The North Carolina Office of the State Auditor has released its 2025 statewide single audit, reporting 19 findings and $342,093 in questioned costs in its review of $28 billion in federal grants spent by North Carolina entities during fiscal year 2025. The audit says the state spent $43.9 billion in federal awards overall for the fiscal year ended June 30, 2025, with Medicaid accounting for more than half of that total.