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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.
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.
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 primary public programs are Medicare, a federal social insurance program for seniors (generally persons aged 65 and over) and certain disabled individuals; Medicaid, funded jointly by the federal government and states but administered at the state level, which covers certain very low income children and their families; and CHIP, also a ...
[35] [36] For example, in Kansas, where only non-disabled adults with children and with an income below 32% of the poverty line were eligible for Medicaid, those with incomes from 32% to 100% of the poverty level ($6,250 to $19,530 for a family of three) were ineligible for both Medicaid and federal subsidies to buy insurance.
However, these groups also have the smallest percentage of American household incomes – the first quintile earns 3.2% of all income, while the second quintile earns 8.4% of all income. [172] Higher-income retirees pay income taxes on 85% of their Social Security benefits and 100% on all other retirement benefits they may have. [38]
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".