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Index/Topics/ACA Medicaid Expansion

ACA Medicaid Expansion

The Affordable Care Act's Medicaid expansion and its effects on low-income adults' health insurance coverage

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Jan 8, 2026

Which states use Medicaid expansion thresholds tied to 138% of FPL and how does that interact with Marketplace eligibility?

The ACA’s Medicaid “expansion” sets an effective eligibility threshold at 138% of the federal poverty level (FPL)—a statutory 133% plus a 5% income disregard—so most expansion states use the 138% cuto...

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