Alert: Preparing Your Coalition for Closing the Gap through a Waiver

Dear Partners,

More and more states are closing the coverage gap by putting their own stamp on their state’s Medicaid program, often by seeking federal approval of a Section 1115 waiver. While these waivers may be the only politically feasible path to closing the coverage gap in some states, they also have the potential to undermine important consumer protections and create barriers to care for low-income adults. 

Because they have the potential to pit two important goals against one another – closing the coverage gap and preserving important protections for Medicaid beneficiaries - these policy compromises may be a divisive issue for coalitions that are otherwise united behind the goal to close the coverage gap. To help you prepare your coalitions for these policy compromises and to navigate the waiver process, we wanted to share two resources:

  • Policy Brief. This brief walks through some of the themes we’ve seen in recent 1115 Waivers that have been approved or are currently pending approval by CMS.
  • Coalition Guide. This resource offers tips, tools, and best practices from advocates to use in preparing your coalition to respond to these policy compromises and to potentially develop coalition principles for how to close the coverage gap.

Additionally, our partners at the Center on Budget and Policy Priorities recently released a report on lessons from approved waivers that is another helpful resource. 

If you have any questions about these resources, please contact Katherine Howitt at

Thank you for your continued advocacy,

Community Catalyst Close the Gap Team

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