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Retirement system warns PHIP costs rising after federal changes; board to draw retiree trust

Joint Interim Committees — Education Trust Fund budget hearings · February 2, 2026
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Summary

Retirement Systems of Alabama officials told the Education Trust Fund committee PHIP covers about 355,000 lives and faces steep cost pressures from Medicare Advantage funding changes and utilization; the system plans withdrawals from a retiree trust and sought additional ETF funding to cover an FY27 shortfall.

Nia Scott of the Retirement Systems of Alabama told the Education Trust Fund budget committee that PHIP — the system that covers active employees, retirees and dependents for K–12, community colleges and three universities — covers roughly 355,000 lives and cost about $1.67 billion in fiscal 2025.

Scott said recent federal changes to Medicare Advantage funding and provisions of the Inflation Reduction Act increased the program’s costs sharply, producing roughly a $150 million one‑year increase and projecting an aggregate rise through 2028. “CMS … shifted a lot of the cost to PHIP,” she said, describing less than a…

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