Recent publicity has focused on corporate layoffs as a cost-cutting tool. Debate has contrasted the “bottom line” with “corporate responsibility.” Injuries account for a substantial portion of health-related costs. This report shows that by preventing motor vehicle crashes, the potential health care savings are substantial. Motor vehicle injury costs to employers are included in this report on a nationwide, state-by-state, and industry basis. The report updates the national estimates of employer costs of crashes presented in NHTSA’s report “What Do Traffic Crashes Cost? Total Cost to Employers by State and Industry” (1996) and adds estimates of alcohol involvement and restraint non-use.