Section 1332: State Innovation Waivers

Section 1332 of the Affordable Care Act (ACA) permits a state to apply for a State Innovation Waiver (now also referred to as a State Relief and Empowerment Waiver) to pursue innovative strategies for providing their residents with access to high quality, affordable health insurance while retaining the basic protections of the ACA.

State Innovation Waivers allow states to implement innovative ways to provide access to quality health care that is at least as comprehensive and affordable as would be provided absent the waiver, provides coverage to a comparable number of residents of the state as would be provided coverage absent a waiver, and does not increase the federal deficit.

State Innovation Waivers are available beginning January 1, 2017.  State Innovation Waivers are approved for five-year periods, and can be renewed.  Waivers must not increase the Federal deficit.

Additional Resources:


For additional information or to submit your application, contact the State Innovation Waiver team at

Pending Application(s):

Colorado:The Departments are requesting comments on Colorado’s Section 1332 waiver extension request as part of the federal public comment period. Comments can be submitted from May 28, 2021 through June 27, 2021. For more information on Colorado’s extension request, see below.