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Understanding the ACA's State Innovation Waivers
Center on Budget and Policy PrioritiesLink to more items from this source
[Guidance Overview]
Feb. 5, 2015

"Considerable uncertainty surrounds the potential scope of the 'waivers for state innovation' authorized under the [ACA], which allow states to modify how they implement key elements of health reform beginning in 2017.... Section 1332 waivers have the potential to give states flexibility to alter certain provisions of health reform -- particularly related to the health insurance marketplaces, the federal subsidies available through the marketplaces, and the ACA's 'shared responsibility' requirements for individuals and employers. The waivers are limited in scope, however, and must ensure comprehensive coverage, affordability, comparable enrollment, and budget neutrality."

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