1332 State Innovation Waivers (2015)

Section 1332 of the federal Patient Protection and Affordable Care Act (PPACA) allows a state to apply for a state innovation waiver to pursue innovative strategies for providing its residents with access to high-quality, affordable health insurance while still retaining certain elements of the PPACA. This issue brief outlines the required components of a 1332 state innovation waiver, elements of federal law that can be waived, the application process for a waiver, and the monitoring and review process for an approved waiver.