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For coverage beginning on January 1, 2024, you need to enroll by December 15, 2023 on the federal exchange. In states with their own exchanges , you may have a bit more time, since they can set ...
[82] [88] The law also provides for a 5% "income disregard", making the effective income eligibility limit 138% of the poverty line. [89] States may choose to increase the income eligibility limit beyond this minimum requirement. [89] As written, the ACA withheld all Medicaid funding from states declining to participate in the expansion.
In participating states, Medicaid eligibility is expanded; all individuals with income up to 133% of the poverty line qualify for coverage, including adults without dependent children. [ 43 ] [ 50 ] The law also provides for a 5% "income disregard", making the effective income eligibility limit 138% of the poverty line. [ 51 ]
CBO cited ACA's expanded eligibility for Medicaid and subsidies and tax credits that rise with income as disincentives to work, so repealing ACA would remove those disincentives, encouraging workers to supply more labor, increasing the total number of hours worked by about 1.5% over the 2021–2025 period.
In 2024, of the 21.6 million Americans who purchased health insurance plans from ACA marketplaces, 20.1 million received enhanced subsidies, according to the CBO.
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2.6 million were in the "coverage gap" due to the 19 states that chose not to expand the Medicaid program under the ACA/Obamacare, meaning their income was above the Medicaid eligibility limit but below the threshold for subsidies on the ACA exchanges (~44% to 100% of the federal poverty level or FPL); 5.4 million were undocumented immigrants;
[12] [13] Softening the eligibility requirements for Medicaid was a central goal of the ACA, [14] forming a two-pronged policy along with subsidized private insurance via health insurance marketplaces to expand health insurance coverage in the U.S. [15] [7] [3] The Medicaid expansion provision of the ACA allowed states to lower the income ...