In the absence of federal legislation, states are actively seeking 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 to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
State Considerations for Medicaid Buy-In Proposals
Lawmakers across the country are considering Medicaid buy-in or “public option” programs to stabilize the Affordable Care Act (ACA) insurance market and offer a coverage option that is more affordable and accessible than current options in the individual and employer markets. So far in the 2019 legislative session, more than 10 states have introduced legislation to study or implement a buy-in.1 A new State Health and Value Strategies issue brief, State Medicaid Buy-Ins: Key Questions to Consider, explores the key questions that states will want to consider as they pursue design, and implementation of buy-in proposals. This State Health Policy Highlight provides a checklist summarizing the key questions, which are laid out in greater detail in the underlying issue brief.