The Affordable Care Act (ACA) permits states to expand
Medicaid to a newly eligible adult population–those who are younger than 65 years old, not pregnant, not eligible for Medicare, and who have family incomes up to 133% of the federal poverty level (FPL, 138% with 5% income disregard). Because this is a state option, some are expanding, others are not. Still others have proposed a “private option” using federal Medicaid funds to subsidize the state’s expansion population’s
insurance premiums on plans purchased through an insurance marketplace.