§ 1315.
(a)
Waiver of State plan requirements; costs regarded as State plan expenditures; availability of appropriations
In the case of any experimental, pilot, or demonstration project which, in the judgment of the Secretary, is likely to assist in promoting the objectives of subchapter I, X, XIV, XVI, or XIX, or part A or D of subchapter IV, in a State or States—
(1)
the Secretary may waive compliance with any of the requirements of section 302, 602, 654, 1202, 1352, 1382, or 1396a of this title, as the case may be, to the extent and for the period he finds necessary to enable such State or States to carry out such project, and
(2)
(A)
costs of such project which would not otherwise be included as expenditures under section 303, 655, 1203, 1353, 1383, or 1396b of this title, as the case may be, and which are not included as part of the costs of projects under
section 1310 of this title, shall, to the extent and for the period prescribed by the Secretary, be regarded as expenditures under the State plan or plans approved under such subchapter, or for administration of such State plan or plans, as may be appropriate, and
(B)
costs of such project which would not otherwise be a permissible use of funds under part A of subchapter IV and which are not included as part of the costs of projects under
section 1310 of this title, shall to the extent and for the period prescribed by the Secretary, be regarded as a permissible use of funds under such part.
In addition, not to exceed $4,000,000 of the aggregate amount appropriated for payments to States under such subchapters for any fiscal year beginning after
June 30, 1967, shall be available, under such terms and conditions as the Secretary may establish, for payments to States to cover so much of the cost of such projects as is not covered by payments under such subchapters and is not included as part of the cost of projects for purposes of
section 1310 of this title.
(e)
Extensions of State-wide comprehensive demonstration projects for which waivers granted
(1)
The provisions of this subsection shall apply to the extension of any State-wide comprehensive demonstration project (in this subsection referred to as “waiver project”) for which a waiver of compliance with requirements of subchapter XIX is granted under subsection (a).
(2)
During the 6-month period ending 1 year before the date the waiver under subsection (a) with respect to a waiver project would otherwise expire, the chief executive officer of the State which is operating the project may submit to the Secretary a written request for an extension, of up to 3 years (5 years, in the case of a waiver described in
section 1396n(h)(2) of this title), of the project.
(3)
If the Secretary fails to respond to the request within 6 months after the date it is submitted, the request is deemed to have been granted.
(4)
If such a request is granted, the deadline for submittal of a final report under the waiver project is deemed to have been extended until the date that is 1 year after the date the waiver project would otherwise have expired.
(5)
The Secretary shall release an evaluation of each such project not later than 1 year after the date of receipt of the final report.
(6)
Subject to paragraphs (4) and (7), the extension of a waiver project under this subsection shall be on the same terms and conditions (including applicable terms and conditions relating to quality and access of services, budget neutrality, data and reporting requirements, and special population protections) that applied to the project before its extension under this subsection.
(7)
If an original condition of approval of a waiver project was that Federal expenditures under the project not exceed the Federal expenditures that would otherwise have been made, the Secretary shall take such steps as may be necessary to ensure that, in the extension of the project under this subsection, such condition continues to be met. In applying the previous sentence, the Secretary shall take into account the Secretary’s best estimate of rates of change in expenditures at the time of the extension.
(f)
Application for extension of waiver project; submission; approval
An application by the chief executive officer of a State for an extension of a waiver project the State is operating under an extension under subsection (e) (in this subsection referred to as the “waiver project”) shall be submitted and approved or disapproved in accordance with the following:
(1)
The application for an extension of the waiver project shall be submitted to the Secretary at least 120 days prior to the expiration of the current period of the waiver project.
(2)
Not later than 45 days after the date such application is received by the Secretary, the Secretary shall notify the State if the Secretary intends to review the terms and conditions of the waiver project. A failure to provide such notification shall be deemed to be an approval of the application.
(3)
Not later than 45 days after the date a notification is made in accordance with paragraph (2), the Secretary shall inform the State of proposed changes in the terms and conditions of the waiver project. A failure to provide such information shall be deemed to be an approval of the application.
(4)
During the 30-day period that begins on the date information described in paragraph (3) is provided to a State, the Secretary shall negotiate revised terms and conditions of the waiver project with the State.
(5)
(A)
Not later than 120 days after the date an application for an extension of the waiver project is submitted to the Secretary (or such later date agreed to by the chief executive officer of the State), the Secretary shall—
(i)
approve the application subject to such modifications in the terms and conditions—
(I)
as have been agreed to by the Secretary and the State; or
(II)
in the absence of such agreement, as are determined by the Secretary to be reasonable, consistent with the overall objectives of the waiver project, and not in violation of applicable law; or
(ii)
disapprove the application.
(B)
A failure by the Secretary to approve or disapprove an application submitted under this subsection in accordance with the requirements of subparagraph (A) shall be deemed to be an approval of the application subject to such modifications in the terms and conditions as have been agreed to (if any) by the Secretary and the State.
(6)
An approval of an application for an extension of a waiver project under this subsection shall be for a period not to exceed 3 years (5 years, in the case of a waiver described in
section 1396n(h)(2) of this title).
(7)
An extension of a waiver project under this subsection shall be subject to the final reporting and evaluation requirements of paragraphs (4) and (5) of subsection (e) (taking into account the extension under this subsection with respect to any timing requirements imposed under those paragraphs).
([Aug. 14, 1935, ch. 531], title XI, § 1115, as added [Pub. L. 87–543, title I, § 122], July 25, 1962, [76 Stat. 192]; amended [Pub. L. 89–97, title I, § 121(c)(3)], July 30, 1965, [79 Stat. 352]; [Pub. L. 90–36, § 2], June 29, 1967, [81 Stat. 94]; [Pub. L. 90–248, title II], §§ 241(c)(4), 247, Jan. 2, 1968, [81 Stat. 917], 918; [Pub. L. 93–233, § 18](z–2)(1)(B), Dec. 31, 1973, [87 Stat. 973]; [Pub. L. 93–647, § 3(c)], Jan. 4, 1975, [88 Stat. 2349]; [Pub. L. 95–216, title IV, § 404], Dec. 20, 1977, [91 Stat. 1562]; [Pub. L. 97–35, title XXIII, § 2353(g)], Aug. 13, 1981, [95 Stat. 872]; [Pub. L. 98–369, div. B, title VI, § 2663(e)(5)], July 18, 1984, [98 Stat. 1168]; [Pub. L. 98–378, § 10], Aug. 16, 1984, [98 Stat. 1317]; [Pub. L. 99–272, title XIV, § 14001(b)(2)], Apr. 7, 1986, [100 Stat. 328]; [Pub. L. 100–485, title V, § 503], Oct. 13, 1988, [102 Stat. 2402]; [Pub. L. 104–193, title I, § 108(g)(2)], Aug. 22, 1996, [110 Stat. 2168]; [Pub. L. 105–33, title IV, § 4757(a)], Aug. 5, 1997, [111 Stat. 527]; [Pub. L. 106–554, § 1(a)(6) [title VII, § 703(a)]], Dec. 21, 2000, [114 Stat. 2763], 2763A–574; [Pub. L. 111–148, title II, § 2601(b)(2)], title X, § 10201(i), Mar. 23, 2010, [124 Stat. 315], 922; [Pub. L. 113–183, title III, § 302(b)], Sept. 29, 2014, [128 Stat. 1945].)