The Capitol Hill Reader

The Capitol Hill Reader

Wednesday Reader: Medicaid, Now Featuring Regional Variations

How federal waivers let states rewrite the program without rewriting the law

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The Capitol Hill Reader
Dec 17, 2025
∙ Paid

Hello readers,

We have decided to reintroduce our “Wednesday Reader” articles, in which we briefly describe something important going on in government that you may not know about.

Today, we’re going to talk about Section 1115 Medicaid Waivers, and why your zip code may soon determine the extent of your Medicaid coverage.

Table of Contents

  • What is a Section 1115 Waiver?

  • The federal role: approval without uniformity.

  • How states are already using waivers.

  • Why does this matter?

  • The question moving forward.

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