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Cover more low-income Americans
- What is Medicaid expansion? A provision in the Affordable Care Act (ACA) called for the expansion of Medicaid eligibility to cover more low-income Americans. Under the expansion guidelines, Medicaid eligibility is extended to adults under age 65 with incomes up to 138% of the federal poverty level/FPL (133% plus a 5% income disregard).
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Medicaid expansion is a provision in the ACA that extends eligibility to low-income adults up to 138% of the poverty level. Learn how it works, why some states have not adopted it, and how it affects the uninsured rate and the federal budget.
- What is Medicaid expansion?A provision in the Affordable Care Act (ACA) called for the expansion of Medicaid eligibility in order to cover more low-income Americans. Under th...
- Why are there some states that haven't implemented Medicaid expansion?The ACA called for Medicaid expansion nationwide. But in June 2012, the Supreme Court ruled that states could not be forced to expand their Medicai...
- How is Medicaid expansion funded?The federal government is financing most of the cost of expanding Medicaid, and a small portion is being paid by participating states. The costs fo...
- How many people are enrolled in coverage due to Medicaid expansion?As of 2019, there were about 10 million people who had become newly eligible for Medicaid due to the ACA's expanded eligibility guidelines. But the...
- What is the Medicaid coverage gap?In the states that have not expanded Medicaid, there's a coverage gap that leaves about 2 million people ineligible for any sort of affordable cove...
- Which states have expanded Medicaid?As of early 2023, Medicaid has been expanded in 38 states and Washington, D.C. AlaskaArizonaArkansasCaliforniaColoradoConnecticut (for parents, eli...
- Which states have refused to expand Medicaid?As of early 2023, the following states have not yet accepted federal funding to expand Medicaid:AlabamaFloridaGeorgia (partial expansion in mid-202...
Medicaid expansion means that some states cover all people with low incomes, while others don't. Find out if you qualify for Medicaid or savings on a health plan based on your state and income level.
Mar 18, 2024 · The Affordable Care Act (ACA) permits states to expand Medicaid coverage to adults with incomes up to 138 percent of the poverty level (about $20,780 annually for an individual or $35,630 for a family of three). States that have adopted the expansion have dramatically lowered their uninsured rates.
- Overview
- What does Expanded Medicaid mean for coverage?
- What’s covered in my state?
- What does Expanded Medicaid mean for eligibility?
- Takeaway
Medicaid is designed to help more adults with low incomes in the U.S. pay for essential healthcare products and services. If your state adopted Expanded Medicaid, your eligibility and coverage may have changed.
About 40 states, including Washington, D.C., have adopted Medicaid Expansion — an Affordable Care Act (or “Obamacare”) provision.
If you live in one of the states with Expanded Medicaid and meet the qualification criteria for the program, then you might want to know more about your Expanded Medicaid coverage.
Medicaid Expansion also gives the adopting states an enhanced federal matching assistance percentage (FMAP) for the populations served by the expansion. States with Medicaid Expansion receive 90% FMAP while those without Medicaid Expansion receive nothing.
Expanded Medicaid is a provision of the Affordable Care Act (ACA) designed to provide health insurance coverage to more Americans with low incomes.
Generally speaking, people under age 65 with household incomes equaling 138% of the Federal Poverty Level (FPL) or less may be eligible for Medicaid, though this varies by year, state, household status, and income.
For example, households with two parents and one child in New York State may qualify for Medicaid if they make under about 138% of the FPL, or about $31,000 annual income. (Technically, the limit is 133% FPL plus 5% of income that the government disregards, making the effective income limit 138% FPL.)
This provides a pathway to coverage for millions of low-income adults in America.
Although the ACA proposed Medicaid expansion across the nation, the Supreme Court ruled in 2012 that states could decide whether to expand their own Medicaid programs.
So far, 38 states and Washington, D.C., have adopted Expanded Medicaid. Some states have special eligibility rules to increase coverage.
For example, in Connecticut, parents with an income of up to 160% FPL are eligible. And in Washington, D.C., you’re eligible for Medicaid if you have an income of up to 215% FPL.
Other states that have adopted Medicaid Expansion are:
•Alaska
•Arizona
In a state with Expanded Medicaid, you may be eligible for Medicaid coverage as a low-income, non-disabled adult between the ages of 19 and 65.
It’s designed to reduce the number of insured Americans and reduce disparities in health coverage from state to state.
You may be eligible if:
•Your income is 138% of the FPL or less.
•You’re a non-disabled adult between 19–65 years old.
•You live in a state that has adopted Expanded Medicaid.
Medicaid Expansion is a provision of the ACA designed to increase coverage for non-disabled adults under 65 who have low incomes. Currently, this program is only available in about 40 American states.
To qualify, you need to be in a state that has adopted it and to have an income of 138% of the FPL or less. If you don’t qualify, you can explore other coverage methods, such as health exchanges.
Jun 16, 2021 · Medicaid expansion makes people healthier and more financially secure by improving access to preventive and primary care, providing care for serious diseases, preventing premature deaths, and reducing the cases of catastrophic out-of-pocket medical costs, a large body of research shows. [9] The benefits, also shown in Figure 4, include the ...
May 8, 2024 · The map shows which states have adopted or not adopted the Medicaid expansion under the Affordable Care Act. The expansion provides states with enhanced federal funding to cover nearly all adults with incomes up to 138% of the poverty level.
Jun 9, 2021 · The ACA Medicaid expansion is one of the major insurance coverage provisions included in the law. Supreme Court Decision. As enacted, the ACA Medicaid expansion was a mandatory expansion of Medicaid eligibility to non-elderly adults with incomes up to 133% of the federal poverty level (FPL).
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