Assistance Listing 93.423
1332 State Innovation Waivers
HEALTH AND HUMAN SERVICES, DEPARTMENT OF · Centers for Medicare and Medicaid Services
Assistance Listing 93.423, “1332 State Innovation Waivers,” is a federal program administered by HEALTH AND HUMAN SERVICES, DEPARTMENT OF. It provides grant assistance. GrantsJunction currently tracks 0 open, 0 forecasted and 0 closed opportunities under this listing. The agency reported $16.1B in obligations for fiscal year 2025.
Program objective
Under Section 1332 of the ACA, states can apply for State Innovation Waivers (also referred to as section 1332 waivers) and pursue innovative strategies to adapt many of the law's requirements to suit the state's specific needs. To receive approval, the state must demonstrate that a proposed section 1332 waiver meets the statutory guardrails to provide coverage that is at least as comprehensive as the coverage provided without the waiver; provides coverage and cost-sharing protections against excessive out-of-pocket spending that are at least as affordable as without the waiver; provides coverage to at least a comparable number of residents as without the waiver; and does not increase the federal deficit. Before submitting its section 1332 waiver application the state must also provide a public notice and comment period, including public hearings, sufficient to ensure a meaningful level of public input, and enact a law providing for implementation of the waiver. Under a section 1332 waiver, a state may receive pass-through funding associated with the resulting reductions in federal spending on Exchange financial assistance consistent with the statute.
As published in the SAM.gov Assistance Listing.
Current opportunities under 93.423
No open or forecasted opportunities are currently posted under this listing. Programs often post notices on an annual cycle — see recently closed opportunities below for timing.
Eligible applicants (program level)
- U.S. Territory (or Possession) Government (including freely-associated states)
- State
This funding opportunity is only open to US States, Territories and Possessions.
Intended beneficiaries: State and U.S. Territories.
Program-level eligibility from SAM.gov. Each funding notice sets its own requirements.
Reported obligations by fiscal year
Historical data · not a predictionRange and average of financial assistance (from the listing): TBD
Source: SAM.gov Assistance Listing 93.423. Hatched bars are agency estimates. These totals do not indicate approval rates.Frequently asked questions
What is ALN 93.423?
93.423 is the Assistance Listing Number for “1332 State Innovation Waivers.” Assistance Listing Numbers (formerly CFDA numbers) identify federal assistance programs; individual grant opportunities reference the listing they are funded under.
Who can apply under ALN 93.423?
The SAM.gov listing names these applicant types: U.S. Territory (or Possession) Government (including freely-associated states) and State. Each funding notice under the program sets its own eligibility, so check the specific opportunity.
How much funding does 93.423 provide?
The agency reported $16,089,981,136 in obligations for FY2025 in the SAM.gov Assistance Listing. These are program-wide totals reported by the agency, not a prediction of future awards.