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