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United States · Bill · HR

H.R. 3204 (109th)

State High Risk Pool Funding Extension Act of 2005

openUnited States· United States Congress· EN

Introduced

12 July 2005

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Source updated

9 March 2026

Summary

State High Risk Pool Funding Extension Act of 2005 - Amends the Public Health Service Act to reauthorize funds for states to create and operate existing high risk health insurance pools. Increases the maximum allowable premium charged under a qualified high risk pool to 200% of the premium for applicable standard risk rates for those states that use 50% of the grant amount to reduce premiums for enrollees. Defines "standard risk rate" as a rate that: (1) is determined under the state high risk pool by considering the premiums charged by other health insurers in the same market; (2) is established using reasonable actuarial techniques; and (3) reflects anticipated claims experience and expenses. Revises the definition of "qualified high risk pool" to allow a state to elect to meet the requirement to provide all eligible individuals with health insurance coverage by utilizing an acceptable alternative mechanism that includes a high risk pool as a component. Amends the formula for allocating funds to states to operate such pools to provide one-third of the funds to eligible states equally, one third based on the number of uninsured individuals in a state relative to all states, and one third based on the number of enrollees in a state's qualified high risk pool relative to all states. (Currently, all funds are allotted based solely on the number of uninsured individuals in the state.) Requires the Secretary of Health and Human Services to award grants to states with qualified high risk pools for the provision of supplemental consumer benefits.

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13 official files

Engrossed Amendment Senate (text)

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