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For states that do expand Medicaid, the law provides that the federal government will pay for 100% of the expansion for the first three years, then gradually reduce its subsidy to 90% by 2020. [ 90 ] [ 91 ] As of August 2016, 31 states and the District of Columbia have expanded Medicaid. [ 76 ] (
Expanded to 150% of the federal poverty level [123] Expanded to 133% of the federal poverty level [123] Illegal Immigrants They are allowed to participate in the insurance exchanges, but cannot receive federal subsidies. They cannot participate in the exchange or receive subsidies. CBO Cost Estimate $1,050 billion dollars over 10 years. [127]
A similar program was launched in late 2022 by Cook County, Illinois (which encompasses the entirety of Chicago as well as several suburbs) which sent monthly $500 payments to 3,250 residents with a household income at or below 250% of the federal poverty level for two years.