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The American Health Care Act (AHCA) would allow states to create high-risk pools where people with preexisting health conditions could go to purchase health insurance. This Fact Sheet shows state-by-state estimates of just how high annual premiums could be in these high-risk pools— ranging from at least $19,330 in Iowa to over $38,600 in Alaska. Nationally, annual premiums in high-risk pools could average at least $25,000.