The Trump administration has indicated a willingness to liberalize the Section 1332 State Innovation Waiver under the Affordable Care Act to make it easier for states to provide affordable coverage. So far, only Hawaii has been granted the ability to deviate from the ACA, but now Iowa will be testing the president’s stomach on this. Section 1332 waivers allow states to diverge from ACA rules provided they can establish a plan that:
The Obama administration allowed Hawaii to keep its healthcare plan in place, which was more generous than ACA. But Iowa’s waiver request, filed on June 12, would take away flexibility and move that state closer to a single-payer arrangement for its individual marketplace.
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