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The expansion of Medicaid and its relation to the MAGI cutoffs
The income threshold that determines eligibility for premium tax credits under the Affordable Care Act returns to 400 percent of the federal poverty level (FPL) for coverage and tax year 2026 unless C...
The HHS poverty guidelines are the administrative “Federal Poverty Level” figures that agencies use to determine eligibility for many means-tested programs — most prominently Medicaid and the Children...
Duke Rodriguez is running for governor as a Republican and frames himself as a pragmatic, business-oriented candidate whose policy positions mix traditional GOP priorities with heterodox stances—most ...
Modified Adjusted Gross Income (MAGI) for Affordable Care Act (ACA) purposes begins with the taxpayer’s Adjusted Gross Income (AGI) from Form 1040 and then adds three specific, non‑taxed items—untaxed...
States do not independently choose whether to apply the “current-year” or “prior-year” Federal Poverty Level (FPL) for Medicaid and Affordable Care Act (ACA) premium-subsidy determinations; federal pr...
In 2025 the Affordable Care Act’s Premium Tax Credit (PTC) applies to people with household income at or above 100 percent of the Federal Poverty Level (FPL), and—because Congress temporarily removed ...
In 2025, a handful of federal programs and many state-administered benefits use the Department of Health and Human Services poverty guidelines (the common “FPL” reference point) as a baseline, and sev...
Converting seniors and people with disabilities from non‑MAGI (SSI‑style) eligibility rules to MAGI would shift eligibility from an income-and-asset, program‑specific counting system to a tax‑based in...
The Modified Adjusted Gross Income (MAGI) cutoffs applied to 2026 Marketplace subsidies and early‑2026 Medicaid/CHIP determinations are anchored to the U.S. Department of Health and Human Services’ 20...
A precise annual ACA premium subsidy (premium tax credit) for a family of four earning $31,000 cannot be calculated from the reporting provided because the subsidy depends on whether the household qua...
The Affordable Care Act (ACA) reduced the number of uninsured Americans and introduced subsidies and payment reforms that coincided with a measurable slowdown in the growth rate of U.S. health spendin...
Letting the enhanced ACA premium tax credits expire at the end of 2025 is projected to raise marketplace premiums sharply in 2026 and drive millions out of subsidized coverage, with major increases in...
Policy choices — especially whether enhanced premium tax credits remain in place — and insurer pricing decisions drive most annual swings in ACA Marketplace enrollment, with enrollment rising when sub...
The Supreme Court’s 2012 decision in National Federation of Independent Business v. Sebelius upheld most of the Affordable Care Act by treating the individual mandate as a tax while simultaneously rul...
Households with incomes above 400% of the federal poverty level (FPL) are not eligible for cost‑sharing reductions (CSRs), which are expressly limited to low‑ and moderate‑income enrollees who choose ...