On October 22nd, 2018 the Trump Administration released new guidance on 1332 waivers that in many ways reshapes and expands the policies that states can have approved as part of a 1332 waiver. This paper will examine what the guidance does, how this affects potential 1332 waivers, and what are things to keep an eye out for in the future.

What is Section 1332 of the ACA?