Ask an Expert

Rachel Gershon
Associate, Center for Health Law and Economics
Commonwealth Medicine
University of Massachusetts Medical School

Because waivers are enacted at the state level, they generally don’t garner the attention from the national press as federal health care bills in Congress. With less press and public scrutiny, reforms unpopular in Congress can still become policy. The Trump administration has already signaled its intention to push state health reform forward using waivers by sending letters to governors.