Rhode Island Proposal for ACA Section 1332 State Relief and Empowerment Waiver
In her proposed 2020 budget, Governor Raimondo included a State reinsurance program in Article 14 designed to help maintain and protect gains of the Affordable Care Act in Rhode Island by mitigating premium increases. That proposal is currently under consideration by the Rhode Island General Assembly. If approved as proposed, the reinsurance program would first impact rates for 2020. To meet Federal requirements for that timeline, the State needs to release a draft waiver application for public comment in April 2019. If the General Assembly does not approve the proposed reinsurance program as part of the FY20 budget, this waiver application will not be submitted.
Specifically, the State of Rhode Island is seeking public comment on its draft Section 1332 State Relief and Empowerment Waiver Application and supporting appendices. The application seeks to waive certain requirements of the ACA with the goal of expanding state’s flexibility. A public comment period is an important step in the waiver development process and is required to happen prior to the application’s submission to the Centers for Medicare and Medicaid Services (CMS), a division of the United States Department of Health and Human Services (HHS), and the Department of the Treasury. The State is not obligated by this draft application or the public comment period to implement or fund a reinsurance program.
Rhode Island Proposal for Section 1332 Waiver
Rhode Island’s Section 1332 Waiver Application Draft can be found here:
The State of Rhode Island will be accepting public comments on Rhode Island’s 1332 Waiver Draft Application beginning April 26, 2019, through May 25, 2019.
Comments may be sent via electronic mail to:
or by postal mail to:
State of Rhode Island 1332 Waiver Application
501 Wampanoag Trail, Suite 400
Riverside, RI 02915
In compliance with Federal regulations, the State of Rhode Island will hold two public hearing on Rhode Island’s proposed 1332 Waiver Application.
- The first public hearing will be held May 10, 2019 from 1:00pm – 3:00pm at the following location:
Department of Administration
Conference Room B, 1 Capitol Hill
Providence, RI 02908
For directions to the Department of Administration and information on parking and public transportation information, please visit the following website: http://www.admin.ri.gov/directions/index.php
- The second public hearing will be held May 20, 2019 from 9:00am – 11:00am at the following location:
Department of Labor and Training
Conference Room, 1511 Pontiac Ave.
Cranston, RI 02920
For directions to the Department of Labor and Training and information on parking and public transportation information, please visit the following website: http://www.dlt.ri.gov/directions.htm
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