Assistance Listing 93.423
1332 State Innovation Waivers
Centers for Medicare and Medicaid Services · Department of Health and Human Services
The verdict for a small nonprofit
Rarely funds nonprofits directly. 100% of awards go to governments and other applicants, so look for a subrecipient or partner role instead.
Based on 3 new awards in FY2022–24. The median award is $30,097,499,241.
- First-time winners
- —
- of new awards, last 3 FYs
- Nonprofit share
- 0%
- 0% higher ed · 100% gov't
- Under-$1M orgs
- n/a
- revenue join unavailable
- Median award
- $30B
- $30B – $30B middle half
- New awards, FY2024
- 1
- $30B committed to them
Open right now under this program
Nothing open · from Grants.gov, checked every 10 minutes
Who won in FY2024
Largest recipients by dollars. From USAspending.
| Recipient | Type | State | Awards | Awarded |
|---|---|---|---|---|
| NYS Department of Health | Government | NY | 1 | $30,097,499,241 |
| Department of Insurance of the State of Georgia | Government | GA | 1 | $3,464,839,412 |
| State Corporation Commission | Government | VA | 1 | $1,610,620,632 |
| Pennsylvania Department of Insurance | Government | PA | 1 | $751,296,644 |
| Idaho Individual High Risk Reinsurance Pool | Government | ID | 1 | $410,864,212 |
| State Auditor Montana | Government | MT | 1 | $234,890,444 |
| New Hampshire Individual Health Plan Benefit Association | Government | NH | 1 | $177,305,664 |
| Insurance Department, New Hampshire | Government | NH | 1 | $0 |
New awards by fiscal year
Awards first made in each fiscal year; dollars are the total committed to that year's new awards over their life.
| FY | New awards | Committed | Median | Middle half |
|---|---|---|---|---|
| 2021 | 4 | $1.2B | $235M | $206M – $493M |
| 2022 | 1 | $3.5B | $3.5B | $3.5B – $3.5B |
| 2023 | 2 | $2.0B | $1.0B | $711M – $1.3B |
| 2024 | 1 | $30B | $30B | $30B – $30B |
Common questions
How hard is it to win a grant under 93.423?
Rarely funds nonprofits directly. 100% of awards go to governments and other applicants, so look for a subrecipient or partner role instead. Based on 3 new awards in FY2022–24. The median award is $30,097,499,241.
How much does 1332 State Innovation Waivers award?
In FY2024 the median new award was $30B; the middle half ran from $30B to $30B. 1 new awards were made, with $30B committed to them.
When does 93.423 usually post?
Posting history is irregular; watch this page for the next round.
Who runs this program?
Department of Health and Human Services (Centers for Medicare and Medicaid Services). Assistance Listing 93.423 on SAM.gov describes the authorizing statute and standard terms.
Sources: USAspending FY2021–25 award archive (2026-10-06); Grants.gov Search2 (fetched 2026-10-28); IRS EO BMF (fetched 2026-10-28). Award counts are new awards by fiscal year of first action. Shares are computed from award counts, not dollars. Recipient type comes from the award record's business-type codes. Always confirm details in the official announcement.