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The percentage is based on the percent of federal poverty level (FPL) for the household, and varies slightly from year to year. In 2019, it ranged from 2.08% of income (100%-133% FPL) to 9.86% of income (300%-400% FPL). [68] The subsidy can be used for any plan available on the exchange, but not catastrophic plans.
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]
The federal poverty level is related to a determined percentage that defines how much of that family's income can be put towards a health insurance premium. For instance, under the House Bill, a family at 200% of the federal poverty level will spend no more than 5.5% of its annual income on health insurance premiums.
For statistical purposes (e.g., counting the poor population), the United States Census Bureau uses a set of annual income levels, the poverty thresholds, slightly different from the federal poverty guidelines. As with the poverty guidelines, they represent a federal government estimate of the point below which a household of a given size has ...
The law includes a large number of health-related provisions, most of which took effect in 2014, including expanding Medicaid eligibility for people making up to 133% of FPL, [319] subsidizing insurance premiums for individuals and families making up to 400% of FPL and capping expenses from 2% to 9.8% of annual income.
The diagram shows a basic income/negative tax system combined with flat income tax (the same percentage in tax for every income level). Y is here the pre-tax salary given by the employer and y' is the net income. Negative income tax. For low earnings, there is no income tax in the negative income tax system.
Opposite to high-deductible plans are plans which provide limited benefits—up to a low level—have also been introduced. These limited medical benefit plans pay for routine care and do not pay for catastrophic care, they do not provide equivalent financial security to a major medical plan. Annual benefit limits can be as low as $2,000. [131]
A May 2015 educational reform law expanded school choice options to 450,000 Nevada students who are at up to 185% of the federal poverty level. Education savings accounts (ESAs) are enabled by the new law to help pay the tuition for private schools. Alternatively, families "can use funds in these accounts to also pay for textbooks and tutoring".