Nebraska is one of the first states to indicate that it will not create a separate high-risk health insurance pool for people with pre-existing conditions. The healthcare reform law requires each state to either do so, or have the federal government administer it for them.
According to Governor Dave Heineman, high costs prevent his state from participating. Moreover, Nebraska already has a similar high-risk pool, although the limited geographic scope means that the health insurance plan will be generally more expensive than the national program.
These programs are intended as a stopgap until 2014, when all health insurance companies on the open market will be banned from denying coverage to those with pre-existing conditions. At that point, the high-risk pools will be phased out.