North Carolina’s health plan for state employees and teachers went from an expected $58 million surplus through June 2008 to a $27 million loss. The plan will need $300 million to balance its books this year, and more in the future. Combine this short-term need with the $30 billion unfunded liability for retiree health benefits and the case for offering high deductible plans with health savings accounts (HSAs) is compelling.

Cross-posted at StateHouseCall.org where you can also read this.