About 2,400 poor adults on the waiting list to join AdultBasic, Pennsylvania's state insurance program for those who don't qualify for Medicaid, were hit March 1 with a near doubling of their monthly premium, from $313 to $600. Faced with cost hikes, the state opted to preserve the $36 per month fee for the 39,000 residents already enrolled in the main program and shift the burden to those on the waiting list, who have been allowed to purchase the same coverage at a higher cost since the program's inception in 2002. FierceHealthcare