RALEIGH, N.C. — North Carolina state employees and public school teachers won't qualify to receive state medical coverage when they retire if they are hired in 2021 and beyond.

The alteration was inserted in the 2017 state budget law. Legislative Republicans who backed the change said it was needed to rein in future anticipated health care costs for covered employees, which are already calculated in the tens of billions of dollars. It's a problem that other states face.