Today, CMS approved an additional seven state Medicaid waiver requests under Section 1135 of the Social Security Act (Act), bringing the total number of approved Section 1135 waivers for states to twenty three. The waivers were approved within days of states’ submitting them, with average approval time taking less than seven calendar days. The waivers offer states new flexibilities to focus their resources on combatting the outbreak and providing the best possible care to their Medicaid beneficiaries. These waivers support President Trump’s commitment to operating a COVID-19 response that is locally executed, state managed and federally supported. All Section 1135 approval letters will be posted here as they are issued.