Skip to Content

North Carolina

Roy Cooper
Governor Roy Cooper has fiercely defended and protected reproductive health care access in North Carolina. He has vetoed anti-abortion bills, backed legal challenges against restrictive laws, and advocated for access to contraception and comprehensive sex education. Governor Cooper has been a vital leader in preserving abortion rights in the American Southeast amid ongoing attacks on reproductive freedoms.

Roy Cooper

Governor
Gov. Cooper Issued EO 263
EO 263 directs Cabinet agencies to coordinate to protect reproductive healthcare services in North Carolina, directs DPS to work with law enforcement to ensure enforcement of a state law that ensures access to a healthcare facility, provides protections against extradition, and prohibits Cabinet agencies from cooperating in out-of-state investigations of individuals obtaining or providing reproductive health care that is legal North Carolina.

Gov. Cooper Issued EO 263

Featured Action
Protecting access to women’s reproductive health care is a top priority….Your zip code shouldn’t determine your rights, but because of this Supreme Court, that’s where we are. The work of the Reproductive Freedom Alliance is more important than ever, and we will continue this collaboration as we seek to safeguard access to critical reproductive care.

Governor Roy Cooper, North Carolina

KEY ACTIONS

  • Expanding Medicaid to Ensure Women of All Income Levels Have Access to Reproductive Care
  • North Carolina
  • North Carolina
  • Expanding Medicaid to Ensure Women of All Income Levels Have Access to Reproductive Care

    In 2023, Governor Cooper worked with the legislature to expand the number of people eligible to receive Medicaid. In the first five months of the program, 400,000 people enrolled. Medicaid provides numerous services related to reproductive health including contraception, birth/postpartum care, and gynecological services. Medicaid expansion has been shown to reduce maternal and infant mortality and drive more preconception health counseling and the use of effective postpartum contraceptives.

    Private-Public Partnerships to Expand Contraceptive Access
  • North Carolina
  • North Carolina
  • Private-Public Partnerships to Expand Contraceptive Access

    In partnership with provider support organizations, the North Carolina Department of Health and Human Services promoted same-day access to a full range of contraceptive options to women seeking family planning services. The Cooper administration also continues work on the updated North Carolina Perinatal Health Strategic Plan (PHSP), in collaboration with statewide partners, a statewide guide to improve maternal and infant health and the health of all people of reproductive age, with a primary focus on increasing health equity.

    Increasing Access to Contraceptives Through Pharmacy Dispensing
  • North Carolina
  • North Carolina
  • Increasing Access to Contraceptives Through Pharmacy Dispensing

    In 2021, Governor Cooper signed a law that allowed pharmacists to dispense contraception without a prescription. Since that time, the administration has worked closely with providers to ensure that this law offers access to the greatest number of people possible, through a standing order by State Health Director, Dr. Elizabeth Cuervo Tilson, which has now been approved as a protocol by the Board of Pharmacy and Medical Board. Further, the administration has helped to ensure that providers are able to be compensated for this service through NC Medicaid.

    The Governor’s Budget
  • North Carolina
  • North Carolina
  • The Governor’s Budget

    Governor Cooper has proposed budgets prioritizing provisions to protect women’s health, including funding to implement evidence-based Medicaid policy, reduce maternal and infant mortality and morbidity, improve behavioral health services, and decrease disparities in care for Medicaid recipients.

    Executive Order No. 263
  • North Carolina
  • North Carolina
  • Executive Order No. 263

    Executive Order No. 263 directs the Department of Public Safety (DPS) to work with law enforcement to prohibit anyone from blocking access to a healthcare facility. The order also provides protections against extradition for those seeking or providing reproductive health care services in North Carolina and prohibits Cabinet agencies from cooperating in investigations initiated by other states into anyone obtaining or providing reproductive health care that is legal in North Carolina.

    Veto of Senate Bill 20
  • North Carolina
  • North Carolina
  • July 19, 2024

    Veto of Senate Bill 20

    Governor Cooper vetoed SB 20, a 12 week abortion ban in North Carolina. The veto took place at the first ever veto rally, in front of a crowd of 2,000 North Carolinians opposed to the ban. Governor Cooper held roundtable discussions across the state to discuss the dangerous impacts of Senate Bill 20. Although Senate Bill 20 was later enacted, as the state legislature overrode the gubernatorial veto, Governor Cooper fought tirelessly to block this ban. On April 30, 2024, a federal judge declared many of SB 20’s provisions unconstitutional and preempted by federal law. Litigation is ongoing.

    Enforcing Gen St. Section 14 – 277.4
  • North Carolina
  • North Carolina
  • Enforcing Gen St. Section 14 – 277.4

    Governor Cooper’s administration has worked with local law enforcement across North Carolina to make sure that clinics are aware of and enforcing N.C. Gen. Stat.§ 14- 277.4, which protects access to and egress from reproductive health care facilities.

    IN THE NEWS

  • See More
  • Cooper joins Reproductive Freedom Alliance amicus brief in mifepristone Supreme Court case
  • NC Newsline
  • North Carolina
  • NC Newsline
  • North Carolina
  • January 30, 2024 • By Kelan Lyons

    Cooper joins Reproductive Freedom Alliance amicus brief in mifepristone Supreme Court case

    By Kelan Lyons

    Gov. Roy Cooper joined the Reproductive Freedom Alliance in filing a brief with the U.S. Supreme Court on Tuesday that encourages the justices to preserve access to mifepristone, an FDA-approved medication for abortion.

    Cooper joins Reproductive Freedom Alliance amicus brief in mifepristone Supreme Court case
  • NC Newsline
  • North Carolina
  • NC Newsline
  • North Carolina
  • January 30, 2024 • Kelan Lyons

    Cooper joins Reproductive Freedom Alliance amicus brief in mifepristone Supreme Court case

    Kelan Lyons

    Gov. Roy Cooper joined the Reproductive Freedom Alliance in filing a brief with the U.S. Supreme Court on Tuesday that encourages the justices to preserve access to mifepristone, an FDA-approved medication for abortion.

    North Carolina governor discusses women’s health in roundtable with medical professionals
  • Associated Press
  • North Carolina
  • Associated Press
  • North Carolina
  • May 10, 2023

    North Carolina governor discusses women’s health in roundtable with medical professionals

    “What we’re trying to do is to educate people about what’s in this legislation. What you just heard is a very powerful panel of six people telling us why this bill is a disaster for North Carolina, why it is not a 12 week ban and it is a ban of many abortions altogether, and it’s going to hurt the women of North Carolina.”

    NC governor signs executive order protecting abortion access
  • Associated Press
  • North Carolina
  • Associated Press
  • North Carolina
  • July 6, 2022 • Hannah Schoenbaum

    NC governor signs executive order protecting abortion access

    Hannah Schoenbaum

    North Carolina Gov. Roy Cooper signed an executive order Wednesday shielding out-of-state abortion patients from extradition and prohibiting state agencies under his control from assisting other states’ prosecutions of those who travel for the procedure.

    Previous State

    New York

    Governor Kathy Hochul

    Next State

    Oregon

    Governor Tina Kotek