Health Policy News – Summer 2022

In our summer edition this year, we provide updates on two topics that have been the subject of many articles on Health Policy News: Section 1332 State Innovation Waivers and the American Rescue Plan Act of 2021 (ARPA). Not only have new Section 1332 Waiver applications been submitted, but those early innovator states are approaching the first renewal period. This edition examines both, as well as gives an update on federal guidance related to ARPA spending and progress underway in the areas of Home and Community Based Services and State and Local Fiscal Recovery funding.

Our team is hard at work on a white paper related to Medicaid expansion, including efforts underway in the remaining hold-out states to capture ARPA incentives. We hope you will join us this fall at our annual policy webinar for an interactive discussion on Medicaid expansion and the status of pending action in states that have not yet expanded. Our team anticipates the release of the white paper and the distribution of the webinar invitation in early fall.
Lastly, our policy team will attend both the National Conference of State Legislators Summit (August 1st -3rd) as well as the National Academy for State Health Policy conference (September 12th-14th). Be sure to stop by our booth at each event and say hi!
As always, Health Policy News will provide timely updates and analysis on applicable health policy developments as they occur, but you can contact us at with any questions or comments related to this summer edition.

Activity Around Section 1332 Reinsurance Waivers Continues

The earliest Section 1332 State Innovation Waivers are reaching their expiration dates, marking a key milestone under the Patient Protection and Affordable Care Act. This article explores the steps those states with expiring state reinsurance program waivers are taking. At the same time, several new waivers were submitted recently, also outlined in this article. Click here to read more about the latest state activity around Section 1332 Waivers.

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American Rescue Plan Act Funding Progress Updates

Last summer, Health Policy News provided coverage of the early planning at the state level to implement Section 9817 of the American Rescue Plan Act of 2021 related to Home and Community Based Services. Last month, CMS updated guidance to states related to spending plan reporting, as well as extended the timeline for use of funds.

In addition to HCBS-related funding updates, PCG subject matter experts prepared a short update on state progress related to Coronavirus State and Local Fiscal Recovery Funds, including lessons learned and best practices for states and localities. To read more, please click here.

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