Created by the Deficit Reduction Act of 2005 and amended by the Patient Protection and Affordable Care Act (ACA), Section 1915(i) of the Social Security Act gives state Medicaid programs the flexibility to cover home and community-based services (HCBS) through a Medicaid state plan amendment (SPA) without the need to seek a federal waiver.
Policy & Regulation
Find ASPE’s latest releases on critical aspects of health and human services-related policy and regulation on the Federal and State levels. Learn more about the impact of these policies across the country.
Noteworthy
Reports
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Advanced SearchPlanning and Implementation of the Rural IMPACT Demonstration
This report summarizes findings from an ASPE study of the first year of the White House Rural Council/HHS Rural IMPACT demonstration, which aims to reduce poverty through coordinated services for both children and parents.
ASPE Data Point
People Who Currently Buy Individual Market Coverage Could Be Eligible for ACA Subsidies
Affordable Care Act Has Led to Historic, Widespread Increase in Health Insurance Coverage
Historic gains in health insurance coverage have been achieved since the implementation of the Affordable Care Act (ACA). In this brief, we use new and previously published estimates from the National Health Interview Survey to examine gains in health insurance coverage for non-elderly adults from 2010 to 2015.