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Marketplace premium subsidies, including eligibility, income measurement, and out-of-pocket rules
the principal difference between ACA (Marketplace) premium subsidies and Medicaid income eligibility is that subsidies operate on a sliding scale for households earning roughly between 100% and 400% o...
The recalibration of ACA premium tax credits returns subsidy eligibility to the pre‑enhancement rules—reintroducing a 400% of federal poverty level (FPL) income cap, higher required household contribu...
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...
State decisions on Medicaid expansion continue to be the single biggest determinant of whether adults around 138% of the federal poverty level (FPL) have direct access to Medicaid in 2026: in expansio...