1332 State Innovation Waivers

Focus Area: -- Reinsurance

Category: Report

Date Published: 2019

The State Innovation Waiver, also known as the 1332 waiver, was created as part of the Affordable Care Act and became an option for states to consider on January 1, 2017. States that want to use this option to explore ways to transform health care financing must apply to the U.S. Secretary of Health and Human Services and receive approval to implement a program that would waive certain requirements of the ACA. Only some sections of the ACA are “waivable,” and the state’s proposal must preserve certain consumer protections contained in the ACA, also referred to as “guardrails,” in order to be successful.

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2019 Call for Proposals

Find out about this year’s available grants.