{"data":{"id":"us/45-cfr-155.1330","jurisdiction":"us","citation":"45 CFR 155.1330","heading":"Waiver amendment.","body":"(a) Amendment to an approved section 1332 waiver. A State may request an amendment to an approved section 1332 waiver from the Secretary and the Secretary of the Treasury. A section 1332 waiver amendment is considered a change to a section 1332 waiver plan that is not otherwise allowable under the terms and conditions of an approved waiver, a change that could impact any of the section 1332 statutory guardrails or a change to the program design for an approved waiver. A State is not authorized to implement any aspect of the proposed amendment without prior approval by the Secretary and the Secretary of the Treasury.\n(b) [Reserved]","path":["Title 45—Public Welfare","SUBTITLE A—Department of Health and Human Services","SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS","PART 155—EXCHANGE ESTABLISHMENT STANDARDS AND OTHER RELATED STANDARDS UNDER THE AFFORDABLE CARE ACT","Subpart N—State Flexibility"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-45.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:21Z","sha256":"631e1ca9782c8ab3cffd58b94834b34feedc02a1179b6aba828921e1d0bd1d9e","source_id":"us-cfr","stale":true,"prev":"us/45-cfr-155.1328","next":"us/45-cfr-155.1332"},"notice":"GroundRules: Original legal text. Not legal advice."}