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1115 Waivers

1115 Waiver Watch: A Look at Budget Neutrality Policy Changes

KFF·November 5, 2026
1115 Waiver Watch: A Look at Budget Neutrality Policy Changes

This KFF analysis examines how new federal budget neutrality policies and statutory provisions will impact the renewal of Section 1115 Medicaid waivers. The report highlights that states may face significant challenges in gaining approval for Health-Related Social Needs (HRSN) services, such as nutrition support, as these initiatives now face stricter requirements for offsetting savings.

HNH Insight

The article underscores a shift in federal oversight where social-needs services are increasingly scrutinized under new 'MAPS' policy standards, making it harder for states to maintain nutrition-related demonstration projects without clear, quantifiable financial offsets.

Read original article on KFF
Medicaid
1115 Waiver
Budget Neutrality
HRSN
Nutrition Services

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