Federal officials, eager to launch one of the signature programs of the new
health law, have told states that they must provide more information by the end
of next week on how they intend to run the high-risk health insurance pools.
The program is designed
to provide health insurance to people who have been denied coverage due
to a pre-existing medical condition and have been without coverage for at least
six months. It will start enrollment on July 1 and begin coverage on Aug. 1,
according to guidance that Jay Angoff, director of the Department of Health and
Human Servicefs Office of Consumer Information and Insurance Oversight, sent to
state officials last week. The high-risk pools are intended to offer coverage
until subsidies and new health insurance exchanges begin in
2014.
The high-risk pools are one of a handful of early benefits
the administration is promoting, such as provisions that allow some people up to
age 26 to stay on their families' insurance plans, ban insurers from excluding
children because of preexisting conditions, and put an end to lifetime limits on
health costs insurers impose on some policyholders.
Twenty-nine
states and the District of Columbia volunteered to run their own pools
and will get a share of the $5 billion funding in the health bill designated to
fund them. Nineteen states said they would leave that task to the federal
government, with some arguing that the federal funding may dry up and leave them
on the hook. HHS says it will ensure that the funds will last for the duration
of the program in states where it will administer the pools. But a recent
report by the nonpartisan National Institute for Health Care Reform, a
think tank funded by automakers and the United Auto Workers, suggested that the
$5 billion would be insufficient to cover the number of people who may qualify
for the coverage.
In his letter, Angoff assured state officials who may
be worried about funding the start-up costs of high-risk pools that any expenses
incurred, such as costs of developing or modifying accounting or enrollment
systems would be covered by the federal government. The contracts HHS has asked
states to submit by June 25 will include details on how they would run the
high-risk pools and how much they would cost, among other items.
In remarks Wednesday to the American Nurses Association President
Barack Obama urged states running high-risk pools to enroll people as soon as
possible. The pools, Obama said, would "ensure that folks who have been shut out
of the market because theyfve been sick can access more affordable insurance
starting right away."
KHN's Christopher Weaver contributed to this report.
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