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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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