State Expansions: Eligibility for Individuals
Maximum Income for New Affordable Plans and for Medicaid/SCHIPa
Click here for eligibility for business.
| State/Plan |
Maximum Income (as percent of federal poverty level) |
| |
Kids |
Parents |
Childless Adults (nondisabled) |
California AB8
|
Eligible for Medicaid/CHIP |
300 |
300 |
Varies by countyb |
| |
Eligible for Plan |
No limit |
No limit |
No limit |
| |
Eligible for Premium Subsidy |
300 |
300 |
300 |
| Governor's Proposal |
Eligible for Medicaid/CHIP |
300 |
100 |
100 |
| |
Eligible for Plan |
N/Aa |
N/A |
N/A |
| |
Eligible for Premium Subsidy |
N/A |
250 |
250 |
Illinois Illinois Covered* |
Eligible for Medicaid/CHIP |
No limit |
400 |
100 |
| |
Eligible for Plan |
No limit |
No limit |
No limit |
| |
Eligible for Premium Subsidy |
400 |
400 |
400 |
Maine Dirigo Health |
Eligible for Medicaid/CHIP |
200 |
150 |
100/125c |
| |
Eligible for Plan |
No limit |
No limit |
No limit |
| |
Eligible for Premium Subsidy |
300 |
300 |
300 |
Massachusetts Health Reform of 2006 |
Eligible for Medicaid/CHIP |
300 |
200 |
100 |
| |
Eligible for Plan |
No limit |
No limit |
No limit |
| |
Eligible for Premium Subsidy |
N/A |
300 |
300 |
New Jersey Sen. Vitale's Proposal |
Eligible for Medicaid/CHIP |
350 |
200 |
23/100c |
| |
Eligible for Plan |
No limit |
No limit |
No limit |
| |
Eligible for Premium Subsidy |
Unclear |
Unclear |
Unclear |
Pennsylvania Prescription for Pennsylvania |
Eligible for Medicaid/CHIP |
No limit |
31 |
Not eligible |
| |
Eligible for Plan |
No limit |
No limit |
No limit |
|
Eligible for Premium Subsidy |
300 |
300 |
300 |
Vermont Catamount Health |
Eligible for Medicaid/CHIP |
300 |
185 |
150 |
| |
Eligible for Plan |
No limit |
No limit |
No limit |
| |
Eligible for Premium Subsidy |
300 |
300 |
300 |
Washington Health Reform Enacted in 2007 |
Eligible for Medicaid/CHIP |
300 |
81 (200b) |
81 (200b) |
| |
Eligible for Plan |
No limit |
Some businesses |
Some businesses |
| |
Eligible for Premium Subsidy |
300 |
200 |
200 |
Wisconsin BadgerCare Plus |
Eligible for Medicaid/CHIP |
185 |
185 |
185 |
| |
Eligible for Plan |
No limit |
200 |
N/A |
| |
Eligible for Premium Subsidy |
300 |
200 |
N/A |
Bold indicates laws that have been enacted (though not all have been implemented).
*This reflects proposals contained in Senate Bill 5 as of May 2007. Subsequent amendments are changing some of the bill's provisions.
aOr another state-funded program with similar benefits.
bPublic coverage more limited than Medicaid/CHIP.
cMaine and New Jersey are using the lower income guidelines due to budgetary constraints but have authority under existing state laws to expand to the higher guidelines.
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