The PCIP is temporary. From the website: "PCIP is a temporary program for those locked out of the current insurance marketplace. The program has a limited amount of funding from Congress." It will be replaced: "Starting next year, the Affordable Care Act guarantees that all Americans – regardless of their health status or pre-existing conditions – will finally have access to quality, affordable coverage. People will be able to apply for affordable health insurance coverage choices in Health Insurance Marketplaces when open enrollment begins on October 1. The Health Insurance Marketplace will offer a choice of quality, affordable health plans. Coverage begins on January 1, 2014. Visit Home | HealthCare.gov to learn more about the Marketplace." Not a government-run program. Guaranteed access to health care insurance.