Low-Income Women's Access to Family Planning
North Carolina provides increased access to reproductive-health-care services through a Section 1115 research and demonstration waiver. The waiver, known as the "Be Smart" Family Planning Waiver, allows the state to provide family-planning services to men ages 19-60 and women ages 19-55 with incomes at or below 185 percent of the federal poverty level, who would not otherwise qualify for Medicaid.
Beneficiaries of family-planning coverage available through the waiver program are not required to pay premiums or co-payments for covered services. Covered services include: annual family-planning exams, periodic family-planning office visits, most FDA-approved and Medicaid-covered methods of birth control, tubal ligation, vasectomy, and necessary post-procedure follow-up, STI screening and limited treatment, HIV testing, and laboratory tests associated with STI screening and family-planning procedures including, but not limited to, pregnancy tests and pap smears.
The waiver was set to expire on Oct. 31, 2013. North Carolina has been approved for a SPA, due to become operational on Nov. 1, 2013.
N.C. Dept. of Health and Human Servs., Div. of Medical Assistance, N.C. Medicaid Special Bulletin, May 2006 at http://www.dhhs.state.nc.us/dma/bulletin/FPW.pdf (last visited Dec. 14, 2011); NARAL Pro-Choice America Survey of State Medicaid Offices