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Income Eligibility Levels for Pregnant Women by Annual Income and as a Percent of Federal Poverty Level (FPL), 2009

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 Pregnant Women
United States133%
Alabama133%
Alaska175%
Arizona150%
Arkansas200%
California200%1
Colorado200%2
Connecticut250%
Delaware200%
District of Columbia300%
Florida185%
Georgia200%
Hawaii185%3
Idaho133%
Illinois200%
Indiana200%
Iowa200%4
Kansas150%
Kentucky185%
Louisiana200%
Maine200%
Maryland250%
Massachusetts200%
Michigan185%
Minnesota275%
Mississippi185%
Missouri185%
Montana150%
Nebraska185%
Nevada185%
New Hampshire185%
New Jersey200%5
New Mexico185%
New York200%
North Carolina185%
North Dakota133%
Ohio200%6
Oklahoma185%
Oregon185%
Pennsylvania185%
Rhode Island250%7
South Carolina185%
South Dakota133%
Tennessee250%8
Texas185%
Utah133%
Vermont200%9
Virginia185%10
Washington185%
West Virginia150%
Wisconsin300%11
Wyoming133%
(show/hide notes)
Notes: 

Data as of January 2009.
Eligibility levels shown as percent of the FPL. Currency figures based on FPL for a family of three in 2008: $17,600 for 48 contiguous states and District of Columbia, $22,000 for Alaska, $20,240 for Hawaii.

Sources: 

Source 1: Challenges of Providing Health Coverage for Children and Parents in a Recession: A 50 State Update on Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and SCHIP in 2009. Data based on a national survey conducted by the Center on Budget and Policy Priorities for the Kaiser Commission on Medicaid and the Uninsured, January 2009. Available at http://www.kff.org/medicaid/7855.cfm. 2008 HHS Poverty Guidelines: http://aspe.hhs.gov/poverty/08poverty.shtml.
State data are from Source 1.

Source 2: Medicaid Eligibility, Department of Health and Human Services, Centers for Medicare and Medicaid Services.
US figures from Source 2.

Definitions: 

The Federal Poverty Level (FPL) was established to help government agencies determine eligibility levels for public assistance programs such as Medicaid. FPL is represented in this resource as poverty guidelines as opposed to the slightly different poverty thresholds.

Footnotes: 
  1. In California, the Access for Infants and Mothers (AIM) program is available to pregnant women with income between 201 and 300 percent of the federal poverty line. This program is funded using Title XXI (Unborn Child Amendment).
  2. In Colorado, coverage for pregnant women with income between 134 and 200 percent of the federal poverty line is provided under a HIFA waiver.
  3. In Hawaii, pregnant women enrolled in Medicaid whose income exceeds 185 percent of the federal poverty line can purchase Quest-Net coverage by paying a monthly premium. This coverage has an income eligibility limit of 300 percent of the federal poverty line. Limited coverage is available to persons already receiving Medicaid.
  4. In Iowa, the asset limit only applies to regular Medicaid and only considers liquid assets. Pregnant women with income between 200 and 300 percent of the federal poverty line with high medical expenses can spend down to qualify for the states waiver program.
  5. In New Jersey, coverage for women with income between 186 and 200 percent of the federal poverty line is provided under a Medicaid Section 1115 waiver. Under this coverage, pregnant women must be uninsured and there are no income deductions.
  6. Ohio has an expedited eligibility process through which pregnant women can obtain 60 days of partial coverage pending documentation of eligibility factors. Inpatient coverage is not available during this period. The state expanded eligibility for pregnant women to 200 percent of the federal poverty line in January 2008.
  7. In Rhode Island, the Medicaid income eligibility limit for pregnant women is 250 percent of the federal poverty line. There is also a state-funded program for women with income between 251 and 350 percent of the federal poverty line. Under this program, which requires a premium, the state funds the cost of labor and delivery only.
  8. Tennessee increased eligibility to 250 percent of the federal poverty line for pregnant women in March 2008.
  9. In Vermont, women with income above 185 percent of the federal poverty line are required to pay a premium.
  10. Virginia plans to expand coverage to pregnant women up to 200 percent of the federal poverty line in July 2009.
  11. In Wisconsin, the Medicaid income eligibility limit for pregnant women expanded to 250 percent of the federal poverty line in February 2008. The state uses state funds to provide coverage for women with income between 251 and 300 percent of the federal poverty line.



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