May, 01, 2019

More States Looking to Section 1332 Waivers

Heather Howard

As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems.  While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.

We have mapped out current state activity and included links to all the approvals, proposals, and even the authorizing legislation.  You’ll see that several states have approved waivers, but many more are actively considering them.  The list is geographically and politically diverse – the one constant being that states are interested in seizing opportunities to improve health care for their residents. If your state is interested in pursuing a Section 1332 waiver, SHVS has a 1332 waiver template, a checklist, and related issue brief detailing design and policy considerations for states. Additionally, see the latest Expert Perspective on the new federal waiver concepts for Section 1332 waivers.

States are also seeking opportunities to use the Medicaid program to strengthen coverage across the individual market and Medicaid. To track state activity around Medicaid buy-in programs, click here.

Waiver Approved

Alaska

Approved Waiver Application Legislation Federal Funding Updates

Hawaii

Approved Waiver Application Legislation Federal Funding Updates

Maine

Approved Waiver Application Legislation Federal Funding Updates

Maryland

Approved Waiver Application Legislation, Legislation Federal Funding Updates

Minnesota

Approved Waiver
State Response
Application Legislation Federal Funding Updates 

New Jersey

Approved Waiver Application Legislation Federal Funding Updates
State Response

Oregon

Approved Waiver Application Legislation Federal Funding Updates

Wisconsin

Approved Waiver Application
Attachment
Legislation Federal Funding Updates
State Response

Application Submitted

Waiver Application Submitted, No Longer Pending

California

Withdrawn Application Legislation

Iowa

Deemed Complete,
Withdrawn
Application,
Supplement
No Legislation

Massachusetts

Deemed Incomplete Application Legislation

Ohio

Deemed Incomplete Application Legislation

Oklahoma

Deemed Complete
Withdrawn
Application Legislation

Vermont

Incomplete Application Legislation

Public Draft of Application

Colorado

Draft Application  Legislation

Idaho

Draft Application

Louisiana

Draft Application  Legislation Unsuccessful

New Hampshire

Draft Application Legislation

North Dakota

Draft Application Legislation

Rhode Island

Draft Application Legislation

Authorizing Legislation Enacted

Georgia

Legislation

Kentucky

Legislation

Montana

Legislation

Texas

Legislation

Virginia

Legislation

Authorizing Legislation Passed, Vetoed

Nevada

Legislation