CMS Takes Bold New Approach to Stewarding Medicaid Demonstration Project Spending

Centers for Medicare & Medicaid Services Newsroom

Jun 11, 2026

Describes a planned notice of proposed rulemaking regarding budget neutrality standards for Medicaid section 1115 demonstrations. The new standard is expected to be in effect on or after January 1, 2027. States with demonstrations up for renewal in 2027 may be required to take additional steps in the renewal process. More information will be released in future rulemaking.

Medicaid · Policy