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Cooperative Agreement to Support 1332 SIWs in Federally-facilitated Exchanges

Award Number: SIWIW180004
ORGANIZATION: THE CENTER FOR CONSUMER INFORMATION INSURANCE OVERSIGHT
OPDIV: CMS
AWARD CLASS: CLOSED-ENDED
AWARD ACTIVITY TYPE: SOCIAL SERVICES
PERIOD OF PERFORMANCE START DATE: 04/23/2018
PERIOD OF PERFORMANCE END DATE: 12/31/2027

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Cooperative Agreement to Support 1332 SIWs in Federally-facilitated Exchanges - Alaska State Innovation Waiver under section 1332 of the Affordable Care Act was approved in July 2017 and is effective January 1 2018 through December 31 2022. The waiver has helped lower healthcare premium costs and stabilize the individual health insurance market. The 1332 waiver is a prime example of a successful state federal partnership one which helps the Affordable Care Act meet its goals by making insurance more affordable to individual Alaskans. Alaska is utilizing the flexibility granted to states through the Section 1332 process to stabilize the individual healthcare market and waive the single risk pool as described in 1312c1 to a limited extent. Alaska was granted the first reinsurance waiver in the nation. Since 2017 15 states have developed reinsurance programs and used 1332 waivers to partially fund their programs. Under the proposed waiver extension Alaska would continue to waive the Single Risk Pool for the Individual Market 1312c1 to the extent it would otherwise require excluding total expected state reinsurance payments when establishing the marketwide index rate. The federal government would continue to provide pass through funds to ensure the long term stabilization and viability of Alaska individual health insurance market. Alaska would continue to receive the federal funding to subsidize the Alaska Reinsurance Program ARP based on savings that would be generated because of a reduction in Advanced Premium Tax Credits APTC. The state would appropriate the remaining amount of funds necessary to ensure the ARP is fully funded after adjusting for medical inflation. The State Innovation Waiver would be effective January 1 2023 for a period of five years.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $118,431,812 )
2025	2025	AK DEPARTMENT OF COMMERCE COMMUNITY ECONO	333 Willoughby Ave	Juneau	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	00	8	6/2/2025	NON-COMPETING CONTINUATION	$118,431,812
														Subtotal = $118,431,812

Issue Date FY: 2024 ( Subtotal = $110,138,024 )
2024	2024	AK DEPARTMENT OF COMMERCE COMMUNITY ECONO	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	00	7	7/26/2024	NON-COMPETING CONTINUATION	$110,138,024
2024	2023	AK DEPARTMENT OF COMMERCE COMMUNITY ECONO	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	01	6	4/18/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $110,138,024

Issue Date FY: 2023 ( Subtotal = $129,085,466 )
2023	2023	AK DEPARTMENT OF COMMERCE COMMUNITY ECONO	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	00	6	6/23/2023	NON-COMPETING CONTINUATION	$129,085,466
2023	2022	AK DEPARTMENT OF COMMERCE COMMUNITY ECONO	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	04	5	4/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	AK DEPARTMENT OF COMMERCE COMMUNITY ECONO	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	03	5	3/6/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	AK DEPARTMENT OF COMMERCE COMMUNITY ECONO	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	02	5	3/1/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	AK DEPARTMENT OF COMMERCE COMMUNITY ECONO	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	01	5	2/2/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $129,085,466

Issue Date FY: 2022 ( Subtotal = $119,410,740 )
2022	2022	COMMERCE, COMMUNITY & ECONOMIC DEVELOPMENT, ALASKA DEPARTMENT OF	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	00	5	7/14/2022	NON-COMPETING CONTINUATION	$119,410,740
														Subtotal = $119,410,740

Issue Date FY: 2021 ( Subtotal = $122,270,217 )
2021	2021	COMMERCE, COMMUNITY & ECONOMIC DEVELOPMENT, ALASKA DEPARTMENT OF	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	00	4	4/29/2021	NON-COMPETING CONTINUATION	$78,442,889
2021	2021	COMMERCE, COMMUNITY & ECONOMIC DEVELOPMENT, ALASKA DEPARTMENT OF	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	01	4	9/21/2021	SUPPLEMENT FOR EXPANSION	$43,827,328
														Subtotal = $122,270,217

Issue Date FY: 2020 ( Subtotal = $76,699,460 )
2020	2020	COMMERCE, COMMUNITY & ECONOMIC DEVELOPMENT, ALASKA DEPARTMENT OF	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	00	3	4/15/2020	NON-COMPETING CONTINUATION	$76,699,460
														Subtotal = $76,699,460

Issue Date FY: 2019 ( Subtotal = $68,689,234 )
2019	2019	COMMERCE, COMMUNITY & ECONOMIC DEVELOPMENT, ALASKA DEPARTMENT OF	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	00	2	4/30/2019	NON-COMPETING CONTINUATION	$68,689,234
														Subtotal = $68,689,234

Issue Date FY: 2018 ( Subtotal = $58,484,978 )
2018	2018	COMMERCE, COMMUNITY & ECONOMIC DEVELOPMENT, ALASKA DEPARTMENT OF	333 WILLOUGHBY AVE	JUNEAU	AK	99801	JUNEAU	USA	1332 State Innovation Waivers	00	1	4/23/2018	NEW	$58,484,978
														Subtotal = $58,484,978

Grand Total All Awards = $803,209,931

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Cooperative Agreement to Support 1332 SIWs in Federally-facilitated Exchanges

Award Number: SIWIW180004

ORGANIZATION: THE CENTER FOR CONSUMER INFORMATION INSURANCE OVERSIGHT

OPDIV: CMS

AWARD CLASS: CLOSED-ENDED

AWARD ACTIVITY TYPE: SOCIAL SERVICES

PERIOD OF PERFORMANCE START DATE: 04/23/2018

PERIOD OF PERFORMANCE END DATE: 12/31/2027

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