Health care reforms high-risk insurance pools will have difficult choices ahead. The CBO Director Doug Elmendorf laid out the stark choices facing a program. The $5 billion dollars will run out in before 2013. To extend the coverage to 600,000 more Americans would cost $5 -$10 billion more than estimated.

Health and Human Services Secretary Kathleen Sebelius also has the authority to cap enrollment. The Cap would limit the number of Americans that can participate in the program. Another option is to charge 3 times the amount in premium.

The bottom line is someone is going to have to pay for this program.

Right now the biggest problem with the current Indianapolis High Risk pool (Indianapolis Comprehensive) is the cost.  Most people are unable to afford the premiums.