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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- July 23, 2013
This document describes the fiscal/economic impact of Medicaid changes resulting from implementation of the ACA in Florida.
- July 23, 2013
The new health care law expands the Medicaid program to provide healthcare for millions of uninsured individuals, primarily parents and low-income adults. The Supreme Court ruled in June that states can choose whether or not to accept the Medicaid expansion. Low-income children, even if they are already eligible for Medicaid, have much to gain if Florida expands its Medicaid program to cover their parents. According to the Robert Wood Johnson Foundation, as of 2009, over 381,000 children or 8.8% of Florida's children are eligible for Medicaid but uninsured. Many of these children will enroll in Medicaid and stay enrolled if their parents are covered. Getting kids insured makes them healthier. For some, it can change their lives. Here?s what the research shows about why expanding Medicaid to cover low-income parents is important for Florida?s children: Expanding Medicaid to cover parents means that more eligible children will enroll. Children who are eligible for health insurance are three times more likely to enroll if their parents also have insurance. Previous expansions of Medicaid coverage for parents have led to a significant increase in enrollment of eligible children and a drop in the number…
- July 23, 2013
In its recent landmark decision, the U.S. Supreme Court upheld the Affordable Care Act (ACA). This includes mandatory expansion of Medicaid to cover most people with incomes up to 138% of the federal poverty level. While the Court held that states failing to provide the expansion will not lose federal funding for its existing Medicaid program, Florida should take advantage of this historic opportunity to cover the poorest uninsured, including people with serious illnesses and disabilities and working families.This expansion decision, which ultimately rests with the Florida Legislature, must include the following compelling considerations:The Medicaid Expansion will provide basic health coverage for over 1 million low-income Floridians. Their improved health outcomes and greater financial stability result in a more productive workforce.Over $20 billion in federal funding will come into Florida between 2014 and 2019 as a result of the Medicaid Expansion. These federal dollars will go directly into our state economy, creating thousands of new jobs in Florida.The Medicaid Expansion is covered 100% by the federal government from 2014 through 2016, and then gradually scaling down to 90% federal funding in 2020 and beyond. In this dire economy, we cannot afford to leave vast sums of federal funding on…