States have until tomorrow to let Washington know if they plan to participate in one of the first government programs to be launched under ObamaCare -- new high-risk pools for the uninsured. According to Grace-Marie Turner, president of the Galen Institute, the question states should be asking is: Why would we participate?
The high-risk program is essentially insurance for individuals who have pre-existing conditions and are expensive to insure, explains Turner:
* The new health law allocates $5 billion for insuring them until 2014 when enrollees would be transferred to new health-insurance exchanges.
* But Richard Foster, chief actuary of the Centers for Medicare and Medicaid Services, reported last week that the high-risk program will run out of money next year or in 2012.
* Therefore, if states sign up for the program, they'll end up shouldering the burden for about two years after it runs out of federal money.
This will be a heavy lift considering the other costs ObamaCare is foisting onto states, one of which is the expansion of Medicaid, a joint federal-state program originally designed to cover low-income Americans, says Turner. Under ObamaCare, Medicaid will be expanded to cover 84 million people by 2019, up from about 50 million today, putting pressure on states' budgets.