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CMS Seeks Feedback on Section 1332 Waivers

The Centers for Medicare & Medicaid Services (CMS) released a request for information (RFI) seeking ideas for innovative programs and waiver concepts states could consider in developing Section 1332 waivers.

Section 1332 waivers allow states to waive certain provisions of the Affordable Care Act as long as the changes are budget-neutral and meet certain criteria ensuring consumer access to comprehensive, affordable coverage.

The RFI follows October 2018 guidance on Section 1332 waivers aimed at increasing flexibility for states by allowing additional plan options and types of coverage, among other changes. CMS now seeks feedback on how states might take advantage of the new flexibility to implement waivers.

CMS emphasized it will favor waiver applications that advance some or all of the five principles described in the previous guidance:

  • provide increased access to affordable private-market coverage;
  • encourage sustainable spending growth;
  • foster state innovation;
  • support and empower those in need; and
  • promote consumer-driven health care.

Responses to the RFI are due to CMS by July 2.

Contact Senior Director of Policy Erin O’Malley at eomalley@essentialhospitals.org or 202.585.0127 with questions.

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About the Author

Rachel Schwartz is a policy associate at America's Essential Hospitals.

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