The comprehensive health care reform law enacted in March 2010
(sometimes known as ACA, PPACA, or “Obamacare”).
The law has 3 legal aspects
- Make affordable health insurance available to more people. The
law provides consumers with subsidies (“premium tax credits”) that
lower costs for households with incomes between 100% and 400% of
the federal poverty level.A measure of income issued every year by
the Department of Health and Human Services (HHS). Federal poverty
levels are used to determine your eligibility for certain programs
and benefits, including savings on Marketplace health insurance,
and Medicaid and CHIP coverage. federal poverty levels are used to
determine eligibility for reduced-cost health coverage by
- Income between 100% and 400% FPL: If your incoe is in this
range, in all states you qualify for premium tax credits that lower
your monthly premium for a Marketplace health insurance plan.
- Income below 138% FPL: If your income is below 138% FPL and
your state has expanded Medicaid coverage, you qualify for Medicaid
based only on your income.
- Income below 100% FPL: If your income falls below 100% FPL, you
probably won’t qualify for savings on a Marketplace health
insurance plan or for income-based Medicaid.
- Expand the Medicaid program to cover all adults with income
below 138% of the federal poverty level. (Not all states have
expanded their Medicaid programs.)
Some states have expanded their Medicaid programs to cover all
people with household incomes below a certain level. Others
haven’t.Whether you qualify for Medicaid coverage depends partly on
whether your state has expanded its program.
In all states: You can qualify for Medicaid based on income,
household size, disability, family status, and other factors.
Eligibility rules differ between states.
In states that have expanded Medicaid coverage: You can qualify
based on your income alone. If your household income is below 133%
of the federal poverty level, you qualify. (Because of the way this
is calculated, it turns out to be 138% of the federal poverty
level. A few states use a different income limit.)
- Support innovative medical care delivery methods designed to
lower the costs of health care generally.