Strike the budget neutrality provision for Section 1115 Medicaid waivers.

Strikes the budget neutrality provision for Section 1115 waivers.

Pettersen proposed removing the budget neutrality restriction tied to Section 1115 Medicaid waivers.

Senate amendment to H.R. 1 - One Big Beautiful Bill Act | House of Representatives Committee on Rules
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Ms. PETTERSEN (for herself and Mr. VAN DREW) introduced the following bill ... To amend Public Law 119-21 to repeal the budget neutrality requirement for certain Medicaid demonstration projects.

Pettersen introduced legislation to repeal the budget neutrality requirement for certain Medicaid demonstration projects and rescind related appropriations.

BILLS-119hr8234ih.pdf
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introduced the following bill; which was referred to the Committee on Energy and Commerce

Pettersen introduced H.R. 8234, the Save Money, Save Lives Act, to repeal the budget neutrality requirement for certain Medicaid demonstration projects.

H.R. 8234 (IH) - Save Money, Save Lives Act - BILLS-119hr8234ih | Content Details | GovInfo
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The official homepage's latest visible news items are dated June 12 and June 9, 2026, and concern ICE detention, ICE funding, and other non-Medicaid issues; no Section 1115 Medicaid waiver or budget-neutrality action is visible in the current highlights.

Inference from the official site: no concrete public step toward striking Section 1115 Medicaid waiver budget neutrality is visible in the lookback window.

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U.S. Representative Brittany Pettersen
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The U.S. Code text in effect on May 26, 2026 includes subsection (g), titled “Requirement of budget neutrality for Medicaid demonstration projects.” It requires CMS Chief Actuary certification that a Medicaid section 1115 project is not expected to increase federal expenditures, and the editorial notes say Pub. L. 119-21 added subsection (g) in 2025.

Current federal law contains and strengthens budget neutrality for Medicaid section 1115 demonstrations rather than striking it.

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42 U.S.C. 1315: Demonstration projects
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GovInfo’s enacted public law text includes Section 71118, titled “Requiring budget neutrality for Medicaid demonstration projects under section 1115.” It amended Section 1115 to bar approval after January 1, 2027 unless CMS certifies no expected increase in federal Medicaid expenditures.

The enacted 2025 reconciliation law did the opposite of the promise: it added a statutory budget-neutrality requirement for Medicaid section 1115 demonstrations.

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Public Law 119-21
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CMS states that Section 71118 of Public Law 119-21 adds budget neutrality for Medicaid section 1115 demonstration projects as a new statutory requirement at Section 1115(g), effective for approvals beginning January 1, 2027.

CMS implementation guidance confirms that, as of June 2026, federal policy is implementing a new statutory budget-neutrality requirement, not eliminating it.

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CMS State Medicaid Director Letter 26-003: Budget Neutrality and Certification by the Chief Actuary of CMS for Section 1115 Medicaid Demonstration Projects
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Medicaid.gov explains that section 1115 demonstrations must be budget neutral to the federal government, and notes that Section 71118 of the Working Families Tax Cut legislation adds budget neutrality as a statutory requirement in Section 1115(g).

The current CMS public-facing Section 1115 page says budget neutrality remains required and has been codified, showing the promised strike did not occur.

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Medicaid.gov: Section 1115 Demonstrations
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The House Clerk records Roll Call 190 on H.R. 1 as passed, 218-214, on July 3, 2025. The roll call lists Representative Pettersen, Democrat of Colorado, voting “No.”

Pettersen voted against the reconciliation bill that became Public Law 119-21, but the bill passed and its Section 71118 budget-neutrality requirement became law; this is opposition, not fulfillment of striking the provision.

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Office of the Clerk: Roll Call 190, Motion to Agree to Senate Amendment to H.R. 1
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CMS’s June 2024 budget-neutrality materials state that CMS has long required section 1115 demonstrations to be budget neutral, meaning federal Medicaid costs with the demonstration cannot exceed what would otherwise have been spent without it.

During Pettersen’s federal service, CMS maintained and updated the budget-neutrality framework rather than striking it.

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CMS: Budget Neutrality for Section 1115(a) Medicaid Demonstrations, Updated Approach to Determining Budget Neutrality
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The House Clerk profile identifies Brittany Pettersen as the Democratic representative for Colorado’s 7th district, with an oath of office on January 3, 2025, and lists her committee assignment as Financial Services.

This confirms Pettersen’s relevant current federal office while the 2025-2026 official record shows no enacted strike of Medicaid section 1115 budget neutrality.

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Office of the Clerk, U.S. House of Representatives: Brittany Pettersen Member Profile
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