Putting the award page together from the records…
Putting the award page together from the records…
STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT
SpendQuery holds FY2023 on; earlier years are on USAspending.gov.
15 subawards totaling $1.40B (65.8% of what was obligated), as Maryland Health Benefit Exchange reported them. Primes report subawards of $30,000 or more; smaller ones and unreported ones aren't here.
| Subrecipient | Amount | Subawards | Where | First | Last |
|---|---|---|---|---|---|
| Carefirst Bluechoice Inc | $558.31M | 2 | DC | 2024-09-30 | 2025-09-26 |
| Carefirst, Inc. | $333.56M | 3 | DC, MD | 2023-09-30 | 2023-09-30 |
| Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. | $141.08M | 2 | MD | 2024-09-30 | 2025-09-26 |
| Carefirst of Maryland, Inc | $108.77M | 2 | MD | 2024-09-30 | 2025-09-26 |
| Optimum Choice, Inc | $101.56M | 2 | MD | 2024-09-30 | 2025-09-26 |
| Group Hospitalization and Medical Services, Inc | $85.77M | 2 | DC | 2024-09-30 | 2025-09-26 |
| Kaiser Foundation Health Plan, Inc. | $71.06M | 1 | MD | 2023-09-30 | 2023-09-30 |
| Aetna Health Inc | $4.18M | 1 | PA | 2025-09-26 | 2025-09-26 |
| Date | To | Amount | For |
|---|---|---|---|
| 2024-09-30 | Carefirst Bluechoice Inc | $280.62M | PAYMENT FOR REINSURANCE CLAIMS |
| 2025-09-26 | Carefirst Bluechoice Inc | $277.69M | THE STATE OF MARYLAND HAS A REINSURANCE PROGRAM THAT REIMBURSES CLAIMS THAT ARE PAID BY THE HEALTH INSURANCE CARRIERS. IT IS THE 1332 WAIVER GRANT PROGRAM. THE PARAMETERS OF THE REINSURANCE PROGRAM ARE SET BY THE… |
| 2023-09-30 | Carefirst Bluechoice Inc | $258.09M | PAYMENT FOR REINSURANCE CLAIMS. |
| 2023-09-30 | Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. | $71.06M | PAYMENT FOR REINSURANCE CLAIMS. |
| 2024-09-30 | Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. | $71.03M | PAYMENT FOR REINSURANCE CLAIMS |
| 2025-09-26 | Optimum Choice, Inc | $70.52M | THE STATE OF MARYLAND HAS A REINSURANCE PROGRAM THAT REIMBURSES CLAIMS THAT ARE PAID BY THE HEALTH INSURANCE CARRIERS. IT IS THE 1332 WAIVER GRANT PROGRAM. THE PARAMETERS OF THE REINSURANCE PROGRAM ARE SET BY THE… |
| 2025-09-26 | Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. | $70.05M | THE STATE OF MARYLAND HAS A REINSURANCE PROGRAM THAT REIMBURSES CLAIMS THAT ARE PAID BY THE HEALTH INSURANCE CARRIERS. IT IS THE 1332 WAIVER GRANT PROGRAM. THE PARAMETERS OF THE REINSURANCE PROGRAM ARE SET BY THE… |
| 2025-09-26 | Carefirst of Maryland, Inc | $58.57M | THE STATE OF MARYLAND HAS A REINSURANCE PROGRAM THAT REIMBURSES CLAIMS THAT ARE PAID BY THE HEALTH INSURANCE CARRIERS. IT IS THE 1332 WAIVER GRANT PROGRAM. THE PARAMETERS OF THE REINSURANCE PROGRAM ARE SET BY THE… |
| 2024-09-30 | Carefirst of Maryland, Inc | $50.20M | PAYMENT FOR REINSURANCE CLAIMS |
| 2025-09-26 | Group Hospitalization and Medical Services, Inc | $45.74M | THE STATE OF MARYLAND HAS A REINSURANCE PROGRAM THAT REIMBURSES CLAIMS THAT ARE PAID BY THE HEALTH INSURANCE CARRIERS. IT IS THE 1332 WAIVER GRANT PROGRAM. THE PARAMETERS OF THE REINSURANCE PROGRAM ARE SET BY THE… |
| 2023-09-30 | Carefirst of Maryland, Inc | $43.15M | PAYMENT FOR REINSURANCE CLAIMS. |
| 2024-09-30 | Group Hospitalization and Medical Services, Inc | $40.03M | PAYMENT FOR REINSURANCE CLAIMS |
| 2023-09-30 | Group Hospitalization and Medical Services, Inc | $32.33M | PAYMENT FOR REINSURANCE CLAIMS. |
| 2024-09-30 | Optimum Choice, Inc | $31.04M | PAYMENT FOR REINSURANCE CLAIMS |
| 2025-09-26 | Aetna Health Inc | $4.18M | THE STATE OF MARYLAND HAS A REINSURANCE PROGRAM THAT REIMBURSES CLAIMS THAT ARE PAID BY THE HEALTH INSURANCE CARRIERS. IT IS THE 1332 WAIVER GRANT PROGRAM. THE PARAMETERS OF THE REINSURANCE PROGRAM ARE SET BY THE… |
9 actions since 2023-02-02. Each is a modification or amendment with the money it added or took back.
| Date | Amendment | Kind | Amount | What the agency wrote |
|---|---|---|---|---|
| 2026-08-05 | 00 | B1 | $556.60M | STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT - COOPERATIVE AGREEMENT TO SUPPORT 1332 SIWS IN FEDERALLY FACILITATED EXCHANGES. |
| 2025-06-02 | 00 | Continuation | $577.75M | STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT - COOPERATIVE AGREEMENT TO SUPPORT 1332 SIWS IN FEDERALLY FACILITATED EXCHANGES. |
| 2024-07-26 | 00 | Continuation | $526.75M | STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT - COOPERATIVE AGREEMENT TO SUPPORT 1332 SIWS IN FEDERALLY FACILITATED EXCHANGES. |
| 2023-11-28 | 04 | Revision | $0 | STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT - COOPERATIVE AGREEMENT TO SUPPORT 1332 SIWS IN FEDERALLY FACILITATED EXCHANGES. |
| 2023-09-27 | 03 | Revision | $0 | STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT |
| 2023-09-12 | 02 | Revision | $0 | STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT |
| 2023-09-06 | 01 | Revision | $0 | STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT |
| 2023-06-23 | 00 | Continuation | $473.03M | STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT |
| 2023-02-02 | 01 | Revision | $0 | STATE INNOVATION WAIVER UNDER SECTION 1332 OF THE AFFORDABLE CARE ACT |
Source: USAspending.gov prime award transactions and FSRS subaward reports, as loaded by SpendQuery (data as of 2026-10-20). Amounts are obligations (money committed), not outlays. The official record on USAspending.gov ↗