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

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

For a 1332 waiver to be approved by the Department of Health and Human Services (HHS) and the Department of the Treasury, the state’s proposal must meet four "guardrails":

1332 -

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

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

For a 1332 waiver to be approved by the Department of Health and Human Services (HHS) and the Department of the Treasury, the state’s proposal must meet four "guardrails":

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