The ACA’s Section 1332 waiver program allows states to waive certain requirements of the federal healthcare law as long as certain conditions are met. States are able to opt-out of the federal individual and employer mandates, marketplaces and subsidies, essential health benefits, and qualified health plan (QHP) certifications; However, the state program must cover at least as many people as under the ACA, the coverage must be at least as comprehensive and affordable, and it may not increase the federal deficit. A state may not waive the guarantee-issue provisions. The program officially took effect on January 1, 2017.
Learn more about the Waiver program here.