Private Health Insurance

As of late Friday afternoon, April 30, 43 states had responded to the letter from Secretary of Health and Human Services Sebelius on high-risk insurance pools. According to an HHS blog posting, 28 states will run a state high-risk pool and 15 states have declined. Of the 28 states, nine states (ME, MA, MI, NJ, NY, OH, PA, RI and VT) and the District of Columbia do not already operate a high-risk pool. For the states that decline, the federal government will run a pool to provide insurance coverage for those denied health insurance. Under federal health care reform, $5 billion is available to subsidize health insurance coverage through these high risk pools for individuals who are denied health insurance. The high risk pools bridge the gap until 2014, when the new law will prohibit insurance companies from denying coverage to adults. The law prohibits denying children coverage later this year. 

State eNews Issue #45, April 29, 2010

So far, 21 states led by their attorneys general are challenging the federal health care reform law, saying the law is unconstitutional in expanding Medicaid, putting a burden on the already cash-strapped states. Other states may join.

From dramatically expanding the reach of Medicaid to creating new state-based health insurance exchanges, the federal health care legislation recently signed into law will have a far-reaching impact on states. This cover story of Stateline Midwest examines six ways that state-level health care and insurance policy will be affected.

State eNews Issue #43 | March 31, 2010

Landmark federal health reform has passed and as state leaders consider that and other effects, The Council of State Governments launched a new federal health care reform resources Web site and will host a free webinar April 6 to provide an overview of what federal health care reform means for the states.

State eNews Issue #42 | March 17, 2010

While the debate over health care reform may be front and center on Capitol Hill this week, budget deficits and the jobs crisis that underlies them continue to headline conversations in state capitols.

Congress may soon follow suit. Whether health reform passes or not, Congress is poised to pivot to a series of bills, known collectively as the “jobs agenda,” which could have a direct impact on state...

President Obama’s seven-hour televised meeting between Democratic and Republican leaders last Thursday may have failed to build consensus about what should be done to curb health care spending, but experts say it did give a good overview of what all the fighting has been about.

Legal challenges put caps on certain types of damages in doubt.

President Obama’s health care proposal released by the White House on February 22, will expand Medicaid eligibility for working families below 133% of poverty. This is the income level contained in the Senate bill, below the 150% of the federal poverty level in the House passed health reform bill.

The federal government will provide to the states 100% of the cost of newly eligible persons between 2014 and 2017. The states’ match rate will be 95% for 2018 and 2019 and drop to 90% for subsequent years.


As Congress debates an overhaul of the nation’s health care system, state officials pondered the effects any action would have on them and their budgets. Policymakers on both sides of the aisle saw potential problems.

In 2009, health coverage for low-income children and parents not only survived the economic downturn but advanced through eligibility expansions. Includes state income eligibility table for current year.