Expert Perspectives

Aug 5, 2016 

New Report Looks at 1332 Process

Recently, the Government Accountability Office (GAO) released a letter that it sent to Sen. Orrin Hatch of Utah regarding Section 1332 Waivers, also known as State Innovation Waivers. These waivers, authorized under the Affordable Care Act (ACA), permit the federal Departments of Health and Human Services (HHS) and Treasury to waive certain aspects of the ACA upon a state’s request. The GAO was asked for information on the status of the waiver review and approval process, and talked to many stakeholders (federal and state officials and advocates) in preparing its response.

Jan 22, 2016 

Should States Reconsider Their Exchange Models?

The third open enrollment period is coming to an end and the lack of drama may signal an opportune time for states to reassess the exchange model they are using. Certainly, eligibility determination and plan enrollment remain critical. But with many of the kinks and transitions worked out, states have an opportunity to pursue additional policy goals like improving customer service, increasing health plan competition, controlling administrative costs, and promoting delivery system transformation.

Dec 11, 2015 

New Federal Guidance on Section 1332 Waivers – What does it say and what might it mean

Today, the Department of Health and Human Services and the Department of Treasury released guidance on Section 1332 waivers, also known as State Innovation Waivers. The guidance focuses specifically on how the federal government will assess a proposal’s effect on the four guardrails, or general limits, on what the impact of a waiver would be on affordability, coverage levels, comprehensiveness of coverage and the federal deficit. The guidance also discusses the interaction of different programs, including Section 1115 waiver proposals on a Section 1332 application budget, and operational considerations for the federally-facilitated marketplace (FFM) and the Internal Revenue Service (IRS).