1332 State Innovation Waivers — CFDA 93.423 obligations

What $44.58 billion on 19 awards means

Assistance listing 93.423 is titled 1332 STATE INNOVATION WAIVERS in the USAspending.gov files this site indexes. The obligation total on that code is $44,582,825,971.96. An obligation is a recorded federal commitment on an award. It is not an outlay. Treating $44,582,825,971.96 as pass-through already paid to issuers mixes two series. SpendingVault keeps the label as obligations.

19 awards sit under that dollar book. Dividing $44,582,825,971.96 by 19 produces a mean near $2.35 billion per award record. That quotient is derived from the two packet totals. It is not a typical premium and not a per-enrollee subsidy. Waiver pass-through dollars often sit on one large action per participating state, which is why 19 records can carry $44,582,825,971.96.

The extract also lists 19 recipients and 19 states. Those three volume stats match. That alignment is a file fact for CFDA 93.423 in this packet, not a guarantee that every future extract will stay one-to-one.

19 awards, 19 recipients, 19 states

CFDA 93.423 lists 19 awards, 19 recipients, and 19 states. Recipient count is organizational recipients stored on assistance rows, not a census of marketplace enrollees. 19 is not a headcount of issuers nationwide. The 19-state span is a coded-jurisdiction count. Matching counts suggest each coded state in this extract corresponds to one award and one organizational recipient, but the hub does not publish a join key beyond those three totals.

Because dollars are concentrated, moving a single award would move a large share of $44,582,825,971.96. Extra modifications could later lift the 19-award count without adding recipients. Cite the three matching counts together when the 1332 figure is reused so readers see concentration, not a high-volume grant file.

Obligations versus waiver outlays

USAspending.gov publishes obligations on assistance awards. The $44,582,825,971.96 figure for CFDA 93.423 can include multi-year pass-through commitments that will disburse later. CMS 1332 operational reports and a single fiscal year’s marketplace appropriation are different publications. This page does not translate the obligation total into those series.

If a number you expected is missing, the usual cause is a different reporting concept. Start from the obligation definition, then open the 93.423 program page. Do not stretch 19 awards into an enrollment file.

What the 93.423 tables omit

The 1332 State Innovation Waivers hub lists award-backed obligations from USAspending.gov. It is not a waiver-application archive, not an issuer rate filing, and not an enrollment dashboard. Series that never appear as assistance awards will not show up in the $44,582,825,971.96. That omission is definitional rather than a gap in the 19 award rows.

Place-of-performance on 19 states is a coding field. A statewide recipient coded to one cell can dominate geography while enrollees live in many counties. Read the program page before any state split.

How to cite CFDA 93.423

A complete citation is $44,582,825,971.96 in obligations for CFDA 93.423, covering 19 awards, 19 recipients, and 19 states, drawn from USAspending.gov assistance awards on SpendingVault. Name the series as obligations. If the question is concentration rather than dollars, lead with the matching 19-19-19 counts, then the dollar total.

Start with the 1332 State Innovation Waivers program page, then the all-programs index. Agency pages show awarding organizations; they do not replace this listing’s obligation total. Nothing here is waiver-strategy advice.

A worked reading of the 93.423 extract

Start from the four packet facts: $44,582,825,971.96, 19 awards, 19 recipients, and 19 states under CFDA 93.423. The mean near $2.35 billion is a quotient from 19 records, not a typical premium. If a later USAspending.gov file adds one participating jurisdiction, all three volume counts can move together. If modifications proliferate, 19 awards can rise while 19 recipients stay put and the dollar book stays close to $44,582,825,971.96.

Nothing in the extract splits pass-through payments by reinsurance versus other waiver designs. Those cuts live in CMS 1332 publications. Treat CFDA 93.423 as an assistance-listing tag on USAspending.gov award files. Open the 1332 State Innovation Waivers program page, then the all-programs index, for a same-series ranking. Cite the matching 19-19-19 counts next to the dollars so concentration is the story.

Questions

How much is obligated under 1332 State Innovation Waivers?

USAspending.gov assistance awards indexed on SpendingVault show $44,582,825,971.96 in obligations for CFDA 93.423. That sum is an obligation total, not a Treasury outlay total and not a count of marketplace enrollees. The same extract lists 19 awards, 19 recipients, and 19 states.

Why do awards, recipients, and states all equal 19?

In this extract, CFDA 93.423 stores 19 awards, 19 organizational recipients, and 19 states. Those matching counts are file statistics, consistent with one large action per coded jurisdiction, not a census of issuers or enrollees. The $44,582,825,971.96 total still sits on those 19 award rows.

Does the 1332 total include pass-through already paid?

Not as a cash-paid sum. USAspending reports obligations—commitments to pay—rather than outlays. The $44,582,825,971.96 figure can include amounts that will disburse later. The 19-award count is a record tally, not a count of issuer payments. Cite CFDA 93.423 with the obligation total from USAspending.gov assistance awards, not an outlay series.

How many states appear on CFDA 93.423?

The extract codes 19 states for 1332 State Innovation Waivers. That count matches the 19-award and 19-recipient totals in this packet. It is place-of-performance geography in USAspending.gov assistance files, not a map of every enrollee. Those rows still sit under $44,582,825,971.96.