This study, jointly published by the Mackinac Center for Public Policy and the Buckeye Institute for Public Policy Solutions, examines whether states can rely on using federally granted “waivers” to avoid some federal rules and regulations in hopes of expanding their Medicaid programs in a more cost-effective manner. It reports that there are three limitations to such a strategy: waivers are temporary, subject to the discretion of federal agencies and vulnerable to judicial review.
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