With about 3,600 people now enrolled in its PA Fair Care program, Pennsylvania is an unusually productive outlier when it comes to recruiting customers to its 10-month-old, high-risk, health insurance plan. The 2010 Affordable Care Act called for $5 billion in federal subsidies to be spent on creating a "pre-existing condition insurance plan" in each state, one of the first provisions of the healthcare overhaul to be put into effect. But nearly a year into the program, nationwide interest in the plans has been underwhelming so far. The plans are meant to enroll people who have a difficult time getting policies on the individual market because of previous illnesses or conditions that put them in higher risk categories, making them too expensive to cover. To be eligible, a person must be without insurance for at least six months and prove that he has a health condition that limits his access to insurance.