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North Carolina Erases $2.5 Billion in Medical Debt - News Directory 3

North Carolina Erases $2.5 Billion in Medical Debt

January 21, 2026 Jennifer Chen Health
News Context
At a glance
  • Josh Stein (center),⁤ flanked by⁣ the state's health ​secretary, Dr.
  • After​ a ​routine trip to her mailbox, ‍Dawn daly-Mack almost threw away‌ an important letter‌ that she thought was junk mail.
  • "I opened it up and it said, 'Your medical bill has been ‍paid,'" says Daly-Mack, 60, who lives in Gaston, in northeastern North carolina.‍ "I didn't beleive⁣ it."
Original source: npr.org

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‍ ​ ⁤ North⁢ Carolina Gov. Josh stein (center), flanked by the state's health secretary,⁣ Dr. Dev ⁤Sangvai (left) and an executive from‌ Undue⁢ Medical Debt, Jose ⁣Penabad,​ speaks about the elimination of medical debt ‍through an initiative involving hospitals and ‌Medicaid in‍ raleigh,​ N.C.

‌ ⁤ ​ ⁣ North Carolina Gov. Josh Stein (center),⁤ flanked by⁣ the state’s health ​secretary, Dr. ⁢Dev Sangvai (left) and ⁤an executive from Undue Medical Debt, Jose penabad, speaks about the elimination of medical debt through‌ an initiative ‌involving hospitals and Medicaid in ⁢Raleigh, ⁤N.C.
‌ ⁤ ​ ​

⁤ ‍ ⁤ ⁢ ⁢
‍ ‍ ⁣ ​ ​Gary D. Robertson/AP
‍ ‍
​ ⁤ ​⁤ ⁤ ​


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‍ ‌ Gary D. Robertson/AP
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After​ a ​routine trip to her mailbox, ‍Dawn daly-Mack almost threw away‌ an important letter‌ that she thought was junk mail.

“I opened it up and it said, ‘Your medical bill has been ‍paid,'” says Daly-Mack, 60, who lives in Gaston, in northeastern North carolina.‍ “I didn’t beleive⁣ it.”

The letter turned out ‌to be legitimate. Daly-Mack is ⁤one​ of about 2.5 million North Carolinians whose medical debt was erased under a⁢ new statewide agreement with ⁢hospitals.‍ The hospital wiped away her $459 debt, dating back to a 2014 emergency room visit for a sinus infection.

“I was the only breadwinner in the ⁤family,”⁢ says⁢ Daly-mack, who was ‌caring ⁤for her disabled ‌husband and two teenagers at the⁣ time. “I was not able to pay the bill.”

North Carolina is ⁣offering $80 million in medical ⁤debt relief to nearly ⁤83,000 families, and changing‍ hospital billing practices to prevent future debt accumulation. The initiative,announced Tuesday,aims to ease a ⁢financial burden that disproportionately impacts lower-income residents.

All 99⁢ hospitals in the state agreed ‍to halt collection on certain debts from before 2014. More considerably, they’ve committed‍ to automatically‌ discount care ‍for ⁢patients ⁣who meet financial assistance criteria – eliminating‌ the need for ‍applications. According to federal guidelines, a⁤ family of four earning⁤ less than $96,000 annually ​would qualify.

“I’m excited for the people of North Carolina,” says Allison⁣ Sesso, CEO⁢ of Undue Medical Debt, a ‌charity focused on debt erasure. “It pairs‌ not just medical debt relief going backwards, but it fixes the upstream problems.”

Hospitals collaborated with Sesso’s organization to pinpoint eligible individuals and notify them of the relief.

The‍ issue resonated personally for⁢ Kody Kinsley,North Carolina’s ‍former health secretary. ‍”My second year of college, my father had a massive stroke,” Kinsley ⁣recalls.He says his mother⁣ faced ⁤immense anxiety over the resulting medical bills.‍

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