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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;
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
[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 ...
Seventeen states permit full Medicaid coverage for abortion care. Women who carry a pregnancy full-term in Pennsylvania are eligible for Medicaid coverage. Should any choose a legal abortion, that ...
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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 ]
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
The federal mandate has been removed since the start of 2019; that aspect continues to have relevance in states that have their own financial penalties for not carrying coverage, [19] which include New Jersey, [20] Massachusetts, [8] [21] and the District of Columbia [22] among states that currently do estate recovery of non-LTCR Medicaid expenses.