State health insurance high risk pools are a key component of the US health care system's safety net, because they provide health insurance to the ''uninsurable.'' In 2007, 34 states had individual high-risk pools, which covered more than 200000 people at a total cost of $1.8 billion. We examine the experience of the largest and oldest pool in the nation, the Minnesota Comprehensive Health Association, to document key issues facing state high-risk pools in enrollment and financing. We also considered the role and future of high risk pools in light of national health care finance reform. [ABSTRACT FROM AUTHOR]
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