1332

Colorado implemented a "Colorado Option" designed to improve coverage availability. Implementation Process

A comparable number of residents must have coverage.

States utilize 1332 waivers to address specific local market challenges: Colorado implemented a "Colorado Option" designed to improve

The plan must provide cost-sharing protections equal to or better than the ACA.

Coverage must be as robust as ACA marketplace plans. Coverage must be as robust as ACA marketplace plans

Section 1332 waivers permit states to bypass specific ACA requirements—such as the individual mandate, employer mandate, or certain exchange standards—to implement innovative strategies that improve health insurance affordability, accessibility, and coverage. Approved states often use these waivers to establish or expand coverage to residents regardless of income (e.g., New York’s 2024 expansion ). Core Requirements (Guardrails)

This report focuses on the program, a critical component of the Patient Protection and Affordable Care Act (ACA) that enables states to customize their health insurance markets. Executive Summary: Section 1332 Waivers Core Requirements (Guardrails) This report focuses on the

The proposal cannot increase the federal deficit. Key Strategic Uses & Examples