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Text of CMS State Innovation Waiver Approval Letter for Hawai'i (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Official Guidance]
Jan. 3, 2017
"Hawai'i's application sought waiver of the ACA requirement that a [SHOP] operate in Hawai'i and other related provisions relevant to SHOP Exchanges. Under this waiver ... [certain enumerated] provisions of the ACA are waived in Hawai'i ... The Departments deny Hawai'i's request to waive section 131 l(t)(3)(B) to seek flexibility to permit state agencies other than the State Medicaid Agency to have a role in an Exchange ... Given that a Federally-facilitated Marketplace operates in Hawai'i, this provision will not be a part of the waiver."

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