The burden of medical debt is not so heavy anymore for some lucky North Carolina residents.

The Coastal Credit Union Foundation partnered with the nonprofit RIP Medical Debt to wipe away some medical bills for about 1,200 people in central North Carolina. A grant of $17,000 was used to settle nearly $2.2 million in debt.

Joe Mecca, vice president of communications for the Coastal Credit Union Foundation, said the ripple effect of medical bills can take a toll on individuals' financial and emotional well-being, so the credit union was happy to help provide a pathway to a fresh start.

"Once they're able to get back on their feet from an occupational standpoint, they still have that medical debt looming over them," Mecca observed. "Clearing that out might be enough to get them back on the path to stability."

The problem of unpaid medical debt is a pressing issue in North Carolina, which ranks among the states with the highest percentages of medical debt in the country, according to a 2022 study by The Urban Institute.

The impact of medical debt is not limited to financial strain. The stress and anxiety associated as the bills mount can affect mental health as well. Adults facing medical debt are three times more likely to experience mental health concerns, according to a University of South Florida study.

Mecca emphasized helping to clear these balances is a small investment that can make a big difference.

"For us, it's just an extension of our mission and helping people achieve overall financial wellness," Mecca added. "This is the first time we've worked with this organization, and we're just really pleased with the overall impact that they were able to achieve with a relatively small grant from Coastal."

A study by the American Economic Association, found medical debt relief not only improves a person's overall well-being, but also improves their access to health care.

As the weather turns colder, two groups of people in one North Dakota city that are generations apart appear to be in good shape to navigate housing issues that might surface this winter and beyond. It's the result of a mentorship initiative.

The Bringing Generations Together project in Grand Forks was funded by an AARP Community Challenge grant. Nearly 20 college students were paired with 10 older residents in an area near the University of North Dakota campus.

Shaylee Miller, project coordinator with Bringing Generations Together, said throughout the fall, the students helped with home and yard tasks while the older residents shared generational wisdom on life skills, including working with landlords.

"I really see this project as providing a space for these generations to connect in a way that they might not have had the chance to before," she explained.

And for the younger residents, Miller hopes they learned a greater sense of community they can bring with them to other towns and cities after graduation. Project leaders say as the initial phase winds down, they are getting positive feedback from participants. With some funding left over, they hope to revive the initiative in the spring.

As older adults juggle costs for things such as medication, Miller said having the students help with certain tasks can ease some of the financial pressure their mentors might be facing.

"So, having students come to your home for an hour to rake [leaves], that can be huge -- not having to pay for a service to do that," Miller added.

This project is tied to University Park Neighborhoods, a collaborative organization aimed at improving the quality of life in northern Grand Forks.

The Community Challenge grant officials used for the fall project was one of six initiatives AARP funded across North Dakota this year.

Child care access has become a major focal point in the U.S., and South Dakota is no exception.

More than two dozen communities are using grant money to come up with local solutions in hopes of expanding options for families. Earlier this week, the governor's office announced more than $1 million in funding will be shared by 28 economic development groups around the state.

Nancy Wenande, CEO of grant recipient Yankton Thrive, welcomed having more resources to help map out a strategy geared for her community.

"Yankton is one of the many communities that has a lot of manufacturing," Wenande explained. "We know we already have a shortage of early morning or evening or weekend child care. So, we're going to be taking a look at are there options there, that we can help fill those gaps."

Wenande pointed out based on local information gathering, Yankton is short around 700 day care spots, forcing some people to stay home with their kids instead of working. The grant program has two phases; a first round focused on planning, and a second in which funding will be provided for implementation of ideas.

Wenande acknowledged low wages for child care staff are a big part of the problem. Whether it is additional help from the state or local planning, she argued sustainability should be the driving force behind any model.

"One-time dollars coming in might help you build a building, or they might help you start a program," Wenande acknowledged. "But if you can't financially sustain that program as well as affordable options for those needing the services, you're really not going to make any progress."

The state is using American Rescue Plan funding to administer the grants. State officials said they had an overwhelming number of applications, suggesting child care access is a critical issue in most South Dakota towns and cities.

The city of Lincoln scores high for "livability," both in Nebraska and the nation as a whole.

In the new AARP Livability Index, Lincoln ranks number one for the state, and number 11 among large communities nationwide. Rankings were based on 61 indicators in seven categories, such as housing, transportation, health status and community engagement. Among Nebraska's top 10 "livable" communities, Holdrege is in second place, and third and fourth are Blair and Seward, respectively.

Todd Stubbendieck, state director of AARP Nebraska, said the ranking speaks well of the state.

"What I think it shows is that cities of any size within our state can be working on these issues and finding ways to become more livable," Stubbendieck contended. "And this is not just livable for people over 50."

In the trademarked AARP Livability Index, users can search by address, city, state or ZIP code to find a score for each of the seven categories, and information about the indicators used to arrive at the score. Demographic and climate information are also included. And for each community, there's an interactive map allowing users to view data even at the neighborhood level.

Stubbendieck pointed out the rankings are based on factors everyone in a community can benefit from.

"People want to be able to age in place, and in order to do that, they need access to affordable housing, health care, good transportation options," Stubbendieck outlined. "I think what we know is that by making our communities more age-friendly, we actually make them better for people of all ages."

Stubbendieck added the Livability Index includes information for people with a variety of backgrounds and interests.

"It's a data-driven look at every community and every neighborhood," Stubbendieck noted. "I think from a perspective of either community leaders or stakeholders or citizens, not only can you see what you're doing well, but you can see those areas in which you might potentially improve, or make improvements."