How Much Will People Pay in Premiums?a
| State/Plan |
Premium Caps for Low-Income Individualsb |
California
AB8 |
300% FPL |
5% of Income |
| |
200% FPL |
TBD (0-5% of income) |
| |
100% FPL
| TBD (0-5% of income) |
| Governor's Proposal |
250% of FPL |
6% of Income |
| |
200% FPL |
4% of Income |
| |
150% FPL |
3% of Income |
Illinois
Illinois Covered* |
300% FPL |
2.5% of Income |
| |
200% FPL |
1.5% of Income |
| |
100% FPL |
$0 |
Maine
Dirigo Health |
300% FPL |
Premium discounted 20% |
| |
200% FPL |
Premium discounted 40% |
| |
100% FPL |
Premium discounted 80% |
Massachusetts
Health Reform 2006 |
300% FPL |
$105 per month (approx. 7% of income) |
| |
200% FPL |
$35 per month (approx. 3% of income) |
| |
100% FPL |
No deductible, nominal cost-$0 |
New Jersey
Sen. Vitale's Proposal |
|
TBD |
Pennsylvania
Prescription for Pennsylvania |
300% FPL |
$60 per month (approx. 4% of income) |
| |
200% FPL |
$40 per month (approx. 3.5% of income) |
| |
100% FPL |
$10 per month (approx. 1.2% of income) |
Vermont
Catamount and VHAP |
300% FPL |
$135 per month (approx. 9% of income) |
| |
200% FPL |
$90 per month (approx. 7% of income) |
| |
100% FPL |
$10 per month (approx. 3.8% of income) |
Washington
Health Reform Enacted in 2007 |
300% FPL (children only) |
TBD |
| |
200% FPL (children) |
$0 |
| |
200% FPL (adults) |
Approx. $215 |
| |
100% FPL |
Approx. $17 |
Wisconsin
BadgerCare Plus |
300% FPL (children/pregnant women) |
TBD (capped at 5% of income) |
| |
200% FPL (adults) |
TBD (capped at 5% of income) |
| |
100% FPL |
$0 |
* This reflects proposals contained in Senate Bill 5 as of May 2007. Subsequent amendments are changing some of the bill's provisions.
aIn some states, premium subsidy levels are set by law. In other states, subsidy levels are set by agencies or boards and may change annually. The amounts shown reflect 2007 figures or estimates.
bPremium caps for low-income families vary greatly by state, family size, and other factors.
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