1332 Access

A comparable number of residents must have coverage.

Coverage must be as robust as ACA marketplace plans. A comparable number of residents must have coverage

The proposal cannot increase the federal deficit. Key Strategic Uses & Examples A comparable number of residents must have coverage

The plan must provide cost-sharing protections equal to or better than the ACA. A comparable number of residents must have coverage

Section 1332 waivers permit states to bypass specific ACA requirements—such as the individual mandate, employer mandate, or certain exchange standards—to implement innovative strategies that improve health insurance affordability, accessibility, and coverage. Approved states often use these waivers to establish or expand coverage to residents regardless of income (e.g., New York’s 2024 expansion ). Core Requirements (Guardrails)