Section 1115 demonstrations and waiver authorities in section 1915 of the Social Security Act are vehicles states can use to test new or existing ways to deliver and pay for health care services in Medicaid and the Children’s Health Insurance Program (CHIP). All current and concluded state programs authorized under these authorities may be accessed using the below dynamic list. Learn more about the section 1915(b), section 1915(c), and section 1115 authorities.
State Waivers List
Texas
Approval Date: July 16, 2026
Effective Date: September 1, 2024
Texas
Approval Date: July 16, 2026
Effective Date: September 1, 2023
California
Approval Date: July 14, 2026
Effective Date: January 1, 2023
California
Approval Date: July 14, 2026
Effective Date: January 1, 2023
California
Approval Date: July 14, 2026
Effective Date: January 1, 2023
California
Approval Date: July 14, 2026
Effective Date: March 1, 2024
District of Columbia
Approval Date: July 10, 2026
Effective Date: October 1, 2022
Utah
Approval Date: July 2, 2026
Effective Date: July 1, 2025
Utah
Approval Date: July 2, 2026
Effective Date: July 1, 2024
Utah
Approval Date: July 2, 2026
Effective Date: July 1, 2025