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: September 29, 2026
Effective Date: September 1, 2022
Texas
Approval Date: September 29, 2026
Effective Date: September 1, 2023
Utah
Approval Date: September 25, 2026
Effective Date: October 1, 2026
Nevada
Approval Date: September 23, 2026
Effective Date: October 1, 2026
Minnesota
Approval Date: September 23, 2026
Effective Date: October 1, 2026
Louisiana
Approval Date: September 23, 2026
Effective Date: October 1, 2026
Washington
Approval Date: September 18, 2026
Effective Date: January 1, 2024
Washington
Approval Date: September 18, 2026
Effective Date: January 1, 2025
Washington
Approval Date: September 18, 2026
Effective Date: January 1, 2024
California
Approval Date: September 18, 2026
Effective Date: January 1, 2023