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 Medicaid Financing Fact Sheets
As states seek to understand the impacts of proposed changes to Medicaid financing, comparative data on where states stand can be very valuable. The memos included here use state-specific data to analyze the impact of proposals to limit federal Medicaid funding on all 50 states and the District of Columbia. The state data are drawn from a tool kit prepared by Manatt Health for the Robert Wood Johnson’s State Health Reform Assistance Network. While the most recent attempt to cap federal Medicaid funding in the American Health Care Act did not advance to a vote in the Congress, it is likely that this issue will remain a priority for Congressional leadership. And, future capped funding proposals can be expected to rely on historic state-specific spending patterns and national trend rates as earlier proposals did. These memos are intended to assist states in evaluating how they might fare relative to other states under a capped funding model considering the unique features of each state’s health care landscape.