CMS Pass-Through Calculations For IA Waiver Cast Doubt On Whether State Can Afford It

The chances for Iowa to get its sweeping 1332 waiver appear dimmer now that CMS has told state officials the agency won’t offer pass-through funding as robust as what Iowa requested in its application and will deduct any “losses” to the federal government due to its inability to collect exchange user fees, or individual and employer mandate penalties under the state's proposed approach. However, the agency hasn’t yet shut the door on the state’s so-called stopgap measure, and state officials...