Forum Session

1115 Ways to Waive Medicaid and SCHIP Rules: A Conversation about Change
June 27, 2002


Jennifer Ryan


This Forum session examined the evolving role of the Section 1115 demonstration authority in providing flexibility for states to modify Medicaid and the State Children's Health Insurance Program, with particular focus on the Health Insurance Flexibility and Accountability initiative announced by the U.S. Department of Health and Human Services in August 2001. Speakers discussed the policy and political implications of increasing state flexibility in the context of uncertain economic times. The conversation focused on the tension between expanding coverage and balancing state budgets, the potential impact of reduced benefits and increased cost sharing on low-income families, and the ever-changing federal and state roles in financing health programs.


Donna Checkett, Interim Senior Vice President for Government Programs, Schaller Anderson, Inc.; Alan Weil, Director, Assessing the New Federalism, Urban Institute; Cindy Mann, Senior Fellow, Kaiser Commission on Medicaid and the Uninsured

Related Materials

More information available in the accompanying publication, Issue Brief No. 777.

In addition, more recent information is available in "Shaping Medicaid and SCHIP through Waivers: The Fundamentals" (Background Paper No. 64, July 22, 2008) and "Medicaid and SCHIP Waivers" (The Basics, July 30, 2008).

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