Section 1332 State Innovation Waivers, named after the section of the Affordable Care Act (ACA) that created them, are intended to allow states to implement innovative strategies to achieve health coverage. States are increasingly turning to these waivers to enact specific changes and promote stability within their individual health insurance markets. The health law provides robust “guardrails” to ensure that health coverage remains affordable and accessible for consumers under a waiver. However, recent changes to 1332 waiver guidance removes protections for vulnerable groups, promotes expansion of health plans that are not compliant with the ACA, and could increase costs for older adults.
This Spotlight describes the recent federal guidance on 1332 waivers and its potentially negative impact on access and affordability of health coverage for older adults.
Coming soon: AARP Public Policy Institute will also release an Insight on the Issues on 1332 waivers that takes a deeper dive into 1332 waivers and where they stand. The paper will describe the intent of 1332 waivers and the law’s guardrails that protect consumers, examine the current landscape around state waiver activity, and discuss changes at the federal and state levels and what they could mean for older adults.
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