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Medicaid-expansion states: Eligibility is up to 138% of AGI, not 133%

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mota bhai   2,675

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From State Health Access Data Assistance Center (SHADAC), a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota:

The language of ACA specifies that childless adults are Medicaid-eligible with “modified adjusted gross income” (MAGI) at or below 133 percent FPL. ACA’s MAGI calculation is based on adjusted gross income (AGI) as defined in the Internal Revenue Code, §36B(d)(2). However, §2002(a)(14)(I)(i) of ACA adds a five percentage point deduction from the FPL-- one of several ways in which the AGI is “modified.” With this five percent disregard, the Medicaid eligibility threshold is effectively 138 percent FPL.

2013 FPL, from federalregister.gov:

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