they're all different per state, because there's no real 'federal pricing' or 'federal policies', AFAICT. The fed govt gives subsidies to insurance companies for low-income folks who sign up to the plans in their individual states/locations. There's no 'federal health plan' (more's the pity, imo).

They are all differant per state, and if he/she is poor with a pre-existing condition/smoked/smokes, over weight, its very likely that his costs went down.