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.
Understanding the Graham-Cassidy Proposal: Implications for States
In a final effort to pass a bill to repeal and replace the Affordable Care Act before reconciliation instructions expire on September 30th, Senators Graham and Cassidy are advancing a proposal that would retain many key provisions of the Better Care Reconciliation Act (BCRA) – including per capita caps for Medicaid non-expansion populations – and replace federal funding for tax credits, cost sharing reductions, Medicaid expansion, and the Basic Health Program with a capped allotment that would be distributed to states in the form of a block grant. Continuing our webinar series on the impacts of repeal and replace proposals for states, the Robert Wood Johnson Foundation’s State Health and Values Strategies (SHVS) program, together with technical assistance experts from Manatt Health, hosted a webinar on Friday September 22nd that provided an overview of the Graham-Cassidy proposal and discussed implications for states, including the impact of federal funding for Medicaid and Marketplace subsidies.