by Jane Winik Sartwell, Carolina Public Press April 29, 2025
The State Health Plan is deeply in debt. To get out of the red, the 750,000 employees who receive coverage will experience something many were hoping to avoid: the first significant premium increase in nearly a decade.
It’s part of the strategy from Brad Briner, North Carolina’s treasurer, to pay off a $507 million shortfall the State Health Plan has accrued due to dramatic increases in the cost of health coverage — a deficit which is projected to grow to $1.4 billion by 2027.
State employees will face a minimum $20 increase in monthly premiums for their health insurance starting in 2026. Those premiums could reach an additional $110 per month. Deductibles and co-pays will increase as well.
The premium hike will affect even the lowest-paid state employees at a time when many North Carolina agencies face staffing shortages and recruitment challenges.
It all comes after a potential problem was foreshadowed last year by former Treasurer Dale Folwell, who said the State Health Plan — which covers about 8% of North Carolina residents who have medical coverage — may be unable to stay afloat by fall 2026 due to the aforementioned rising costs in care. North Carolina ranks No. 1 in health care costs by state and has the most expensive health care in the nation, according to Forbes.
But Briner doesn’t intend to let the State Health Plan drown in debt.
Paying the price
Folwell’s solution was to have the General Assembly open its wallet.
However, Briner’s plan requires state employees to open theirs as well.
The base premium for state employees will rise from $25 to $45 monthly next year. Increases will reach $110 for the highest-paid employees. Deductibles will increase anywhere from $3,000 to $9,000. Co-pays will rise between $20 and $45 per visit.
All together, it will bring $100 million back into the plan, Briner said.
But he isn’t stopping there. He asked for another $100 million from the legislature, and lawmakers delivered in this year’s proposed Senate budget.
State Treasurer Brad Briner is faced with a $507 million deficit in the State Health Plan due to dramatic increases in the cost of medical coverage. Office of the State Treasurer / Provided
“The Senate gave us everything we hoped they would give us, and we are really, really appreciative that they found the money in a year that everybody knows is really tight,” Briner told Carolina Public Press. “Their number one priority is not the State Health Plan right now. It’s not the State Pension Plan. It is rebuilding Western North Carolina, and we certainly understand that.”
The $100 million could be a boon — provided the House approves the budget and it crosses Gov. Josh Stein’s desk in one piece.
Additionally, $25 million of it is earmarked to bring weight-loss drugs like Ozempic and Mounjaro back into the plan.
In 2023, as a cost-cutting measure, the plan stopped covering the blockbuster drugs. Now, those drugs will be covered once again for state employees who qualify.
“I tend to think about drugs — the useful ones — in one of two ways,” Briner explained. “Either they have a profound impact on a small population or they have a small impact on a profound population. It’s rare that you have a medicine that is both profound in impact and enormous in population, and (these drugs) are that.”
State Health Plan increase ‘significantly high’
But the premium increase is a disturbing development for state employees.
Low salaries are a problem across agencies. At the NC Forest Service, for example, there are 100 vacancies, due in part to a lack of competitive pay. Now, those who chose to work for the service will face higher costs for health insurance.
And it’s not just firefighters. Teachers, too, have been dealing with pay issues.
“We are against any increase to the premiums for public school employees because we know that this increase will take more money out of our educators’ paychecks in a state where our educators are very much underpaid,” said Tamika Walker Kelly, president of the North Carolina Association of Educators, which represents public school workers across the state. “We know that it could be one of the many things that continues to drive our educators out of a profession in a time where we are facing an educator shortage here in North Carolina.”
Recently, the North Carolina Public Service Workers Union held a statewide protest over the price hikes, which they characterized as “attacks on the State Health Plan.”
“As public workers,” union leader Charles Owens said in a statement, “we aren’t being taken care of by our lawmakers.”
While Briner frames the monthly increases as a necessary measure to save the health plan, Walker Kelly sees it as a financial burden on those who receive coverage.
“A $20 increase is significantly high, especially when we are talking about educators who have not seen a significant increase in their base pay from the state of North Carolina in quite some time,” she said. “Twenty dollars is whether or not I can put gas in my car to take myself to and from work.
“It may seem like a relatively low number on paper, but it provides significant challenges to the economic well-being of our educators throughout the state.”
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Left
The content presents a critical view of premium increases impacting state employees, emphasizing the financial burden on low-paid workers like educators and public service employees. It highlights concerns from union leaders and employee representatives, which aligns with a center-left perspective focused on labor rights and social welfare. However, it also fairly presents the fiscal challenges and responses from state officials, reflecting a balanced approach without extreme partisanship. The article advocates for protecting workers’ economic well-being while acknowledging governmental budget constraints, typical of a center-left stance.
SUMMARY: Jim Jenkins, a North Carolina baseball trailblazer and Negro Leagues player, exemplified resilience and excellence both on and off the field. His sons recall his superior skills—hitting, running, and catching—and how he faced challenges due to his skin color. Beyond baseball, Jenkins was a community father, teaching youths fundamentals and helping those in need. He shared a friendship with legend Hank Aaron, often attending Braves games with his family. His legacy endures through his children, who honor not just his athletic achievements but his kindness and humanity, inspiring future generations to carry on his impact.
James “Jim” Jenkins had a profound impact on the game of baseball as a trailblazer known in the Carolinas.
SUMMARY: A scientist reflecting on the politicization of science warns that ideological influence undermines objectivity, breeds mistrust, and hampers public understanding. The FY2026 budget proposal cut NIH funding by about 40%, saving taxpayers $18 billion, but only 1.5% of the total federal budget, while increasing defense spending by 13%. These cuts severely impact states like North Carolina, where science drives $2.4 billion in tax revenue and thousands of jobs. The cuts target indirect costs vital for research infrastructure and diversity efforts, mistakenly seen as ideological rather than essential scientific practices. The author calls for unity to prioritize facts over politics and protect scientific progress for societal and economic health.
www.thecentersquare.com – By Alan Wooten | The Center Square – (The Center Square – ) 2025-06-15 02:01:00
North Carolina’s U.S. House members voted along party lines on two Republican-backed bills: the “One Big Beautiful Bill Act” (H.R. 1), which cuts \$1.6 trillion in government spending, and the “Rescissions Act of 2025” (H.R. 4), which eliminates \$9.4 billion from entities like USAID and public broadcasting. Republicans called it a purge of waste, citing spending on drag shows and foreign projects. Democrats criticized the cuts as harmful and symbolic, calling the effort fiscally irresponsible. H.R. 1 passed 215-214; H.R. 4 passed 214-212. No Democrats supported either. A few Republicans broke ranks and voted against their party on each bill.
(The Center Square) – North Carolinians in the U.S. House of Representatives were unwavering of party preference for two bills now awaiting finalization in the Senate.
Republicans who favored them say the One Big Beautiful Bill Act, known also as House Resolution 1, slashed $1.6 trillion in waste, fraud and abuse of government systems. The Rescissions Act of 2025, known also as House Resolution 4, did away with $9.4 billion – less than six-tenths of 1% of the other legislation – in spending by the State Department, the U.S. Agency for International Development (USAID), the Corp. for Public Broadcasting (PBS, NPR), and other entities.
Democrats against them say the Department of Government Efficiency made “heartless budget cuts” and was an “attack on the resources that North Carolinians were promised and that Congress has already appropriated.”
Republicans from North Carolina in favor of both were Reps. Dr. Greg Murphy, Virginia Foxx, Addison McDowell, David Rouzer, Rev. Mark Harris, Richard Hudson, Pat Harrigan, Chuck Edwards, Brad Knott and Tim Moore.
Democrats against were Reps. Don Davis, Deborah Ross, Valerie Foushee and Alma Adams.
Foxx said the surface was barely skimmed with cuts of “$14 million in cash vouchers for migrants at our southern border; $24,000 for a national spelling bee in Bosnia; $1.5 million to mobilize elderly, lesbian, transgender, nonbinary and intersex people to be involved in the Costa Rica political process; $20,000 for a drag show in Ecuador; and $32,000 for an LGBTQ comic book in Peru.”
Adams said, “While Elon Musk claimed he would cut $1 trillion from the federal government, the recissions package amounts to less than 1% of that. Meanwhile, House Republicans voted just last month to balloon the national debt by $3 trillion in their One Big Ugly Bill. It’s fiscal malpractice, not fiscal responsibility.”
House Resolution 1 passed 215-214 and House Resolution 4 went forward 214-212. Republican Reps. Warren Davidson of Ohio and Thomas Massie of Kentucky were against the One Big Beautiful Bill and Republican Reps. Mark Amodei of Nevada, Brian Fitzpatrick of Pennsylvania, Nicole Malliotakis of New York and Michael Turner of Ohio were against the Rescissions Act.
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Centrist
The article presents a straightforward report on the partisan positions and voting outcomes related to two specific bills, highlighting the contrasting views of Republicans and Democrats without using loaded or emotionally charged language. It neutrally conveys the Republicans’ framing of the bills as efforts to cut waste and reduce spending, alongside Democrats’ critique of those cuts as harmful and insufficient fiscal discipline. By providing direct quotes from representatives of both parties and clearly stating voting results, the content maintains factual reporting without promoting a particular ideological stance. The balanced presentation of arguments and absence of editorializing indicate a commitment to neutrality rather than an intentional partisan perspective.
