ACA Title I, Sec. 1332. Waiver for state innovation: “Good” – Supports innovation by states. Always a good provision, but it also comes with selected limitations including: must include 10 year budget neutrality for HHS, at least provides coverage compatible with “Essential Health Benefit Coverage”, and cost sharing levels no greater than the limits in the Law. These do represent some fairly stringent conditions for securing a waiver. However, controlled innovation is usually a good idea in matters as complex and high stakes as health care.

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