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North Carolina's 2024 state budget allocates more than $10.7 million to about 100 crisis pregnancy centers across the state, continuing a decade-long increase in funding for these mostly Christian-led nonprofits that encourage women to continue pregnancies without providing or referring for abortion services. Centers like the M.Y. Life Center in Burnsville and Wayne Pregnancy Center in Goldsboro use state funds to offer free pregnancy tests, ultrasounds, parenting classes, and material support, serving hundreds of clients annually as part of a broader anti-abortion effort in the state.

A Woman’s Choice closed its abortion clinic in Greensboro, North Carolina, reducing the state's total to 17 clinics amid increasing political and financial pressures following stricter abortion laws enacted in 2023. Despite these challenges, remaining clinics in Raleigh and Charlotte are reallocating resources to expand capacity and continue providing care to patients, including those traveling from more restrictive states in the Southeast.

North Carolina remains a key access point for abortion care in the Southeast, providing nearly 48,000 abortions in 2025, with about 37 percent of patients traveling from states with stricter bans. Despite the state's 12-week limit and 72-hour waiting period, telehealth abortions through shield law providers have increased, accounting for 18 percent of abortions in North Carolina in the first half of 2025.