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Medicaid Eligibility for Adults as of January 1, 2014

The Affordable Care Act (ACA) expands Medicaid to adults with incomes at or below 138% of the federal poverty level (FPL)  starting January 1, 2014. While the Medicaid expansion was intended to occur nationwide, the Supreme Court ruling on the ACA effectively made it a state option. As of September 2013, 25 states, including DC are moving forward with the expansion and 26 states are not currently moving forward. Regardless of state Medicaid expansion decisions, all states must implement new eligibility and enrollment processes, including a transition to determine income eligibility for most groups using Modified Adjusted Gross Income (MAGI). This fact sheet provides Medicaid income limits for parents and childless adults as of January 2013, and the new income limits that will be in effect as of January 1, 2014, providing insight into eligibility increases for parents and other adults that will occur in states expanding Medicaid and coverage gaps that will remain for poor adults in states not moving forward with the expansion at this time.