Several states are opting out of running a temporary high risk insurance pool, instead allowing the feds to operate it for them.
North Carolina, on the other hand, will run its own federal high risk pool that will operate beside the state high risk pool. Some politicians expressed concern that if the high risk pool is more expensive than projected the funding burden will shift to the state.
But North Carolina has recieved a written guarantee that the federal government will pay for patients in the federal high risk pool. The state will continue paying for the state pool, although the cost of that program is mostly covered by premiums.
Health reform set aside $5 billion to pay for the temporary high risk pools that will operate until 2014.