34 pages. "This updated guidance provides supplementary information about the requirements that must be met for the approval of a State Innovation Waiver, the Secretaries' application review procedures, the calculation of pass-through funding, certain analytical requirements, and operational considerations.... Changes include increasing flexibility with respect to the manner in which a section 1332 state plan may meet section 1332 standards in order to be eligible to be approved by the Secretaries, clarifying the adjustments the Secretaries may make to maintain federal deficit neutrality, and allowing for states to use existing legislative authority to authorize section 1332 waivers in certain scenarios....

"The Secretaries will consider favorably section 1332 waiver applications that advance some or all of these five principles ... [1] Provide increased access to affordable private market coverage.... [2] Encourage sustainable spending growth.... [3] Foster state innovation.... [4] Support and empower those in need. Americans should have access to affordable, high value health insurance.... [5] Promote consumer-driven healthcare.... Consistent with [these] principles ... the Secretaries intend to provide states with maximum flexibility within the law to innovate, empower consumers, and expand higher value and more affordable coverage options."  MORE >>