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North Carolina

Low-Income Women's Access to Family Planning

North Carolina provides increased access to reproductive-health-care services through a State Plan Amendment (SPA) to its Medicaid program. The SPA allows the state to cover family-planning services for women and men with family incomes at or below 185 percent of the federal poverty level who are not currently enrolled in Medicaid and do not have any other health insurance.  Additionally, enrollees must be (1) U.S. citizens or persons who meet the state's defined immigration requirements and (2) North Carolina residents.

Beneficiaries of family-planning coverage through the SPA are not required to pay premiums or co-payments for covered services.  Covered services include: family-planning visits; pregnancy examination and testing; contraceptive management, including but not limited to fertility awareness and natural family planning; medication and supplies for the purpose of temporary pregnancy prevention; injection, fitting, insertion, and removal of contraceptive devices; affiliated laboratory tests; and sterilization.

NARAL Pro-Choice America Survey of State Medicaid Offices.

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