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Capitol Health Call
October 14, 2009

High-Risk Insurance Pools

JAMA. 2009;302(14):1522. doi:10.1001/jama.2009.1460

A provision in some of the health system reform proposals now being debated in Congress calls for an expanded role for state-sponsored high-risk health insurance pools (HRPs) to expand coverage options for individuals who cannot obtain affordable health insurance coverage because of a preexisting medical condition.

A report released on August 21 to the leadership of the House Committee on Energy and Commerce by the Government Accountability Office (GAO) provides data on HRP enrollment and enrollee demographics; the plans' cost-sharing provisions, coverage restrictions, and premiums, along with comparable information for certain private market health plans; and HRPs' governance, expenditures, and funding (http://www.gao.gov/new.items/d09730r.pdf).

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