Overview

• HB 192 instructs NC DHHS to disenroll Planned Parenthood as a Medicaid provider and redirect those services to other providers.
• The measure also requires itemized cost estimates upon request at least three days before care and an itemized bill before any debt is sent to collections.
• Sen. Amy Galey framed the move as aligning state policy with the federal “One Big Beautiful Bill,” which a federal appeals court allowed the administration to enforce during ongoing litigation.
• Planned Parenthood’s Paige Johnson and local officials warned of reduced access to contraception, cancer screenings, and STI treatment, citing concerns in high-need areas like Cumberland County.
• The Senate’s action arrives as separate negotiations over Medicaid rebase funding remain unresolved, with Senate leaders tying added dollars to other projects and service cuts possible starting Oct. 1 without a deal.