On May 16, CMS released a 1332 Innovation Waiver Checklist intended to assist states in seeking waivers of Affordable Care Act requirements to allow for the establishment of high-risk pools and state operated reinsurance programs. CMS hopes the new tool will help stabilize state health insurance markets for 2018, pointing to Alaska as a model. There has been no change, however, in the underlying requirements that 1332 waivers provide for access to care that is at least as comprehensive as affordable to at least a comparable number of residents as would be provided without a waiver.