Universal HealthcareBy NextBestFit
Phase 0: Preparation · Step 0.1

Set each state's contribution

Months −16 to 0 · HHS / Treasury / statesDiscuss this step
← All system changes for this step

Section 1332 (ACA) and Section 1115 (Medicaid) waivers

replacedYear 4States & localities
Today

States run reinsurance programs, Medicaid work requirements, managed-care designs, and pilots under waivers.

Under the plan

1332 reinsurance waivers end with the individual market; 1115 waivers limited to residual non-medical Medicaid. A new state-administered UHP option replaces them as the route for state innovation.

Trade-off

Ends coverage restrictions like work requirements; states lose broad waiver flexibility.