It wasn鈥檛 so long ago that health insurance horror stories fueled discussions around the family dinner table and the national debate over health care reform.
鈥淥ne company said I was too heavy,鈥 said Scott Svonkin, of Los Angeles, of the time he was denied an individual health policy in 2005. Svonkin, 50, said two other insurers seemed OK with his weight but also turned him down, citing his asthma and his wife鈥檚 pregnancy, which could put the insurers on the hook for a dependent whose health was uncertain.
鈥淚 was horrified that insurance companies would turn me down,鈥 said Svonkin, who now works for the L.A. county assessor and is chairman of the County Commission on Insurance.
Scott Svonkin, pictured here with his newborn son, Sam, in 2006. Svonkin says he was denied health insurance three times before changes under the Affordable Care Act. He found health coverage in a high-risk pool. (Courtesy of Scott Svonkin)
Svonkin did get coverage, however, thanks to a state-run 鈥渉igh risk鈥 health insurance program, created for people who couldn鈥檛 get insurance because of preexisting conditions such as a past illness or a chronic disease. Thirty-four other states created similar programs, which have since dwindled or dissolved because the Affordable Care Act required health insurers not to exclude people based on their health status. The pools state money, such as tax revenue or private insurer fees, to pay for their care.
Now President-elect Donald Trump and Republican Congressional leaders say they want to revive high-risk insurance pools for the sick or uninsurable.
But some California health officials and policy experts say that would be a big step backward — to a state program that offered long waits for coverage, high prices, limited benefits and few health plan choices.
鈥淧eople would literally pass away while they were on the waiting list,鈥 said Richard Figueroa, who was one of the original staff members of California鈥檚 program, the Major Risk Medical Insurance Program (MRMIP), when it started in the early 1990s. Later, he served on the governing agency鈥檚 board before it was dissolved under the Affordable Care Act.
The program never had enough money to cover the need among the uninsured, Figueroa said. It had a $30 to $40 million budget in a given year, mostly from tobacco tax revenue. Figueroa said the limit on how many people could enroll declined over the years in part because costs kept rising. In 2011, fewer than 7,000 people were enrolled.
In the 1990s, thousands of people languished on waiting lists, Figueroa said. When their turn came for coverage, some people found they couldn鈥檛 afford the monthly premium.
鈥淲e never advertised. Because why would you advertise something that wasn鈥檛 available?鈥 said Figueroa, now the director of health and human services for the California Endowment. (The endowment provides funding to Kaiser Health News, which produces California Healthline.)
鈥淲e were a stopgap, we were a holding place, a waiting area,鈥 said Figueroa. 鈥淲e were always hoping [the program] would go away with the advent of national insurance reform,鈥 he said.
More than half of state high-risk insurance pools have closed in the past few years, according to data from the National Association of State Comprehensive Health Insurance Plans (NASCHIP). In other state-run high-risk pools, new enrollment has stopped and overall participation has dropped, the data showed. Premiums ranged from individual market rate in a given state, according to NASCHIP.
California鈥檚 program is still puttering along, with fewer than 1,600 enrollees and an $11 million-plus budget last fiscal year. Some remaining enrollees have end-stage kidney disease, a condition commercial insurers are not required to cover, according to California鈥檚 Department of Health Care Services. Members must choose between two different health insurance carriers, in contrast to Covered California enrollees, who have as many as five choices in some areas.
鈥淗igh-risk pools segregate sick people into plans that are more expensive to both the government and the individual,鈥 said Anthony Wright of Health Access, a coalition of consumer advocates.
Wright said the high-risk pools were among the 鈥渇ailures鈥 in the health care system that led to Obamacare.
础听聽of Minnesota鈥檚 high-risk pool, one of the oldest and largest in the country, suggested that spending on enrollees increased over time. Keeping program costs down was also a challenge, it noted, as was securing ongoing public funding.
California鈥檚 program had strict limitations — a $75,000 annual maximum on health claim payouts, with a $750,000 lifetime maximum.
People with hemophilia would often exceed the lifetime maximum and not be able to get further coverage, said Cheryl Fish-Parcham, private insurance program director for the advocacy group Families USA.
Around the country, rules about benefits and who could qualify for the high-risk pools varied, Fish-Parcham said. In some states, enrollees couldn鈥檛 obtain coverage for a certain amount of time for some health conditions if they had been previously uninsured. Not all states had waiting lists.
California鈥檚 Senate Health Committee chair, Ed Hernandez (D-West Covina), who helped create the state鈥檚 legislative framework for Obamacare, said high-risk pools are neither efficient nor humane.
鈥淲hy would you go back to a system that discriminates against patients?鈥 he said.
Any bill to expand California鈥檚 high-risk pool would have to go through his committee and he wouldn鈥檛 support it, Hernandez said.
President-elect Donald Trump鈥檚 transition website said his administration 鈥渨ill work with both Congress and the States to re-establish high-risk pools.鈥澛營t鈥檚 not clear how much authority states would have in implementing — or rejecting — such a change.
Congressional Republicans hope to pump life back into state high-risk pools with $25 billion in federal money. U.S. House Speaker Paul Ryan proposes that premiums in state programs be capped and wait-lists be 鈥減rohibited.鈥
Dean Clancy, a former Republican health policy analyst for President George W. Bush, acknowledges the programs have struggled in the past but says if revived with the funding proposed by Speaker Ryan, they would be more viable.
鈥淭he ideal health insurance market would be based on medical risk,鈥 Clancy said.
He explained that in an ideal system, people would pay according to the likelihood their health status would create costs for the insurers. Using government funds to help cover a small proportion of uninsurable people, Clancy said, 鈥渓eaves the rest of the market free to operate according to normal insurance principles.鈥
High-risk pools are a form of charity, said Clancy, and he doesn鈥檛 see them as discriminatory.
鈥淚s welfare discriminating against people with low incomes? High-risk pools are trying to help people, not hurt them,鈥 said Clancy.
Patients offer mixed reviews of the high-risk pools.
鈥淚t was very limited,鈥 said Svonkin about the number of health plans he could choose from. 鈥淏ut I felt lucky to have insurance.鈥
Linda Carmi of Palm Desert, who was unemployed after recovering from breast cancer in the early 1990s, also said she felt lucky to get any coverage at all.
鈥淚 thought it was really a great find,鈥 said Carmi, 65, a now-retired ultrasound technician who is covered by Medicare. She noted that coverage in the high-risk pool was 鈥渄ecent鈥 but expensive. Her husband鈥檚 income helped pay for it.
鈥淚t worked well at the time, because I made it work,鈥 she said. But Carmi added that she was always 鈥渧ery, very careful鈥 not to exceed the lifetime limit on benefits.
But until all politicians are subject to the health care system people like her have experienced for the past 25 years, Carmi said, 鈥淚 don鈥檛 see a solution coming from Washington.鈥
This story was produced by , which publishes , an editorially independent service of the .
