PCIP Enrollment by State



The Affordable Care Act created the new Pre-Existing Condition Insurance Plan (PCIP) program to make health insurance available to Americans denied coverage by private insurance companies because of a pre-existing condition. Coverage for people living with such conditions as diabetes, asthma, cancer, and HIV/AIDS has often been priced out of the reach of most Americans who buy their own insurance, and this has resulted in a lack of coverage for millions. The temporary program covers a broad range of health benefits and is designed as a bridge for people with pre-existing conditions who cannot obtain health insurance coverage in today’s private insurance market. In 2014, all Americans – regardless of their health status – will have access to affordable coverage either through their employer or through new competitive marketplaces called Exchanges, and insurers will be prohibited from charging more or denying coverage to anyone based on the state of their health.

The PCIP program is administered by either the State or the Federal government: 23 States and the District of Columbia elected to have their PCIP program administered by the Federal government while 27 States have chosen to run their own programs.

The PCIP program began accepting applications for enrollment this summer (July 1 for the Federal program, dates for State programs varied). The chart below details the date when each State began providing benefits to people accepted into the program and the number of people enrolled in the program as reported by each State as of February 1, 2011.

= Federally Administered PCIP


State

Date Coverage for Enrollees Began (in 2010)

Number of People Enrolled, reported as of February 1, 2011*

Alabama

August 1

61

Alaska

September 1

20

Arizona

August 1

270

Arkansas

September 1

147

California

October 25

706

Colorado

September 1

434

Connecticut

September 1

22

Delaware

August 1

34

District of Columbia

October 1

10

Florida

August 1

613

Georgia

August 1

399

Hawaii

August 1

23

Idaho

August 1

42

Illinois

September 1

943

Indiana

August 1

131

Iowa

September 1

80

Kansas

August 1

112

Kentucky

August 1

56

Louisiana

August 1

92

Maine

August 1

13

Maryland

September 1

145

**Massachusetts

August 1

0

Michigan

October 1

89

Minnesota

August 1

29

Mississippi

August 1

58

Missouri

August 15

166

Montana

August 1

153

Nebraska

August 1

39

Nevada

August 1

125

New Hampshire

July 1

78

New Jersey

August 15

216

New Mexico

August 1

198

New York

October 1

411

North Carolina

August 1

674

North Dakota

August 1

5

Ohio

September 1

726

Oklahoma

September 1

190

Oregon

August 1

483

Pennsylvania

October 1

2046

Rhode Island

September 15

85

South Carolina

August 1

242

South Dakota

July 15

62

Tennessee

August 1

171

Texas

August 1

1007

Utah

September 1

117

**Vermont

September 1

0

Virginia

August 1

204

Washington

September 1

139

West Virginia

September 1

15

Wisconsin

August 1

307

Wyoming

August 1

49

 

 Total

12,437

* Enrollment with respect to the federally-administered is shown as of February 1, 2011 while enrollment with respect to the state-administered PCIPs is reported as of December 31, 2010. This is because the deadline for State reporting lags by 1 month.

** Massachusetts and Vermont are guarantee issue States that have already implemented many of the broader market reforms included in the Affordable Care Act that take effect in 2014. Existing commercial plans offering guaranteed coverage at premiums comparable to PCIP are already available in both States.

Past enrollment data is available here.

Posted: February 10, 2011

 

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