Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Medicaid Demonstrations and Impacts on Health Coverage: A Review of the Evidence

Publication Date
Mar 10, 2021

This issue brief examines the effects on coverage and access to care of policies in four major areas of state Medicaid section 1115 demonstrations:

  1. Work requirements (also referred to as “community engagement”),
  2. Healthy behavior incentive programs,
  3. Health savings account-like arrangements, and
  4. Capped federal funding and other financing changes.

*This content is in the process of Section 508 review. If you need immediate assistance accessing this content, please submit a request to Sarah Sugar, (202) 823-3244, Content will be updated pending the outcome of the Section 508 review.