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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- District of Columbia
- New Hampshire
- New Mexico
- New York
- North Carolina
- January 14, 2016
Letter to Oregon AG: St. Joseph and Providence Request for a Waiver from the Attorney General Standard Review Process
Thirteen public interest organizations have written Oregon Attorney General Ellen Rosenbaum urging her to reject a request for a waiver from the standard process for reviewing merger transactions by the nation's 6th largest nonprofit hospital system, Providence Health & Services, and St. Joseph Health.
- July 23, 2013
This letter requests a delay in Medicaid rate cuts for complex rehabilitation technology intended for individuals with disabilities in Oregon. The letter includes tables with Medicare rates for certain DME in 2010.
- July 23, 2013
In 2008 Oregon's Medicaid program opened to new enrollment using a lottery system in which 35,000 people were randomly selected to enroll. After two years, researchers compared data on health and other comes from the lottery winners and losers, which has been criticized by those who oppose Medicaid and the Affordable Care Act. This factsheet provides a summary of the Oregon Medicaid experiment, what it means and what the study actually showed.