Case Studies

PPACA Section 1332: Waiver for State Innovation

January 17, 2015

Joseph W. Thompson, MD, MPH
President & CEO
501-526-2244
achi@achi.net

 

Arkansas sought and was approved for a Section 1115 demonstration waiver to provide coverage to low-income individuals through a premium assistance model, otherwise known as the Health Care Independence Program. To date, 1115 demonstration waivers have offered the broadest form of waiver authority. However, in discussions preceding the enactment of the PPACA, some policymakers sought additional waiver authority under the new federal law. Section 1332 of the law provides this new waiver authority beyond Medicaid and offers states flexibility in implementing PPACA.