The ACA and Medicaid Expansion Waivers
This brief provides an overview of the role of Section 1115 waivers in expanding Medicaid coverage since the enactment of the ACA. The brief also highlights key themes in these waivers including implementing the Medicaid expansion through a premium assistance model, charging premiums, eliminating certain required benefits (most notably non-emergency medical transportation), and using healthy behavior incentives as well as provisions that CMS has not approved.
