After Expanding Medicaid, Governor Cooper Incentivizes Hospitals to Relieve Medical Debt for Millions of North Carolinians. RALEIGH: After expanding Medicaid last year, Governor Roy Cooper is now working to incentivize hospitals to eliminate billions of dollars in medical debt for North Carolinians. On Tuesday, Governor Cooper hosted a roundtable in Winston-Salem to discuss how relieving medical debt could benefit millions of North Carolinians.