Section 1115 Medicaid waivers allow states to explore new options for providing health coverage to persons who would otherwise not be eligible and allow states to examine innovative ways to deliver care by waiving certain requirements of the Medicaid Act.
While waivers can be important tools that can help states respond to the needs of low-income individuals, they also present concerns for health advocates working to protect the rights of Medicaid enrollees and promote transparency in state waiver processes.
Sec. 1115 of the Social Security Act allows the Secretary of Health and Human Services to waive some requirements of the Medicaid Act so that states can test novel approaches to improving medical assistance for low-income people.
Under the current administration, several states are seeking waivers to impose harmful cuts and restrictions. The first set of harmful waivers have been approved for Kentucky and Arkansas, with a number of states seeking to enact similar changes to Medicaid. Learn more about Medicaid waivers and how the National Health Law Program is combating the Trump administration’s illegal use of waivers to weaken Medicaid.
View 1115 Waiver Resources By State
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- August 26, 2014
Complaint filed by Florida Legal Services, Inc. with the Office of Civil Rights against the Jackson Health System, Miami-Dade County's publicly funded health care system. The complaint alleges that JHS is violating requirements governing billing and collection policies of non-profit health providers for low-income patients. This complaint includes a description of individual consumer cases, documenting how JHS has failed to ensure that beneficiaries of its charity care program receive services and admission without discrimination.
- August 26, 2014
Ground-breaking IRS complaint filed by NHeLP and Florida Legal Services, Inc. against the Jackson Health System, Miami-Dade County's publicly funded health care system, alleging that JHS is violating requirements governing billing and collection policies of non-profit health providers for low-income patients.
- May 28, 2014
Complaint to the Office for Civil Rights at the U.S. Department of Health and Human Services (HHS OCR) requesting that federal officials take action to end discrimination targeting people living with HIV/AIDS.The complaint alleges four Florida insurers (CoventryOne, Cigna, Humana and Preferred Medical) are violating the Affordable Care Act (ACA) and federal civil rights laws by structuring their prescription drug policies in a way that discourages people with HIV/AIDS from selecting their plans.