The way CMS evaluates and approves state innovation waivers under the ACA will change dramatically.
The way the Centers for Medicare & Medicaid Services evaluates and approves state innovation waivers under the Affordable Care Act will change dramatically under a revised guidance document released Monday. | The ACA requires states to enact a law to authorize implementation of a Section 1332 waiver, but the new guidance expands the authority for governors to sign off on their state's behalf. | | The guidance defines "coverage" more loosely, incorporating skimpier plans, such as short-term limited-duration options and association health plans, into the definition. | | The materials released with the new guidance include several references to preexisting condition protections, saying the states will have greater flexibility to offer such protections. |
These waivers have been used several times this year to authorize state-run reinsurance programs, but the Trump administration said its new direction will restore flexibility for the states as originally intended by the law. Read the full story... | |
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