Ms. McKenzie wrote this bylined article describing how states can use Section 1115 waivers to expand Medicaid coverage according to state-specific needs. Ms. McKenzie detailed how the Affordable Care Act “fundamentally altered” the nature of these waivers, by eliminating the need for states to obtain Section 1115 waivers to cover low-income individuals, who were newly covered under Medicaid. And she explained how waivers could provide an avenue for extra federal funding to implement the Medicaid expansion innovatively.