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This is the first in a four-part series “Health Reform: What Legislators Need to Know” co-hosted by the Forum for State Health Policy Leadership and the NCSL Health Program.
Health Reform: What Legislators Need to Know about High Risk Pools
The Patient Protection and Affordable Care Act provides $5 billion in funding to support insurance pools for people with pre-existing medical conditions who cannot otherwise qualify for private insurance. The pools are intended to be a 3 ½ year transition measure from July 1, 2010 through December 2013, when insurance companies will no longer be able to deny coverage to anyone based on pre-existing conditions. States that already have a pool can add a new one alongside it. States without pools can start one, build on other programs, contract with insurers to provide subsidized coverage, or elect not to manage a program. What are the federal requirements that are influencing state decisions? What are the trends in state action on high-risk pools? What issues are states facing as they decide what to do? What can states learn from each other as decisions are made?
Audio Archive Available!
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Presentation slides - (PDF File)
Tony Culotta, High Risk Pool Team Lead, Office of Consumer Information and Insurance Oversight, U.S. Department of Health & Human Services, DC
Richard Cauchi, National Conference of State Legislatures, Program Director, Health Program, Colorado
Richard Popper, Executive Director, Health Insurance Plan, Maryland
Upcoming webinars in this series: