NC-22-0025

Medicaid SPA

Contraception

Medicaid Family Planning Expansion

Summary:

This state plan amendment allows Medicaid to cover and reimburse six family planning inter-periodic visits in addition to an annual assessment and comprehensive preventive medicine exam per 365 days.

Statutes:

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Enacted:

November 29, 2022

Effective:

July 1, 2022