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Once an audit is complete, the program can help by insulating walls and windows, replacing broken glass, and testing, repairing, and/or replacing combustion appliances. Like the LIHEAP, an individual's income level must be at or below 150% of the federal poverty level to be eligible for the WAP.
The poverty threshold, poverty limit, poverty line, or breadline [1] is the minimum level of income deemed adequate in a particular country. [2] The poverty line is usually calculated by estimating the total cost of one year's worth of necessities for the average adult. [ 3 ]
The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free and subsidized health care insurance for residents earning less than 150% and 300%, respectively, of the federal poverty level (FPL) [2] and mandated employers with more than 10 full-time employees provide healthcare insurance.
The eligibility requirement is a family income below 185% of the U.S. Poverty Income Guidelines, but if a person participates in other benefit programs, or has family members who participate in SNAP, Medicaid, or Temporary Assistance for Needy Families, they automatically meet the eligibility requirements.
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. [82] [88] The law also provides for a 5% "income disregard", making the effective income eligibility limit 138% of the poverty line. [89]
Furthermore, it expanded eligibility for the Basic Needs Allowance with an eligibility increase from 150% to 200% of federal poverty guidelines. "Service shouldn't cost more.
Beneficiaries with income below 150% of the poverty line are eligible for the low-income subsidy, which helps pay for premiums and cost-sharing. Depending on income-level and assets, some beneficiaries qualify for the full low-income subsidy, while others are eligible for a partial subsidy.
The Senate Bill also seeks to reduce out-of-pocket costs by setting guidelines for how much of the health costs can be shifted to a family within 200% of the poverty line. A family within 150% of the FPL cannot have more than 10% of their health costs incurred as out-of-pocket expenses.