Short Takes On News & Events

Feds Bolster High Risk Insurance Funds In Two States

By Phil Galewitz

December 22nd, 2011, 4:51 PM

The federal government this month increased funding to New Hampshire and California to make sure their new high-risk pools that provide coverage to uninsured people with pre-existing condition don’t run out of money before 2014.

Because nationwide enrollment has been far less than expected, overall federal funding for the program established under the health overhaul appears plentiful– $5 billion was set aside and less than $500 million has been spent in the first 16 months. The program is scheduled to end in 2014 when insurers will no longer be allowed to deny people coverage for pre-existing health conditions.

But funding allotments for a few states are beginning to run low, largely because the health costs have been higher than expected.

Officials in both California and New Hampshire feared they might start running out of funds by early next year. California, which was allotted, $761 million initially, was given an additional $118 million by the Department of Health and Human Services.

New Hampshire, which was allotted $20 million, was given another $30 million. New Hampshire, which has 260 people enrolled in the program, had spent $12 million on the program through September. “The people who enrolled were sicker than anticipated,” said Roland Lamy, assistant director of the New Hampshire Health Plan, a nonprofit group that is administering the high risk pool.

Several other states are believed to be waiting for more money from HHS, though a spokesman could not provide details on Thursday.

Since June 2009, nearly 42,000 people nationally have signed up for the new Pre-existing Condition Insurance Plans as of Oct. 31 — up from 25,000 in May, according to HHS. The program was initially expected to sign up between 200,000 to 400,000 people. Enrollment has increased since the summer, after premiums fell in some states by as much as 40 percent and some states stepped up advertising. To qualify for the program, people have to be uninsured for at least six months and either have been turned down for coverage by an insurer or have a doctor’s note certifying they have a chronic health condition.

3 Responses to “Feds Bolster High Risk Insurance Funds In Two States”

  1. Total of 5 billion dollars was allotted and broken up by state. Some are doing more enrollments that others. Problem seems to be enrollments are not as high due to lack of awareness in the existence of the plan or the 6 month rule. To see a list of all states and the amounts allotted I have seen all info at the site.
    I think the idea is great and lots of controversy obviously always comes down to dollars and politics. As long as it betters the people health and financial I am for it.

  2. It’s encouraging to see more Americans enrolling in the new government Pre Existing Conditions Insurance Plan because this is the only alternative for many individuals who cannot qualify for individual medical health insurance until 2014.

    Given the comprehensive coverage and no waiting period for pre existing conditions, this program offers extremely low cost medical insurance.

    As enrollment continues to climb, the federal government will have to provide more funding to states to keep the program running. Since the enrollment to-date is far less than expected, the $5 billion allotted to operate the plan will be sufficient.

  3. We applaud the new government Pre Existing Conditions Insurance Plan. It’s about time that individuals who cannot qualify for medical insurance because of their health status can secure low cost medical insurance.

    This program will be a viable option for many Americans until 2014 when health insurance companies are required to accept all applicants, regardless of their health status.

    Many sites, such as are available to answer questions and help individuals enroll in this important program.