This bulletin applies to both NC Medicaid Direct and NC Medicaid Managed Care.
This bulletin replaces in full the Updates to NC Medicaid Payments to Prohibited Entities bulletin.
H.R.1 (Pub. L. No. 119-21) was signed into law on July 4, 2025, by President Trump. H.R.1 prohibits Medicaid payments to certain prohibited entities for one year, effective July 4, 2025. This provision was temporarily blocked from implementation by a Federal District Court Judge, who issued a temporary restraining order (TRO) followed by a preliminary injunction effective through July 21, 2025. The preliminary injunction only applied to Planned Parenthood meeting certain criteria.
On July 28, 2025, the Federal District Court Judge granted a preliminary injunction to Planned Parenthood Association of Utah, Planned Parenthood League of Massachusetts, and all other members of the Planned Parenthood Federation of America, Inc., which includes the NC Planned Parenthood entities (Planned Parenthood South Atlantic).
Pursuant to the injunction, payment will continue to Planned Parenthood until further instructions have been received from the courts.
NC Medicaid will continue to monitor any changes as it relates to this provision.
NC Medicaid is committed to maintaining access to health services for Medicaid beneficiaries while also complying with all applicable federal requirements. NC Medicaid appreciates your ongoing partnership.
Contact
NCTracks Call Center: 1-800-688-6696
For questions related to NC Medicaid Managed Care, contact the health plans for more information. Contact information is available on the Health Plan Contacts and Resources webpage.