51 records
What health insurance help does my state add to the federal marketplace?
51 records, one fact each. Every value is transcribed from the source that states it and carries the sentence it was taken from: 68 sources across 50 sites, last checked 2026-08-19, due for re-check by 2026-12-18. Every record is listed below, each linking the page its value came from.
About this data
One record per US state and the District of Columbia, stating who operates its health insurance marketplace, the income at which premium tax credit eligibility begins there, whether a coverage gap exists below it, and what the state itself adds on top of the federal credit. When the ACA's enhanced premium tax credits lapsed on 31 December 2025 a group of states stood up or expanded their own premium assistance to absorb part of the loss, and they did so on completely different terms: New Mexico backfills the full loss below 400% of the poverty line and caps benchmark premiums at 8.5% of income above it; New Jersey's assistance runs to 600% of the poverty line; Maryland covers the whole loss below 200% and part of it to 400%; California stops at 165%; Colorado pays a flat monthly amount; Washington pays per member per month. In ten states that never adopted the Medicaid expansion, a household below the poverty line still qualifies for nothing at all. Whether the federal cutoff at 400% of the poverty line is a cliff or a slope therefore depends entirely on the state, and no page states the answer for all fifty-one. Answers 'does my state have its own health insurance subsidy', 'what is the income limit for marketplace insurance in [state]', 'am I in the coverage gap', and 'does [state] have a health insurance mandate'. Open enrollment dates are deliberately not carried. The 2027 window is legally unsettled -- a June 2026 ruling vacated the federal rule that would have shortened it, an appeal was open, and the marketplaces' own pages describe their 2027 dates as expected or currently scheduled rather than fixed. A YYYY-MM-DD field cannot carry that hedge, so the dates are omitted rather than published as settled; healthcare.gov and each marketplace state them directly.
The data
| State | Marketplace type | Marketplace name | Marketplace website | Medicaid expansion adopted | Where premium tax credit eligibility starts | Coverage gap below the poverty line | State premium assistance programme | State assistance above 400% of the poverty line | State cost-sharing programme | Basic Health Program | State individual mandate | Income range for state assistance | What the state programme pays | Mandate penalty |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alabama | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | no | 100% of the federal poverty line | yes | none | no | none | none | no | |||
| Alaska | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Arizona | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Arkansas | State-based marketplace on the federal platform | Arkansas Health Insurance Marketplace | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| California | State-based marketplace | Covered California | https://www.coveredca.com/ | yes | 138% of the federal poverty line | no | California Premium Subsidy | no | enhanced cost-sharing reduction program (Enhanced Silver 73 with no deductibles, expanded in 2025 to incomes above 200% of the federal poverty level) | none | yes | at or below 165% of the federal poverty level | preserves IRA-level premium subsidies for enrollees up to 150% FPL and lowers federally-required premiums for individuals between 150 and 165% FPL; above 165% FPL there is no additional state premium help | at least $950 per adult and $450 per dependent child under 18 in the household; a family of four that goes uninsured for the whole year would face a penalty of at least $2,800 |
| Colorado | State-based marketplace | Connect for Health Colorado | https://connectforhealthco.com/ | yes | 138% of the federal poverty line | no | Colorado Premium Assistance | no | none | none | no | up to 400% of the federal poverty level | $80 for the first household member and $29 for each subsequent household member that pays a premium | |
| Connecticut | State-based marketplace | Access Health CT | https://www.accesshealthct.com/ | yes | 138% of the federal poverty line | no | Covered CT Program; 2026 Temporary Premium Assistance | no | Covered CT Program | none | no | up to and including 175% of the Federal Poverty Level (FPL) | the State of Connecticut pays the customer’s portion of the monthly payment (premium) directly to their insurance company and also pays for the cost-sharing amounts (deductibles, co-pays, co-insurance and maximum out-of-pocket costs) | |
| Delaware | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line (stated as 133% plus the statutory 5-point income disregard) | no | none | no | none | none | no | |||
| District of Columbia | State-based marketplace | DC Health Link | https://www.dchealthlink.com/ | yes | 200% of the federal poverty level (Medicaid covers up to 138% FPL; Healthy DC Plan BHP covers 138% to 200% FPL; premium tax credit eligibility begins above 200% FPL) | no | none | no | none | Healthy DC Plan | yes | the same as the federal shared responsibility payment under 26 U.S.C. § 5000A as in effect on December 15, 2017, except that the maximum is determined using the District's average bronze-level plan premium rather than the national average | ||
| Florida | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | no | 100% of the federal poverty line | yes | none | no | none | none | no | |||
| Georgia | State-based marketplace | Georgia Access | https://georgiaaccess.gov/ | no | 100% of the federal poverty line | yes | none | no | none | none | no | |||
| Hawaii | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Idaho | State-based marketplace | Your Health Idaho | https://www.yourhealthidaho.org/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Illinois | State-based marketplace | Get Covered Illinois | https://getcovered.illinois.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Indiana | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Iowa | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line (stated as 133% plus the statutory 5-point income disregard) | no | none | no | none | none | no | |||
| Kansas | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | no | 100% of the federal poverty line | yes | none | no | none | none | no | |||
| Kentucky | State-based marketplace | kynect | https://kynect.ky.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Louisiana | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Maine | State-based marketplace | CoverME.gov | https://www.coverme.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Maryland | State-based marketplace | Maryland Health Connection | https://www.marylandhealthconnection.gov/ | yes | 138% of the federal poverty line | no | Maryland Premium Assistance | no | none | none | no | up to 400% federal poverty level | Maryland residents of any age with incomes up to 400% federal poverty level may be able to receive help paying for their monthly health insurance costs thanks to a new state program; enrollments after April 1, 2026 do not receive State Premium Assistance | |
| Massachusetts | State-based marketplace | Massachusetts Health Connector | https://www.mahealthconnector.org/ | yes | 138% of the federal poverty line | no | ConnectorCare | no | ConnectorCare | none | yes | 100% to 400% of the federal poverty level | ConnectorCare plans have $0 or low monthly premiums, low out-of-pocket costs, and no deductibles | for tax year 2025, a monthly penalty set by income band: $25/month ($300/year) at 150.1-200% FPL, $49/month ($588/year) at 200.1-250% FPL, $73/month ($876/year) at 250.1-300% FPL, $113/month ($1,356/year) at 300.1-400% FPL, $132/month ($1,584/year) at 400.1-500% FPL, and $187/month ($2,244/year) above 500% FPL. The published schedule begins at 150.1% FPL. |
| Michigan | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line (stated as 133% plus the statutory 5-point income disregard) | no | none | no | none | none | no | |||
| Minnesota | State-based marketplace | MNsure | https://www.mnsure.org/ | yes | 200% of the federal poverty level (MinnesotaCare BHP covers 138% to 200% FPL; premium tax credit eligibility begins above 200% FPL) | no | none | no | none | MinnesotaCare | no | |||
| Mississippi | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | no | 100% of the federal poverty line | yes | none | no | none | none | no | |||
| Missouri | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Montana | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Nebraska | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Nevada | State-based marketplace | Nevada Health Link | https://www.nevadahealthlink.com/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| New Hampshire | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| New Jersey | State-based marketplace | GetCoveredNJ | https://www.nj.gov/getcoverednj/ | yes | 138% of the federal poverty line | no | New Jersey Health Plan Savings | yes | none | none | yes | up to 600% of the federal poverty level | Tax households with annual incomes up to 600% of the federal poverty level will receive NJHPS. An individual with an income of up to $93,900 and a family of four who makes up to $192,900 can receive state subsidies to lower the costs of health coverage. | the Shared Responsibility Payment, capped at the cost of the statewide average annual premium for Bronze Health Plans in New Jersey; for the 2025 tax year an individual taxpayer's payment ranges from a minimum of $695 to a maximum of $4,908. |
| New Mexico | State-based marketplace | BeWell, New Mexico's Health Insurance Marketplace | https://bewellnm.com/ | yes | 138% of the federal poverty line | no | New Mexico Premium Assistance | yes | State Out-of-Pocket Assistance (SOPA) | none | no | all income levels, including above 400% of the federal poverty level | backfills the full loss of the enhanced federal credit, meaning no disruptions in coverage or cliffs for financial assistance | |
| New York | State-based marketplace | NY State of Health | https://nystateofhealth.ny.gov/ | yes | 138% of the federal poverty line | no | none | no | Silver Supreme and Silver Enhanced cost-sharing reduction plans | Essential Plan | no | |||
| North Carolina | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| North Dakota | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Ohio | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Oklahoma | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line (stated as 133% plus the statutory 5-point income disregard) | no | none | no | none | none | no | |||
| Oregon | State-based marketplace | Oregon's Health Insurance Marketplace | https://healthcare.oregon.gov/Pages/index.aspx | yes | 200% of the federal poverty level (OHP Bridge BHP covers 138% to 200% FPL; premium tax credit eligibility begins above 200% FPL) | no | none | no | none | OHP Bridge | no | |||
| Pennsylvania | State-based marketplace | Pennie | https://www.pennie.com/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Rhode Island | State-based marketplace | HealthSource RI | https://www.healthsourceri.com/ | yes | 138% of the federal poverty line | no | none | no | none | none | yes | on the tax year 2024 worksheet, which is the current set of forms the Division of Taxation publishes: the greater of a flat $57.92 per uninsured adult per month plus $28.96 per uninsured child under 18 per month, or 2.5% of income above the federal standard deduction apportioned to the uninsured months — then capped at the bronze plan amount of $326 per month, up to $3,912 for a one-member household, $7,824 for two, $11,736 for three, $15,648 for four and $19,560 for five or more. | ||
| South Carolina | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | no | 100% of the federal poverty line | yes | none | no | none | none | no | |||
| South Dakota | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Tennessee | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | no | 100% of the federal poverty line | yes | none | no | none | none | no | |||
| Texas | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | no | 100% of the federal poverty line | yes | none | no | none | none | no | |||
| Utah | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line | no | none | no | none | none | no | |||
| Vermont | State-based marketplace | Vermont Health Connect | https://vermonthealthconnect.gov/ | yes | 138% of the federal poverty line | no | Vermont Premium Assistance | no | Enhanced Silver plans | none | yes | up to 300% of the federal poverty level | VPA lowers your monthly health insurance bill by 1.5% of your household income | Vermont requires reporting but imposes no financial penalty |
| Virginia | State-based marketplace | Virginia's Insurance Marketplace | https://www.marketplace.virginia.gov/ | yes | 138% of the federal poverty line | no | Virginia Premium Savings | no | none | none | no | 138% to 250% of the federal poverty level | a state subsidy applied on top of any federal premium tax credit the household qualifies for, paid from the $150 million Virginia Health Insurance Affordability Fund created in a 2026 special session; the Exchange says qualifying consumers could save as much as 70% of their monthly premium, and no per-enrollee amount is stated | |
| Washington | State-based marketplace | Washington Healthplanfinder | https://www.wahealthplanfinder.org/ | yes | 138% of the federal poverty line | no | Cascade Care Savings | no | none | none | no | at or below 250% of the federal poverty level | $55 per member per month (PMPM) for members receiving federal subsidies and $250 PMPM for members not receiving federal subsidies | |
| West Virginia | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | yes | 138% of the federal poverty line (stated as 133% plus the statutory 5-point income disregard) | no | none | no | none | none | no | |||
| Wisconsin | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | no — Wisconsin did not adopt the ACA Medicaid expansion, but BadgerCare Plus covers childless adults up to 100% of the federal poverty line | 100% of the federal poverty line | no | none | no | none | none | no | |||
| Wyoming | Federally-facilitated marketplace | HealthCare.gov | https://www.healthcare.gov/ | no | 100% of the federal poverty line | yes | none | no | none | none | no |
Where this came from
Every record above links the page it was taken from and quotes the sentence that states it. These are the 68 sources this dataset was assembled from.
- healthinsurance.orghttps://www.healthinsurance.org/alabama/
- health.alaska.govhttps://health.alaska.gov/dpa/Pages/medicaid/default.aspx
- azahcccs.govhttps://www.azahcccs.gov/Members/GetCovered/Categories/adults.html
- healthinsurance.orghttps://www.healthinsurance.org/arkansas/
- hbex.coveredca.comhttps://hbex.coveredca.com/stakeholders/PDFs/2026-02_StatePremiumSub_PolicyExplainer-Final.pdf
- coveredca.comhttps://www.coveredca.com/newsroom/news-releases/2025/08/14/covered-california-rates-and-plans-for-2026-consumer-affordability-on-the-line-with-uncertainty-surrounding-federal-premium-tax-credit-extension/
- coveredca.comhttps://www.coveredca.com/learning-center/tax-penalty-details-and-exemptions/penalty/
- connectforhealthco.comhttps://connectforhealthco.com/new-customers/tips-for-choosing-a-plan/colorado-premium-assistance/
- help.accesshealthct.comhttps://help.accesshealthct.com/en_US/covered-connecticut-program
- accesshealthct.comhttps://accesshealthct.com/financial-help/
- dhss.delaware.govhttps://dhss.delaware.gov/dmma/home/medicaid-engage/
- hbx.dc.govhttps://hbx.dc.gov/sites/default/files/dc/sites/hbx/page_content/attachments/Healthy%20DC%20Plan%20Overview%20-%20October%202025.pdf
- hbx.dc.govhttps://hbx.dc.gov/page/basic-health-plan
- code.dccouncil.govhttps://code.dccouncil.gov/us/dc/council/code/sections/47-5103
- myflfamilies.comhttps://www.myflfamilies.com/medicaid
- georgiaaccess.govhttps://georgiaaccess.gov/what-is-georgia-access/
- georgiaaccess.govhttps://georgiaaccess.gov/
- medquest.hawaii.govhttps://medquest.hawaii.gov/content/medquest/en/members-applicants/get-started/programs.html
- yourhealthidaho.orghttps://www.yourhealthidaho.org/
- getcoveredillinois.govhttps://getcoveredillinois.gov/get-started/about-the-marketplace.html
- in.govhttps://www.in.gov/fssa/hip/am-i-eligible/
- hhs.iowa.govhttps://hhs.iowa.gov/programs/welcome-iowa-medicaid/iowa-health-and-wellness-plan
- healthinsurance.orghttps://www.healthinsurance.org/kansas/
- healthinsurance.orghttps://www.healthinsurance.org/kentucky/
- ldh.la.govhttps://ldh.la.gov/get-covered
- coverme.govhttps://www.coverme.gov/learn/how-to-enroll/open-enrollment
- marylandhealthconnection.govhttps://www.marylandhealthconnection.gov/maryland-premium-assistance/
- mahealthconnector.orghttps://www.mahealthconnector.org/wp-content/uploads/ConnectorCare-Overview-2026.pdf
- mahealthconnector.orghttps://www.mahealthconnector.org/about/policy-center/rules-regulations/massachusetts-individual-mandate
- michigan.govhttps://www.michigan.gov/mdhhs/assistance-programs/medicaid/portalhome/beneficiaries/programs
- healthinsurance.orghttps://www.healthinsurance.org/minnesota/
- medicaid.ms.govhttps://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/mississippi-medicaid-health-benefits/
- mydss.mo.govhttps://mydss.mo.gov/healthcare/apply
- dphhs.mt.govhttps://dphhs.mt.gov/helpplan/policymakers
- dhhs.ne.govhttps://dhhs.ne.gov/Pages/Medicaid-Expansion.aspx
- nevadahealthlink.comhttps://nevadahealthlink.com/get-help/financial-assistance/
- nevadahealthlink.comhttps://www.nevadahealthlink.com/
- healthinsurance.orghttps://www.healthinsurance.org/new-hampshire/
- nj.govhttps://www.nj.gov/getcoverednj/financialhelp/premiums/
- nj.govhttps://nj.gov/getcoverednj/
- nj.govhttps://nj.gov/treasury/njhealthinsurancemandate/responsibilitypayment.shtml
- bewellnm.comhttps://bewellnm.com/answers/federal-changes/
- info.nystateofhealth.ny.govhttps://info.nystateofhealth.ny.gov/EssentialPlan
- info.nystateofhealth.ny.govhttps://info.nystateofhealth.ny.gov/costsavings
- medicaid.ncdhhs.govhttps://medicaid.ncdhhs.gov/north-carolina-expands-medicaid
- hhs.nd.govhttps://www.hhs.nd.gov/healthcare/medicaid/eligibility
- benefits.ohio.govhttps://benefits.ohio.gov/home/news-and-events/all-news/changes-to-medicaid-eligibility-group-vii
- oklahoma.govhttps://oklahoma.gov/ohca/about/medicaid-expansion/expansion.html
- healthinsurance.orghttps://www.healthinsurance.org/oregon/
- pennie.comhttps://pennie.com/about-pennie/
- pennie.comhttps://www.pennie.com/
- tax.ri.govhttps://tax.ri.gov/guidance/health-insurance-mandate
- healthsourceri.comhttps://www.healthsourceri.com/
- tax.ri.govhttps://tax.ri.gov/sites/g/files/xkgbur541/files/2024-12/2024%20IndManPenaltyWorksheet_w.pdf
- scdhhs.govhttps://www.scdhhs.gov/members/program-eligibility-and-income-limits
- dss.sd.govhttps://dss.sd.gov/medicaid/HR1.aspx
- tn.govhttps://www.tn.gov/tenncare/members-applicants/eligibility-reference-guide.html
- healthinsurance.orghttps://www.healthinsurance.org/texas/
- medicaid.utah.govhttps://medicaid.utah.gov/expansion/
- info.healthconnect.vermont.govhttps://info.healthconnect.vermont.gov/learn-more/financial-help
- help.marketplace.virginia.govhttps://help.marketplace.virginia.gov/hc/en-us/articles/47890660911757-What-is-Virginia-Premium-Savings
- scc.virginia.govhttps://www.scc.virginia.gov/about-the-scc/newsreleases/release/virginians-save-on-marketplace-health-coverage-/virginians-save-on-marketplace-health-coverage-.html
- coverva.dmas.virginia.govhttps://coverva.dmas.virginia.gov/learn/coverage-for-adults/adults-19-64-years-old/
- wahbexchange.orghttps://www.wahbexchange.org/about-the-exchange/initiatives/cascade-care/cascade-care-savings/
- wahbexchange.orghttps://www.wahbexchange.org/content/dam/materials/communications/legislative/2025/WAHBE_Final_PY_2026_Cascade_Care_Savings_Maximum_Per_Member_Per_Month_Methodology.pdf
- bfa.wv.govhttps://bfa.wv.gov/media/2416/download?inline=
- dhs.wisconsin.govhttps://www.dhs.wisconsin.gov/badgercareplus/fpl.htm
- health.wyo.govhttps://health.wyo.gov/healthcarefin/programs-and-eligibility/
Machine-readable
- data.jsonThe whole dataset — every record with its source URL and source quote.
- Open Knowledge Format bundleOne JSON object per line — every record's frontmatter and quoted span exactly as it is held here, in one fetch.
- data.csvThe same records as one flat table, for a spreadsheet or a dataframe. The last four columns are the source URL, the quoted sentence it was read from, the date we last checked it, and which columns are our reading rather than the page's words.
- How this is made and checkedWhat "verified against source" does and does not mean.
From your own code
Same records, same quotes, without scraping the page: refsource is on PyPI and npm. Each value comes back carrying the URL it was read from and the sentence on that page that states it — .source and .quote sit on the value itself rather than in a side channel, so the checking step is available instead of skipped.
pip install refsource
refsource lookup state-marketplace-assistance-programs state=Alabama
npx -y refsource lookup state-marketplace-assistance-programs state=Alabama
Set your AI assistant up to use this
Two files and no account. Put this in .mcp.json at the root of your project — Claude Code, Cursor, Windsurf, VS Code and Codex all read that file — and your assistant can look this dataset up instead of recalling it. The server is remote, keyless and read-only.
{
"mcpServers": {
"referencesource": {
"type": "http",
"url": "https://referencesource.org/mcp"
}
}
}Add to Cursor · or, on the command line: claude mcp add --transport http referencesource https://referencesource.org/mcp --scope project
Then one line in the project's CLAUDE.md or AGENTS.md, so the assistant knows when to reach for it:
When a question needs "State health insurance marketplace assistance by state: who runs it, where subsidies start and stop, and what the state adds", call the referencesource MCP server at https://referencesource.org/mcp (tool `search_records`, dataset_slug `state-marketplace-assistance-programs`) instead of answering from memory — every record it returns carries its source URL and a verbatim quote from that page.What each tool does, and the servers built over single registers: Connect your AI assistant.