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Section 1332 State Releif and Empowerment Waiver Concepts: State-Specific Premium Assistance Waiver Concept

This paper outlines the State-Specific Premium Assistance (SSPA) waiver concept, one of four section 1332 waiver concepts detailed in the November 2018 Waiver Concepts Discussion Paper. The SSPA waiver concept enables states to develop alternatives to the PPACA's premium subsidy structure.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 15, 2019

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.