Pennsylvania has turned over to the federal government control of its health insurance program for people with pre-existing medical conditions.
PA Fair Care currently insures about 7000 Pennsylvanians whose pre-existing conditions make the cost of private health insurance prohibitive.  Created under the Affordable Care Act, the program was intended to serve as a bridge to the availability of insurance through health insurance exchanges in 2014.
But when federal funding for the program fell short for the current fiscal year and the state was faced with the prospect of absorbing some of its costs, Pennsylvania exercised its option to turn PA Fair Care over to the federal government.
Read more about PA Fair Care and why the federal government will now run it in this Kaiser Health News article.