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Expanding Health Tax Credits and Establishing Federal Medicaid Program for Non-Expansion States.

This Act temporarily expands health insurance premium tax credits for low-income individuals until 2027, making healthcare more affordable and accessible. Crucially, it establishes a Federal Medicaid Program to cover residents in states that have not expanded their own Medicaid programs, effectively closing the coverage gap. This ensures that more low-income citizens, regardless of their state of residence, can access essential healthcare services without facing prohibitive costs.
Key points
Temporary expansion of Premium Tax Credits until the end of 2026 for low-income individuals (up to 138% of the poverty line), regardless of access to employer-sponsored coverage.
Establishment of a Federal Medicaid Program (starting 2027) for residents of states that have not expanded Medicaid, ensuring access to federal health benefits.
Limitation on the repayment (recapture) of excess advance premium tax credits to a maximum of $300 for taxpayers with household income below 200% of the poverty line.
Very low-income individuals (below 138% of the poverty line) who received advance credit payments may be exempt from filing a tax return solely to reconcile those payments.
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Additional Information
Print number: 118_HR_3004
Sponsor: Rep. Fletcher, Lizzie [D-TX-7]
Process start date: 2023-04-28