high-risk pool

Many Utahns with preexisting medical conditions will see their health insurance shifted from state to federal oversight in July. After federal funding ran short for the “high-risk” insurance pool, state officials have refused to take on any additional costs. And federal health officials have refused to allow Select Health, the insurer that administers the program for Utah, to take responsibility. 

Utah is telling the federal government it’s not willing to take on more of the risk and the cost of insuring people with pre-existing health conditions. The US Department of Health and Human Services wants to cap federal spending on state-run high-risk pools because they are running out of funding. The Utah Governor’s office has until Friday to decide whether to absorb those costs in the state, or transition enrollees into a federal program – which they say will cost more out of pocket.