Brad Briner

Likely changes come on the heels of significant premium increases in 2026, changes Briner said were necessary to stave off "a financial crisis" for the health plan.

North Carolina's State Health Plan stopped providing coverage for GLP-1s for weight loss last year. A new agreement with CVS Caremark lets the plan negotiate directly with manufacturers for the medications.

Starting in January, pension investments will be controlled by a newly appointed committee of experts known as the N.C. Investment Authority.

State Treasurer Brad Briner has said the plan faced a $500 million deficit in 2026 without major changes. Increasing premiums was a key step to bolstering the state's health insurance offering.