Update(12/8):Click here for Friday's story on this.
We’ll have more on this in Friday’s paper. But the headline is not wrong: the state says it has a $23.8 billion liability for its health plan that is, at this point, unfunded.
Part One: What does this mean
The North Carolina State Health Plan is the branch of state government that provides health insurance for teachers, other public workers and retirees.
Not too long ago, the Government Accounting Standards Board told states that they would have to account for their pending health care liabilities, such as the health plan.
This came as quite the shock to the system, since no one had ever figured out exactly how much the benefits that we promised all those public workers and retirees would cost.
The numbers are in, and I'll upload the report as soon as I can.
Update:
So what does a $23.8 billioin unfunded liability mean? The $23.8 billion figure is a cost calculate out over a matter of decades. No one expects that taxpayers would have to set all that money aside in a matter of one year.
So why is this important? A few reasons:
- Bond rating agencies will look at that liability and may start looking for states to start setting some money aside to meet the anticipated demand. That will be one more strain on a state budget that was looking kind of tight next year anyway.
- Seeing the number in black and white might cause lawmakers to re-evaluate how generous we are to state workers. That in turn would make state workers grumpy and prompt a show down at the General Assembly.
- All governments are going to deal with this. Look for Greensboro, Guilford County and your home town to be calculating this number and then struggling with what it all means.
This is something that government leaders are first going to struggle to understand, and then struggle to figure out exactly what they should do about it.
Update: I’ve chatted with a few of the honorables since posting this.
Sen. Kay Hagan, a Greensboro Democrat, says there are a number of possibilities that have been discussed. Among those, she said, has been asking state employees to contribute some to the health plan, which they don’t do now.
According to the actuary’s report, the state would need to play about $849 million a year to make up the ground that has been lost. Hagan say there’s no way the state would do that much, but it might start setting aside more money to take care of some of the future payments.
And, she said, the state needs to more vigorously pursue a wellness plan for workers. The logic here is that healthier workers will mean fewer health care costs in the future.
“We need to have better nutrition, we need to have better exercise, we need to make our state employees healthier.”
Sen. Phil Berger, an Eden Republican, was also of the opinion that the state needed to set aside more money. He also said the state may consider shifting to a health savings account-type scheme, such as the one pushed by the Locke Foundation.
Berger said that this is a case where the General Assembly is planning short term when it makes its budget deals but should be looking further down the fiscal road.
“A lot of times, the fiscal horizon we’re looking at is two or three years,” he said. “There’s not a practice a looking at something asking what this does to the next generation and we need to start doing that.”
Part two, after the jump.