One of the chief goals of the Affordable Care Act (ACA) is expanded health insurance coverage. An important strategy for reaching that goal is expanded enrollment in Medicaid, which provides free or very low cost health insurance to low-income people. In January 2014, the ACA set a nationwide standard for extending Medicaid eligibility to nearly all Americans under age 65 with family income up to 138 percent of the federal poverty level (FPL), about $16,100 annually for an individual. Before the ACA, Medicaid coverage options for low-income adults were limited in most states.
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