What the Evolution of 1332 Waivers Tells Us about Their Innovative Potential.
J Health Polit Policy Law
; 49(2): 269-288, 2024 Apr 01.
Article
en En
| MEDLINE
| ID: mdl-37801019
ABSTRACT
Section 1332 of the Affordable Care Act (ACA) provides states unprecedented flexibility to alter federal health policy. The authors analyze state waiver activity from 2019 to 2023, applying a comparative approach to understand waivers proposed by Georgia, Colorado, Washington, Oregon, and Nevada. Much of the waiver activity during this period focused on reinsurance programs. During the Trump administration, the most innovative waiver application was from Georgia, which sought to restructure and decentralize its individual market, moving away from the framework established by the ACA. While the Biden administration suspended Georgia's efforts, Democratic-led states have focused implementing waiver programs supporting and expanding on the ACA. This has included adopting public-option insurance plans offered by private insurers and expanding eligibility for qualified health plans for previously ineligible groups. The authors' analysis offers insights into contemporary health politics, policy durability, and the role of the administrative presidency.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Medicaid
/
Patient Protection and Affordable Care Act
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Health Polit Policy Law
Año:
2024
Tipo del documento:
Article