CMS phasing out Medicaid workforce initiatives

KFF Health News – Monday, August 25, 2025
By Amaya Diana and Elizabeth Hinton

On July 11, the Centers for Medicare and Medicaid Services (CMS) released a letter to states notifying them that going forward CMS does not anticipate approving new 1115 demonstration workforce initiatives or extending existing waivers. This is the latest action by the second Trump administration reversing major Biden administration waiver priorities. 1115 waivers generally reflect priorities identified by states as well as changing priorities from one presidential administration to another.

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