ABSTRACT

State Innovation Waivers: Frequently Asked Questions [Updated January 29, 2021]   [open pdf - 1MB]

From the Summary: "Section 1332 of the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) provides states with the option to waive specified requirements of the ACA. In the absence of these requirements, a state is to implement its own plan to provide health insurance coverage to state residents that meets the ACA's terms. Under a state innovation waiver, a state can apply to waive ACA requirements related to qualified health plans, health insurance exchanges, premium tax credits, cost-sharing subsidies, the individual mandate, and the employer mandate. The state can apply to waive any or all of these requirements, in part or in their entirety. [...] The Secretary of the Department of Health and Human Services (HHS) and the Secretary of the Treasury share responsibility for reviewing state innovation waiver applications and deciding whether to approve applications. State innovation waivers cannot extend longer than five years, unless a state requests continuation and the appropriate Secretary does not deny such request. The earliest a state innovation waiver could have gone into effect was January 1, 2017."

Report Number:
CRS Report for Congress, R44760
Author:
Publisher:
Date:
2021-01-29
Series:
Copyright:
Public Domain
Retrieved From:
Congressional Research Service: https://crsreports.congress.gov/
Format:
pdf
Media Type:
application/pdf
URL:
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