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
New York
Approval Date: March 19, 2026
Effective Date: April 1, 2025
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Montana
Approval Date: March 17, 2026
Effective Date: March 27, 2026
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Nevada
Approval Date: February 27, 2026
Effective Date: April 1, 2026
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Oklahoma
Approval Date: February 27, 2026
Effective Date: January 1, 2025
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Louisiana
Approval Date: February 18, 2026
Effective Date: July 1, 2026
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Louisiana
Approval Date: February 18, 2026
Effective Date: March 1, 2026
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Connecticut
Approval Date: January 30, 2026
Effective Date: April 1, 2026
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Iowa
Approval Date: January 23, 2026
Effective Date: April 1, 2024
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Wisconsin
Approval Date: January 7, 2026
Effective Date: January 1, 2025
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Maryland
Approval Date: December 22, 2025
Effective Date: February 1, 2026
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Oregon
Approval Date: December 22, 2025
Effective Date: January 1, 2026
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Michigan
Approval Date: December 22, 2025
Effective Date: January 1, 2026
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Oregon
Approval Date: December 17, 2025
Effective Date: January 1, 2026
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Louisiana
Approval Date: December 15, 2025
Effective Date: March 1, 2026
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Missouri
Approval Date: December 12, 2025
Effective Date: January 1, 2026
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Indiana
Approval Date: December 5, 2025
Effective Date: December 31, 2025
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Virginia
Approval Date: November 24, 2025
Effective Date: December 1, 2025
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Kentucky
Approval Date: November 6, 2025
Effective Date: January 1, 2026
Indiana
Approval Date: October 22, 2025
Effective Date: January 1, 2026
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Pennsylvania
Approval Date: October 15, 2025
Effective Date: January 1, 2026
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New Mexico
Approval Date: October 14, 2025
Effective Date: September 28, 2025
Maryland
Approval Date: October 5, 2025
Effective Date: October 5, 2025
Maryland
Approval Date: October 5, 2025
Effective Date: October 5, 2025
Virginia
Approval Date: September 15, 2025
Effective Date: October 1, 2025
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South Carolina
Approval Date: August 1, 2025
Effective Date: August 1, 2020
Arkansas
Approval Date: July 22, 2025
Effective Date: July 22, 2025
Connecticut
Approval Date: July 18, 2025
Effective Date: October 1, 2025
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New Hampshire
Approval Date: June 26, 2025
Effective Date: July 1, 2025
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Idaho
Approval Date: June 26, 2025
Effective Date: July 1, 2025
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Kentucky
Approval Date: June 23, 2025
Effective Date: January 1, 2026
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Florida
Approval Date: June 18, 2025
Effective Date: July 1, 2025
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West Virginia
Approval Date: June 18, 2025
Effective Date: July 1, 2025
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Colorado
Approval Date: June 17, 2025
Effective Date: July 1, 2025
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Colorado
Approval Date: June 17, 2025
Effective Date: July 1, 2025
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Iowa
Approval Date: June 10, 2025
Effective Date: July 1, 2025
Indiana
Approval Date: June 6, 2025
Effective Date: July 16, 2025
Indiana
Approval Date: June 6, 2025
Effective Date: July 16, 2025
Florida
Approval Date: May 30, 2025
Effective Date: July 1, 2025
Colorado
Approval Date: May 30, 2025
Effective Date: July 1, 2025
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New York
Approval Date: May 27, 2025
Effective Date: July 1, 2025
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Massachusetts
Approval Date: May 23, 2025
Effective Date: October 1, 2025
Nebraska
Approval Date: April 30, 2025
Effective Date: July 1, 2025
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Kentucky
Approval Date: March 28, 2025
Effective Date: April 1, 2025
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Connecticut
Approval Date: March 26, 2025
Effective Date: March 29, 2025
New York
Approval Date: March 26, 2025
Effective Date: April 1, 2025
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North Carolina
Approval Date: March 25, 2025
Effective Date: September 25, 2024
Ohio
Approval Date: March 19, 2025
Effective Date: April 1, 2025
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Ohio
Approval Date: March 17, 2025
Effective Date: April 1, 2025
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Florida
Approval Date: February 21, 2025
Effective Date: February 1, 2025
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Michigan
Approval Date: December 27, 2024
Effective Date: December 27, 2024
Pennsylvania
Approval Date: December 26, 2024
Effective Date: December 26, 2024
Colorado
Approval Date: December 23, 2024
Effective Date: July 1, 2025
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Nevada
Approval Date: December 19, 2024
Effective Date: January 1, 2025
Kansas
Approval Date: December 19, 2024
Effective Date: January 1, 2025
Kansas
Approval Date: December 19, 2024
Effective Date: January 1, 2025
Illinois
Approval Date: December 18, 2024
Effective Date: January 1, 2025
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Michigan
Approval Date: December 17, 2024
Effective Date: January 1, 2025
California
Approval Date: December 16, 2024
Effective Date: January 1, 2025
Florida
Approval Date: December 13, 2024
Effective Date: January 1, 2025
North Carolina
Approval Date: December 6, 2024
Effective Date: January 1, 2025
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Florida
Approval Date: December 2, 2024
Effective Date: December 2, 2024
Tennessee
Approval Date: November 27, 2024
Effective Date: January 1, 2025
Tennessee
Approval Date: November 27, 2024
Effective Date: January 1, 2025
Tennessee
Approval Date: November 22, 2024
Effective Date: January 1, 2025
Indiana
Approval Date: November 5, 2024
Effective Date: December 1, 2024
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New Mexico
Approval Date: October 16, 2024
Effective Date: January 1, 2019
New York
Approval Date: September 27, 2024
Effective Date: October 1, 2024
California
Approval Date: September 26, 2024
Effective Date: July 1, 2024
Washington
Approval Date: September 24, 2024
Effective Date: January 1, 2025
New Hampshire
Approval Date: September 24, 2024
Effective Date: October 1, 2024
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Iowa
Approval Date: September 17, 2024
Effective Date: October 1, 2024
Ohio
Approval Date: September 4, 2024
Effective Date: October 1, 2024
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Iowa
Approval Date: June 26, 2024
Effective Date: July 1, 2024
Wyoming
Approval Date: June 25, 2024
Effective Date: July 1, 2024
Wyoming
Approval Date: June 25, 2024
Effective Date: July 1, 2024
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Nevada
Approval Date: June 21, 2024
Effective Date: July 1, 2024
North Carolina
Approval Date: June 21, 2024
Effective Date: July 1, 2024
Maryland
Approval Date: June 21, 2024
Effective Date: July 1, 2024
Florida
Approval Date: June 20, 2024
Effective Date: April 1, 2024
Montana
Approval Date: June 20, 2024
Effective Date: July 1, 2024
Ohio
Approval Date: June 20, 2024
Effective Date: July 1, 2024
Maryland
Approval Date: June 20, 2024
Effective Date: July 1, 2024
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West Virginia
Approval Date: June 20, 2024
Effective Date: February 1, 2023
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Montana
Approval Date: June 20, 2024
Effective Date: July 1, 2024
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Virginia
Approval Date: June 18, 2024
Effective Date: July 1, 2024
North Dakota
Approval Date: June 7, 2024
Effective Date: July 1, 2024
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Colorado
Approval Date: May 30, 2024
Effective Date: July 1, 2024
Colorado
Approval Date: May 30, 2024
Effective Date: July 1, 2024
Colorado
Approval Date: May 30, 2024
Effective Date: July 1, 2024
Indiana
Approval Date: May 29, 2024
Effective Date: July 1, 2024
Oregon
Approval Date: May 8, 2024
Effective Date: July 1, 2024
Oregon
Approval Date: May 8, 2024
Effective Date: July 1, 2024
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Washington
Approval Date: April 3, 2024
Effective Date: July 1, 2024
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Massachusetts
Approval Date: March 29, 2024
Effective Date: March 29, 2024
North Dakota
Approval Date: March 26, 2024
Effective Date: April 1, 2024
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Florida
Approval Date: March 21, 2024
Effective Date: April 1, 2024