May, 01, 2020
More States Looking to Section 1332 Waivers
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.