93.780: Grants to States for Operation of Qualified High-Risk Pools

93.780

Inactive

Centers for Medicare and Medicaid Services (CMS) [HHS]

May 23, 2019

July 3, 2018

To assist States in the operation of a qualified high-risk health insurance pool by providing Federal funding (for up to appropriate funding levels) of losses incurred by the pool for a given State fiscal year.

A - Formula Grants (Apportionments)

A State must meet all of the following requirements to be eligible for a grant: 1) the State is operating a qualified high-risk pool as defined in section 2744(c)(2) of the Public Health Service Act; 2) the pool restricts premium charged under the pool to no more than 200 percent for applicable standard risk rates for the State; 3) the pool offers a choice of two or more coverage options through the pool; 4) the pool has in effect a mechanism reasonably designed to ensure continued funding of losses incurred by the State; and 5) Grant Awards: FY 2012 - The Consolidated Appropriations Act, 2012. (Public Law 112-74), provided $43.197 million to 31 States; FY 2013 - The Consolidated and Continuing Appropriations Act, 2013 (Public Law 113-6), which provided $41.756 million to 31 States; and in FY 2014 - The Consolidated Appropriations Act, 2014 (Public Law 113-76), which provided $20.419 million to only 26 States. It must be noted, the State High Risk Pool Grant Program officially ends on 09/30/2015. All States which received an award between FY 2012 and FY 2014 were federally qualified States currently receiving a HRP Grant award as a supplemental (extension) award to their 2008 Operational Losses.

State Agency.