News & Analysis as of September 19, 2024

1332 Waiver

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The Patient Protection and Affordable Care Act (PPAC), also known as Obamacare, is a United States federal statute passed in March of 2010. The Act creates a nationwide insurance system and provides federal... more +

The Courts and Healthcare Policy - August 2021

McGuireWoods Consulting on 8/10/2021

The courts continue to play an important role in health policy. 2020 saw several notable lawsuits related to the Affordable Care Act (ACA). Several other Trump administration policies were challenged, including Medicare...more

Georgia Releases Section 1332 and 1115 Waivers

Manatt, Phelps & Phillips, LLP on 11/26/2019

On November 4, Georgia released two draft waiver applications for public comment—a Section 1332 State Relief and Empowerment Waiver (“1332 waiver”) to restructure the state’s individual insurance market and a Section 1115...more

New 1332 Guidance Gives States Lots to Think About

Manatt, Phelps & Phillips, LLP on 2/25/2019

Editor’s Note: While Democratic victories in the U.S. House have fueled national conversations about some variant of Medicare for all, most of the policy change in the near term is likely to continue to be at the state level....more

CMS Promotes New 1332 Waiver Models, States Weigh Options

Manatt, Phelps & Phillips, LLP on 12/22/2018

With a divided Congress that will struggle to reach agreement about major health policy legislation, states will continue to serve as the drivers and testing ground for new healthcare reforms in at least the next two years....more

CMS Announces Additional Guidance on State Empowerment and Relief Waiver Concepts

King & Spalding on 12/6/2018

Following up on a Federal Register notice published October 24, 2018, CMS announced additional information relating to State Relief and Empowerment Waivers, also known as “Section 1332 Waivers” on November 29, 2018 (the...more

Overview of CMS' 1332 Waiver Concepts

Mintz - Health Care Viewpoints on 12/4/2018

As we previously discussed, in October the Trump Administration issued guidance related to 1332 waivers. This guidance outlines how the Trump Administration interprets the ACA 1332 waiver guardrails. On November 29th, CMS...more

Health Care Weekly Preview from ML Strategies – November 2018 #4

Mintz - Health Care Viewpoints on 11/28/2018

Welcome back. This week, Congress returns to Washington with 10 working days to prevent a partial government shutdown by December 7th. Reaching an agreement on funding is the highest priority of the Lame Duck, and it could...more

CMS and Treasury Issue Guidance for States Applying For Section 1332 Waivers

Holland & Knight LLP on 10/24/2018

On Monday, the Centers for Medicare & Medicaid Services (CMS) and the Department of Treasury released guidance relaxing a range of requirements for state waivers submitted under Section 1332 of the Affordable Care Act (ACA)....more

New Jersey’s Pending 1332 Reinsurance Waiver

Mintz - Health Care Viewpoints on 8/13/2018

At the end of July, CMS approved two Section 1332 State Innovation Waivers submitted by Wisconsin and Maine for the purpose of establishing state reinsurance programs. There has been a flurry of 1332 waiver activity recently...more

Recent 1332 Waiver and Reinsurance Activity

Mintz - Health Care Viewpoints on 8/3/2018

States are increasingly looking for ways to improve stability in their individual insurance marketplaces. One way is through reinsurance programs – systems in which multiple insurance companies share risk by purchasing...more

What Lessons Can We Take From The Administration’s Refusal to Allow Idaho to Dismantle the ACA Marketplaces?

Mintz - Health Care Viewpoints on 4/3/2018

In early January, Idaho Governor Butch Otter signed an executive order (EO) directing the state’s Department of Insurance (DOI) to “seek creative options” to expand “access” to health insurance coverage for Idahoans. The EO...more

Manatt on Health: September 2017

Manatt, Phelps & Phillips, LLP on 9/13/2017

1332 Waivers Under Review at CMS - The Trump administration has approved one 1332 waiver to date, but four more are pending, including a sweeping Iowa waiver. Here is where things stand today...more

Medicaid Reform Beyond the AHCA

Mintz - Health Care Viewpoints on 4/10/2017

While we continue to monitor Congressional efforts to repeal and replace the ACA, we are also monitoring CMS’s efforts to implement the administration’s Medicaid program goals without Congressional action. The future of the...more

Manatt on Health Reform: Weekly Highlights - January 2017 #3

Manatt, Phelps & Phillips, LLP on 1/25/2017

New repeal and replace legislation would shift some decisions on ACA reforms to states; President Trump signs an ACA executive order; and a Kansas legislator introduces a new Medicaid expansion bill....more

Manatt on Health Reform: Weekly Highlights - November 2016 #5

Manatt, Phelps & Phillips, LLP on 11/30/2016

The incoming Trump Administration selects HHS and CMS leadership; Alaska moves forward with its proposed 1332 waiver for its ACA reinsurance program; and a new Manatt Health report considers the role of Medicaid supplemental...more

Manatt on Health Reform: Weekly Highlights - August 2016 #3

Manatt, Phelps & Phillips, LLP on 8/17/2016

CMS’s risk adjustment program data signals an improving risk pool while the agency announces plans to modify the program; California enrolls 134,000 undocumented immigrant children into Medicaid; and Oregon approves increases...more

Manatt on Health Reform: Weekly Highlights - August 2016 #2

Manatt, Phelps & Phillips, LLP on 8/10/2016

CMS targets Medicaid managed care pass-through payments; California proposes “California Qualified Health Plans” for the undocumented; and a new study finds out-of-pocket costs were reduced by nearly a third for Medicaid...more

Manatt on Health Reform: Weekly Highlights - May 2016 #4

Manatt, Phelps & Phillips, LLP on 5/25/2016

Uninsurance hit a record-breaking low of 9.1% in 2015; Vermont legislators pass a bill to increase drug formulary and price transparency; and California rolls out its State-funded Medi-Cal expansion to undocumented children....more

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Patient Protection and Affordable Care Act (PPACA) › Centers for Medicare & Medicaid Services (CMS) › 1332 Waiver

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